Views
11
Downloands
3
Amaç: Hastanede yatan çocuk ve ergenlerdeki psikiyatrik semptomların tanınması, zamanında müdahale ve tedavi edilmesi oldukça önemlidir. Bu çalışmada bir eğitim araştırma hastanesindeki çocuk ve ergen psikiyatrisi konsültasyonlarının özelliklerinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Mayıs 2016-Ekim 2018 tarihleri arasında yatan hasta kaydı bulunan çocuk ve ergen hastalar için istenen çocuk psikiyatri konsültasyonları geriye dönük olarak incelendi. Demografik ve klinik özellikler SPSS (Sosyal Bilimler İçin İstatistik Paket Programı) 17.0 kullanılarak analiz edildi. Sürekli değişkenlerin normal dağılıma uygunluğu Kolmogorov-Simirnov ile test edildi, karşılaştırmalarında Mann Whitney U testi kullanıldı. Kategorik değişkenler sıklık (n) ve yüzde (%) cinsinden ifade edildi ve Pearson ki-kare testi ile karşılaştırıldı. p<0.05 anlamlılık düzeyi olarak kabul edildi. Bulgular: Araştırma kapsamında değerlendirilen toplam 127 çocuk ve ergenin %66.9’u (n=85) kızdı. Olguların %78.7’sini ergen (13-17) yaş grubu oluşturuyordu. Psikiyatrik değerlendirmenin istenildiği klinikler içinde, en büyük oranda istemin %93.7 (n=119) ile pediatri bölümünden yapıldığı tespit edildi. Olgulardan konsültasyon istenme nedenleri değerlendirildiğinde en sık intihar girişimi nedeniyle konsültasyon istendiği saptandı (%55.1, n=70). Değerlendirilen kesitte, olguların %19.7’ sinde (n=25) en az bir psikiyatrik bozukluk saptandı. Olguların %18.1’ine en az bir psikotrop ilaç önerildiği bulundu. Sonuç: Çalışmamızda Konsültasyon Liyezon Psikiyatrisi biriminin önemine dikkat çekilmiştir. Konsültasyon-Liyezon alanındaki farkındalığın artması olumlu yönde bir gelişme olarak değerlendirilmiş ancak bu alandaki hizmetlerin daha fazla geliştirilmesi gerektiği düşünülmüştür. Ülkemizde yapılan çalışmalarda bulunan farklı sonuçlar değerlendirildiğinde konsültasyon-liyezon alanında ortak bir dil ve algoritma oluşturulmasının önemli olduğu düşünülmüştür.
Objective: In hospitalized children and adolescents recognition of psychiatric symptoms, timely intervention and treatment are quite important. In this study, it was aimed at examining the characteristics of child and adolescent psychiatry consultations in a training and research hospital. Material and Methods: The psychiatric consultations of the child and adolescent inpatients between May 2016- October 2018 were assessed retrospectively. Demographic and clinical characteristics were analyzed using SPSS (Statistical Package Program for Social Sciences). The compliance of continuous variables to normal distribution was tested using Kolmogorov-Simirnov test, Mann Whitney U test was used for comparisons. Categorical variables were expressed in terms of frequency (n) and percentage (%) and compared using the Pearson chi-square test. p values < 0.05 were regarded as statistically significant. Results: 66.9% (n = 85) of 127 children and adolescents evaluated within the scope of the study were female. 78.7% of the cases were in adolescent age group (13-17). Among the clinics that requested psychiatric evaluation, it was found that the highest rate of consultation was requested from the pediatric department with 93.7% (n = 119). Considering the reasons for requesting a consultation from the cases, it was found that the most requested reason for consultation was the evaluation of suicide attempts (55.1%, n = 70). In the cross section evaluated, 19. 7% (n = 25) of the cases were found to have at least one psychiatric disorder. It was found that at least one psychotropic drug was recommended to 18.1% of the cases. Conclusion: The importance of the Consultation-Liaison Psychiatry unit was highlighted in our study. Increasing awareness in the field of Consultation-Liaison is considered as a positive development, but it is thought that the services in this area should be improved more. Considering the different results found in the studies conducted in our country, to create a common language and algorithm in the field of consultation-liaison is thought to be important.
Objective: In hospitalized children and adolescents recognition of psychiatric symptoms, timely intervention and treatment are quite important. In this study, it was aimed to examine the characteristics of child and adolescent psychiatry consultations in a training and research hospital. Material and Methods: The psychiatric consultations of the child and adolescent inpatients between May 2016- October 2018 were assessed retrospectively. Demographic and clinical characteristics were analyzed using SPSS (Statistical Package Program for Social Sciences) 17.0. The compliance of continuous variables to normal distribution was tested using Kolmogorov-Simirnov test, Mann Whitney U test was used for comparisons. Categorical variables were expressed in terms of frequency (n) and percentage (%) and compared using the Pearson chi-square test. p values < 0.05 were regarded as statistically significant. Results: 66.9% (n = 85) of 127 children and adolescents evaluated within the scope of the study were females. 78.7% of the cases were in adolescent age group (13-17). Among the clinics that requested psychiatric evaluation, it was found that the highest rate of consultation was requested from the pediatric department with 93.7% (n = 119). Considering the reasons for requesting a consultation from the cases, it was found that the most requested consultation reason was the evaluation of suicide attempts (55.1%, n = 70). In the cross section evaluated, 19.7% (n = 25) of the cases were found to have at least one psychiatric disorder. It was found that at least one psychotropic drug was recommended to 18.1% of the cases. Conclusion: The importance of the Consultation-Liaison Psychiatry unit was highlighted in our study. Increasing awareness in the field of Consultation-Liaison is considered as a positive development, but it is thought that the services in this area should be improved more. Considering the different results found in the studies conducted in our country, to create a common language and algorithm in the field of consultation-liaison is thought to be important.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
Article Detail 
Similar Articles
Download PDF
Journal Information
Listen Paper
Cite
Print This Page
Share
Mendeley
