A Telenursing Parctice For Care of People with Schizophrenia: Telephone Intervention Problem Solving

Abstract

A telenursing practice for care of people with schizophrenia: Telephone intervention problem solving O ver 21 million people in the world are living with schizophrenia. The disease damages the thinking, perceptions, emotions, behaviors, and insight of these people. [1] In addition, it adversely affects educational and professional performance, [1] leading to loss of ability and heavy disease burden. [2] However, people affected by schizophrenia can maintain a productive life and be integrated into the community. [3] People with schizophrenia need coping mechanisms to manage the difficulties they face and to protect their health. [4] At this point, the use of telehealth technologies in the care of people with schizophrenia appears as an opportunity. [5] With telehealth technologies, access to health care services is facilitated, social support can be provided to patients, cost of care decreases, and quality of care increases. [6,7] The use of telehealth technologies in the care of people with schizophrenia also allows these patients to receive positive results from the treatment. [8] These practices also help to bridge the gap between Schizophrenia makes it difficult for people to solve the problems they face in their daily lives. Thus, schizophrenic patients living in a community need special applications to cope with these problems. The Telephone Intervention Problem Solving (TIPS) has been developed by Beebe to serve as a solution for various daily problems of patients with schizophrenia, to offer them coping alternatives, to remind them to use these alternatives and to evaluate the effectiveness of these coping efforts. TIPS, which is conducted with weekly phone calls, is a telenursing practice based on the theory of planned behavior and conducted using problem solving process. Experimental studies conducted on this topic have shown that TIPS extends the time patients with schizophrenia spend in the community, and reduces the number of days spent and applications performed in rehospitalization process. It has also been found that this practice improves the psychiatric medication adherence and reduces the severity of psychiatric symptoms. TIPS was practiced within the context of a doctoral thesis for the first time in Turkey. After the practice, it was concluded that the practice protocol items included in the guideline can be easily used and that it is necessary to rework on only the fourth item. In light of this information, this review article aims to introduce TIPS to psychiatric nurses and to guide them to put TIPS into practice.

e-Counseling Education Services (e-CES) Effect on Quality of Life Post-Stroke Patients During the Covid-19 Pandemic

“…Telenursing is not only beneficial for patients, telenursing has proven to be able to help the role of nurses as caregivers or efforts to improve the quality of life of patients. In the application of telenursing, nurses provide nursing care services in the form of preventive and rehabilitative actions (Uslu et al, 2019).…”