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Bu çalışmada, bir üniversite hastanesinin çocuk ve ergen psikiyatri bölümü tarafından bir yıllık süreç içerisinde sunulan konsültasyon-liyezon hizmetlerinin değerlendirilmesi amaçlanmıştır.Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Hastanesi’nde Eylül 2017-Ağustos 2018 tarihleri arasında diğer kliniklerden ayaktan ya da yatarak takip edilen çocuk hastalar için istenen konsültasyonlar geriye dönük olarak taranmıştır. Konsültasyonların hangi birimlerden istendiği, konsültasyon istem nedenleri, çocuklardaki ruhsal ve bedensel hastalık tanıları, psikiyatrik tedavi ve izlem sürecine ilişkin veriler incelenmiştir. Bir yıllık süre içinde 146 çocuk için çocuk psikiyatrisi konsültasyonu istenmiştir. Çocuk acile başvuran olguların %0,08’inden ve 18 yaş altı yatarak tedavi gören olguların %1,6’sından psikiyatri konsültasyonu istenmiştir. Konsültasyon istenen olguların % 55,5’i erkektir ve %69,2’si 12 yaş ve üzeri yaştadır. En sık konsültasyon nedeni suisid girişimidir (%22,6). En sık konulan ruhsal tanı major depresif bozukluktur (%16,4). Olguların %28,1’ine psikotrop ilaç başlanmıştır. Konsültasyon sonucunda ayaktan çocuk psikiyatrisi izlemi önerilen 109 olgunun 82’si (%75,2) ayaktan tedaviyi sürdürmüştür. Bu çalışma, fiziksel hastalığı olan çocuklarda ruhsal hastalıkların sık görülmesine rağmen konsültasyon istenme oranlarının düşük olduğunu göstermiştir. Bu durum psikiyatri dışı alanlarda çalışan hekimlerin çocuklardaki ruhsal belirtileri anlama ve değerlendirme konusunda güçlükler yaşadığına işaret etmektedir. Bu nedenle çocuk ve ergen psikiyatri ile diğer uzmanlık alanları arasındaki işbirliğinin artırılmasının önemi vurgulanmıştır.
In this study, the aim is to evaluate the consultation-lisency services offered within a year process by the Department of Child and Adolescent Psychiatry of an university hospital.The consultations requested for children’s patients followed by foot or bed from other clinics between September 2017 and August 2018 in the University of Osmangazi Medical School Hospital have been backward scaned. The data on which units consultations were requested, the reasons for consultation request, the diagnoses of mental and physical illnesses in children, psychiatric treatment and the process of monitoring were studied. In a year period, 146 children were asked for psychiatric consultation. About 0.08 percent of emergency cases and 1.6 percent of cases treated by bed under the age of 18 were asked for psychiatric consultation. 55,5% of the cases requested consultation are men and 69.2% are aged 12 years and older. The most common reason for consultation is the suspected attempt (22.6%). The most common mental diagnosis is major depressive disorder (16.4%). In 28.1% of cases, psychotropic medications have been initiated. As a result of the consultation, 82 of the 109 recommended children's psychiatric observations (75.2%) continued the foot treatment. This study showed that although mental illnesses are common in children with physical illnesses, consultation requests are low. This situation indicates that doctors working in non-psychiatric areas have difficulties in understanding and evaluating mental symptoms in children. Therefore, the importance of increasing cooperation between children and adolescent psychiatrics and other fields of expertise has been emphasized.
Consultation-liaison services provided by the child psychiatry department of a university hospital over a twelve-month period were evaluated in this study. Consultations requested from the department of child and adolescent psychiatry by the other clinics in the Eskişehir Osmangazi University, Faculty of Medicine between September 2017 and August 2018 were retrospectively screened. The data about which units demanded consultation; consultation reasons, patients’ physical and mental diagnoses, psychiatric treatments and follow-up period were investigated. Psychiatric consultation was requested for 146 children within a twelve-month period. Psychiatry consultations were requested from 0.08% of the cases who referred to the outpatient clinics of pediatric emergency, and 1,6% of the inpatients aged less than18 years. 55,5% of consulted patients were males and 69,2% of them were at the age of 12 or older. The most frequent reason for consultation was suicidal attempt (22.6%). The most frequent psychiatric diagnoses was depressive disorder (16,4%). Psychotropic medications were prescribed for 28,1 % of cases. 82 (75,2%) of 109 patients who were referred to the outpatient treatment were admitted to child psychiatry outpatient clinic. This study reveals that psychiatric disorders are frequently seen in patients with physical diseases, however the consultation requestıng ratio was found low. This suggests that the physicians who are working in non-psychiatric areas are having difficulty understanding and evaluating the psychiatric symptoms in children. Therefore, the importance of enhancing cooperation between child and adolescent psychiatry and other specialties has been emphasized.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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