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AMAÇ: Adıyaman, merkezinde tek bir eğitim ve araştırma hastanesi bulunan ve bu nedenle psikiyatri konsültasyon istemlerinin tüm il merkezini yansıttığı bir ildir. Yapılan literatür taramasında, Adıyaman ilinin verilerini bir yılı esas alarak ele alan bir konsültasyon-liyezon psikiyatrisi çalışmasının bulunmadığı görülmüştür. Biz bu çalışmada 2018 yılı içerisinde yatan ve ayaktan hastalar için istemde bulunulan psikiyatri konsültasyonlarını incelemeyi amaçladık. GEREÇ VE YÖNTEM: Hasta kayıt sistemi aracılığıyla retrospektif olarak konsültasyon istemleri incelendi. Yaş, cinsiyet gibi sosyodemografik veriler, konsültasyon isteminde bulunan bölüm adı, bu bölümlerdeki ana yatış tanısı ve konulan psikiyatrik tanı elde edildi. BULGULAR: Toplam hasta sayısı 1028’di. Kadınların yaş ortalaması 49.21±21.64 (yıl), erkeklerin yaş ortalaması 45.29±20.29 (yıl)’du. Acil tıptan 330 (%32.1), iç hastalıklarından 123 (%12.0), ortopedi ve travmatolojiden 71 (%6.9), beyin ve sinir cerrahisinden 64 (%6.2), palyatif yara bakımından 53 (%5.2), göğüs hastalıklarından 51 (%5.0) istem yapılmıştı. Yatış yapıldıkları bölümdeki ana tanıları şöyleydi: Öz kıyım girişimi 135 (%13.1), anksiyete bozukluğu 125 (%12.1), lösemi-lenfoma 88 (%8.6), pre-operatif değerlendirme 48 (%4.7), şizofreni 39 (%3.8). Psikiyatrik olarak konulan tanılar şu şekildeydi: Major depresif bozukluk 251 (%24.4), anksiyete bozukluğu 183 (%17.8), uyku bozukluğu 142 (%13.8), deliryum 102 (%9.9), genel psikiyatrik muayene 84 (%8.2), panik bozukluk 56 (%5.4). Acil, cerrahi ve dahili bölümler diye üçe ayrılan istemlere göre bu üç grubunda yaş ortalaması anlamlı olarak farklıydı (p=0.000). Acil konsültasyonları arasında erkek sayısı, dahili bölüm konsültasyonları arasındaki kadın sayısı anlamlı olarak fazlaydı (p=0.000). SONUÇ: Bu çalışma, Adıyaman ili merkezinin psikiyatrik konsültasyon istem özelliklerinin incelendiği ilk çalışmadır. Psikiyatri bölümünde yapılacak planlamalara yol göstermesi ve diğer bölge ve illerle karşılaştırılması amaçlanmıştır.
AIM: Name is a province where a single training and research hospital is located in the center and therefore psychiatric consultation requests reflect the entire city center. In the literature review, it was seen that there was no consultation-liaison psychiatry study that took the data of Adiyaman province on the basis of one year. In this study, we aimed to examine the psychiatric consultations in 2018 for outpatients and inpatients. MATERIAL AND METHOD: Consultation requests were reviewed retrospectively via the patient registration system. Sociodemographic data such as age, gender, the name of the department requesting consultation, diagnosis of the main hospitalization in these departments and the psychiatric diagnosis were obtained. The total number of patients was 1028. The average age of the females was 49.21±21.64 (years) and the average age of the males was 45.29±20.29 (years). There were 330 (%32.1) consultations of emergency medicine, 123 (12.0%) of internal diseases, 71 (6.9%) of orthopedics and traumatology, 64 (6.2%) of brain and nerve surgery, 53 (5.2%) in palliative wound, 51 (5.0%) of chest diseases. The main diagnoses were as follows: 135 (13.1%), anxiety disorder 125 (12.1%), leukemia-lymphoma 88 (8.6%), pre-operative evaluation 48 (4.7%), schizophrenia 39 (3.8%). Psychiatric diagnoses were as follows: Major depressive disorder 251 (24.4%), anxiety disorder 183 (17.8%), sleep disorder 142 (13.8%), delirium 102 (9.9%), general psychiatric examination 84 (8.2%), panic disorder 56 (5.4%). The average age of these three groups was significantly different (p=0,000). Among the emergency consultations, the number of males and the number of females in internal disease were significantly different (p=0,000). CONSLUSION: This is the first study to evaluate the psychiatric consultation characteristics of the Adiyaman city center. The goal is to guide the planning in the psychiatry department and compare it with other regions and provinces.
AIM: Adıyaman is a province where a single training and research hospital is located in the center and therefore psychiatric consultation requests reflect the entire city center. In the literature review, it was seen that there was no consultation-liaison psychiatry study that took the data of Adiyaman province on the basis of one year. In this study, we aimed to examine the psychiatric consultations in 2018 for outpatients and inpatients. MATERIAL AND METHOD: Consultation requests were reviewed retrospectively via the patient registration system. Sociodemographic data such as age, gender, the name of the department requesting consultation, diagnosis of the main hospitalization in these departments and the psychiatric diagnosis were obtained. RESULTS: Total number of patients was 1028. The mean age of the females was 49.21±21.64 (years) and the mean age of the males was 45.29±20.29 (years). There were 330 (%32.1) consultations of emergency medicine, 123 (12.0%) of internal diseases, 71 (6.9%) of orthopedics and traumatology, 64 (6.2%) of brain and nerve surgery, 53 (5.2%) in palliative wound, 51 (5.0%) of chest diseases. The main diagnoses were as follows: 135 (13.1%), anxiety disorder 125 (12.1%), leukemia-lymphoma 88 (8.6%), pre-operative evaluation 48 (4.7%), schizophrenia 39 (3.8%). Psychiatric diagnoses were as follows: Major depressive disorder 251 (24.4%), anxiety disorder 183 (17.8%), sleep disorder 142 (13.8%), delirium 102 (9.9%), general psychiatric examination 84 (8.2%), panic disorder 56 (5.4%). The mean age of these three groups was significantly different (p=0.000). Among the emergency consultations, the number of males and the number of females in internal disease were significantly different (p=0.000). CONSLUSION: This is the first study to evaluate the psychiatric consultation characteristics of the Adiyaman city center. The aim is to guide the planning in the psychiatry department and compare it with other regions and provinces.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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