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Yıl:2013; Cilt: 3; Sayı: 1>> Özet
Güncel Psikiyatri ve Psikonörofarmakoloji; 2013;3(1):20-23
Bir Üniversite Hastanesinde İstenen Psikiyatri Konsültasyonlarının Değerlendirilmesi
A Ünal, Ö Bozgeyik, B Demir, G Alpak, F Bülbül, HA Savaş
Gaziantep Üniv., Gaziantep
Amaç: Bu çalışmada bir üniversite hastanesinde istenen psikiyatri konsültasyonlarının hastaların sosyodemografik özelliklerine, isteyen kliniklere, konsültasyon istem nedenlerine, olguların psikiyatrik muayeneye karşı tutumlarına, psikiyatrik tanı ve tedavilerine göre dağılımlarının incelenmesi amaçlandı. Yöntem: 1 Haziran - 31 Aralık 2011 tarihleri arasında Gaziantep Üniversitesi Hastanesi'nde yatarak tedavi gören ve psikiyatri konsültasyonu istenen 360 hasta incelendi. Hastaların psikiyatrik değerlendirmeleri ve bazı klinik bilgiler çalışma için hazırlanan bir forma kaydedildi. Bulgular: En fazla konsültasyon isteyen kliniğin %26.4 ile dahiliye olduğu, bunu %16.1 ile acil tıp, %9.7 ile de nöroloji kliniğinin izlediği belirlendi. Konsültasyon istem nedenleri sırasıyla; neden belirtilmeden hastanın ruhsal yönden değerlendirilmesi (%22.5), depresif belirtiler (%19,2), anksiyete belirtileri (%18.3) ve sinirlilik/saldırganlıktı (%10.6). Hastaların %65'i istenen konsültasyon hakkında doktoru tarafından bilgilendirilmiştir. Sonuç: Yatarak tedavi gören fiziksel hastalığı olan hastalarda ruhsal sorunların yaygın olarak görüldüğü belirlendi. Bu sonuç, ruhsal hastalıklar konusunda psikiyatri dışı hekimlerin donanımlarının artırılmasının önemini ve ruhsal muayenenin genel hasta muayenesinin bir parçası olarak eğitim müfredatında ele alınmasının gerekliliğini ortaya koymaktadır.
Evaluation of Psychiatric Consultations in a University Hospital
Objective: In this study we aimed to evaluate the psychiatric consultations according to their socio-demographic variables, the clinics which needed them, reasons of consultations, attitudes of patients towards the mental status examination, psychiatric diagnosis, and treatments. Method: 360 patients were evaluated who had treated in Gaziantep University School of Medicine Hospital between 1 June - 31 December 2011. Psychiatric evaluation, and some of the clinical information of patients were recorded in a form prepared for this study. Results: Internal medicine was leading department which needed most of the consultations wth 26.4%, followed by emergency medicine wth 16.1%, and neurology wth 9.7%. The reasons for mental status examination were no reason (22.5%), depressive symptoms (19.2%), anxiety symptoms (18.3%), and irritability/aggressiveness (10.6%). 65% of the patients were informed by their doctor about mental status examination. Conclusion: We found that mental problems are common among hospitalized patients wth physical diseases. This result shows that it is important for doctors other than psychiatrists to be more equipped about mental disorders and mental examination should take place in the general examination section of the education schedule.

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