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Yıl:2012; Cilt: 1; Sayı: 1>> Özet
TAM METİN
NPAkademi; 2012;1(1):7-15
Psikiyatri kliniğinde yatan bir grup hastada saldırganlık potansiyeli ve etkileyen bazı etkenler
EE Ata, M Kelleci
Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü, Sivas
Amaç: Bu araştırma psikiyatri kliniğinde yatan bir grup hastada saldırganlık potansiyeli ve etkileyen bazı etkenlerin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Yöntem: Çalışma bir üniversite hastanesinin psikiyatri kliniğinde Haziran 2010-Mayıs 2011 tarihleri arasında klinikte yatarak tedavi gören 157 hasta üzerinde gerçekleştirildi. Çalışmanın verileri araştırmacılar tarafından ilgili literatür doğrultusunda hazırlanan “Bilgi Formu” ve “Saldırganlık Ölçeği” ile toplandı. Veriler, bilgisayar ortamında SPSS 16.0 paket programı ile değerlendirildi. Verilerin değerlendirilmesinde sayı-yüzde dağılımları, ortalama ve standart sapma değerleri, Mann-Whitney U tesi ve Kruskal Wallis testi kullanıldı. Bulgular: Çalışmadan elde edilen bulgulara göre, hastaların yaş ortalaması 32.49±10.20 olup %59.2’si erkek, %45.9’u ilköğretim mezunu, %51’i bekar, %67.5’i çekirdek ailede yaşamakta ve %23.6’sı çalışmaktadır. Hastalık özellikleri incelendiğinde, hastaların %26.8’nin depresyon ve intihar girişimi, %25.5’nin bipolar bozukluk, %21.7’sinin şizofreni hastası olduğu; ortalama 3.17±3.63 kez hastaneye yatarak tedavi gördükleri ve ortalama 6.02±5.63 yıldır hasta oldukları saptandı. Hastaların Saldırganlık Ölçeği toplam puanının 78.15±25.92 olduğu ve %58.6’sının saldırganlık potansiyelinin “çok yüksek” olduğu bulundu. Hastaların şiddet görme öyküsü, son bir yıl içinde kayıp yaşama durumu, geçmişte saldırganlık öyküsü, yasalarla sorun yaşama ve ceza alma durumu saldırganlık potansiyelini artıran etkenler olarak belirlendi. Tartışma: Hastaların yarıdan fazlasının çok yüksek düzeyde saldırganlık potansiyeli taşıması, üzerinde düşünül-­'mesi gereken bir sorundur. Bu durum hastaların kliniğe kabul edildikleri ilk andan itibaren tanılanmalarına olan gereksinimi göstermesi açısından önemlidir.
Aggression potential and effective factors in a group of psychiatry patien
Objective: This is a descriptive research aiming to detect in a group of psychiatry clinic patients the aggression potential and certain effective factors. Methods: The research has covered 157 patients who received in-patient treatment in the psychiatry clinic of a university hospital between June 2010 and May 2011. Research data have been compiled by the “Information Form” and “Aggression Scale” prepared by the researchers in line with relevant literature. Obtained data have been analyzed with SPSS 16.0 package computer program. In the data evaluation number-frequency distributions average and standard deviation values, Mann-Whitney U test and Kruskal Wallis test have been utilized. Findings: According to research findings age average of patients is 32.49±10.20, 59.2% are men, 45.9% are elementary education graduates, 51.0% are single, 67.5% live in nucleus family and 23.6% are employed. The classification of disease is such; 26.8% of patients have depression and suicidal tendency, 25.5% have bipolar affective disorder, 21.7% are diagnosed with schizophrenia, they have received average 3.17±3.63 times of inpatient treatment and have been sick for approximately 6.02±5.63 years. Total score of the Aggression Scale of Patients was found to be 78.15±25.92 and 58.6% of the patients had “extreme” level of aggression potential. The factors enhancing the occurrence of aggression potential have been listed such: History of abuse and violence, having lost someone significant during the latest year, history of aggression in the past, clash with the laws and receiving punishment. It deserves close attention that more than half of the patients have extreme aggression potential. This evidences that the patients need to be diagnosed accurately starting from the exact moment they are hospitalized. Discussion: It deserves close attention that more than half of the patients have extreme aggression potential. This evidences that the patients need to be diagnosed accurately starting from the exact moment they are hospitalized.

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