Li JY, Liu XE, Li W, Wang LN. Nursing care of a patient with negative symptoms of schizophrenia who underwent tracheotomy: A case report. World J Clin Cases 2025; 13(25): 108124 [DOI: 10.12998/wjcc.v13.i25.108124]
Corresponding Author of This Article
Jin-Yuan Li, Chief Nurse, Deputy Director, Department of Nursing, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, No. 13 Liulin Road, Hexi District, Tianjin 300222, China. jinyuan515@126.com
Research Domain of This Article
Nursing
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Nursing care of a patient with negative symptoms of schizophrenia who underwent tracheotomy: A case report
Jin-Yuan Li, Xiao-En Liu, Wei Li, Li-Na Wang
Jin-Yuan Li, Department of Nursing, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin 300222, China
Xiao-En Liu, Wei Li, Li-Na Wang, Department of Psychiatry, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin 300222, China
Co-first authors: Jin-Yuan Li and Xiao-En Liu.
Author contributions: Li JY and Liu XE contributed equally to this study and are co–first authors; Li JY was responsible for data analysis and manuscript writing; Liu XE revised and edited the manuscript; Li W contributed to data curation; Wang LN was involved in planning and executing the research activities; All authors have read and approved the final manuscript.
Supported by Tianjin Key Medical Discipline (Specialty) Construction Project, No. TJYXZDXK-033A
Informed consent statement: Written informed consent for the publication of this case report was obtained from the patient’s legal guardian.
Conflict-of-interest statement: All authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have reviewed the CARE Checklist (2016), and the manuscript was prepared and revised in accordance with its guidelines.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Yuan Li, Chief Nurse, Deputy Director, Department of Nursing, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, No. 13 Liulin Road, Hexi District, Tianjin 300222, China. jinyuan515@126.com
Received: April 7, 2025 Revised: April 26, 2025 Accepted: May 27, 2025 Published online: September 6, 2025 Processing time: 91 Days and 21.8 Hours
Core Tip
Core Tip: Managing postoperative tracheostomy care in elderly patients with chronic schizophrenia, particularly those presenting with negative symptoms and multiple comorbidities, presents significant clinical challenges. This case report discusses an 87-year-old man with a 63-year history of schizophrenia, complicated by pneumonia and other health issues, who exhibited persistent low mood and restlessness after undergoing a tracheostomy. We present novel clinical strategies and practical care approaches designed to support nursing staff in psychiatric settings. The involvement of a multidisciplinary care team and comprehensive risk assessments are essential for enhancing patient outcomes and experiences in similar complex cases. This report underscores the importance of specialized, integrative care in managing postoperative recovery in older adults with long-standing schizophrenia.
