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Yıl:2014; Cilt: 4; Sayı: 2>> Özet
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Güncel Psikiyatri ve Psikonörofarmakoloji; 2014;4(2):23-30
Bir Eğitim Araştırma Hastanesinde Çalışan Sağlık Personelinin Şizofreni İle İlgili Tutumları
B Çam, A Büyükbayram, Ş Gülseren
Manisa Ruh ve Sinir Hastalıkları Hastanesi, Manisa
Amaç: Ruhsal hastalıklara ilişkin olumsuz tutumlar, başvuru, sağaltım süreci ve prognozu olumsuz etkilemektedir. Sağlık çalışanlarının da ruhsal hastalıklara karşı olumsuz tutumlarının olduğu çalışmalarda gösterilmiştir. Ancak bu alanda yapılan çalışmaların çoğu 1990’lı yıllarda yapılmıştır. Yapılan çalışmalarda şizofreni en çok tanınan ancak sosyal açıdan en çok reddedilen ruhsal hastalık olarak belirtilmektedir. Son yıllarda ruhsal hastalığı olan bireyleri topluma kazandırmaya, damgalamayı azaltmaya yönelik birçok çalışma yürütülmekte olup birçok şehirde bu amaçla toplum ruh sağlığı merkezleri kurulmuştur. Bu girişimlerin ardından tutumları değerlendiren bir çalışmaya rastlanmamıştır. Bu çalışmada bir eğitim araştırma hastanesinde görev yapan sağlık çalışanlarının şizofreniye yönelik tutum ve yaklaşımlarının araştırılması amaçlanmıştır. Yöntem: İzmir Atatürk Eğitim Araştırma Hastanesi’nde çalışan ve çalışmaya katılmaya gönüllü olan sağlık çalışanlarına PAREM anket formunun şizofreni alt ölçeği uygulanmıştır. Bulgular: Çalışmaya 129 erkek (%62.3), 78 kadın (%37.7) sağlık çalışanı katıldı. Şizofreniyi hastalık olarak görenlerin oranı %97.6 (n=200), akıl hastalığı olarak görenlerin oranı %82.5 (n=165) olarak bulundu. Tanımlanan şizofreni olgusunun bir ruhsal rahatsızlığı gösterdiğini belirtenlerin oranı %95.2 saptandı. Katılımcıların % 51.8’i etyolojik neden olarak en çok sosyal sorunları gösterdi. Katılımcıların %62.8’i (n=120) şizofreni hastalarının saldırgan olduğunu, %78’i (n=149) doğru karar alamayacağını, %54.7’si (n=105) şizofreni hastası olan bir kişiyle çalışamayacağını, %92.2’si ise (n=178) şizofreni hastası olan bir kişiyle evlenmeyeceğini belirtti. Hekimler, diğer meslek gruplarına göre daha doğru bilgiye ve olumlu tutuma sahip bulundu. Sonuç: Sağlık personelinin şizofreninin tanınmasında ve tedaviye yönlendirilmesinde olumsuz bir durumda olmadığı, ancak şizofreni hastalarının kabullenilmesinde ve önyargılar bakımından tutumların olumsuz olduğu görülmektedir. Damgalamayı azaltmaya yönelik eğitimlere ihtiyaç duyulduğu açıktır.
Attitudes about Schizophrenia among Health Personnel Working in a Training and Research Hospital
Objective: Negative attitudes towards mental illnesses, negatively affects application, treatment process and prognosis. The negative attitudes of health workers also demonstrated in studies of mental diseases. However, most studies in this area have been made in the 1990s. Studies show that schizophrenia is a mostly recognized however the most socially rejected mental illness. For reintegration of individuals with mental illness into society in recent years, many studies carried out to reduce stigma and community mental health centers have been established for this purpose in many cities. This was not found in a study that evaluates the attitudes than initiatives. In this study, a training and research hospital employee health care workers is intended to investigate the attitudes and approaches to schizophrenia. Methods: Izmir Ataturk training and research hospital employee and volunteer health workers, which is applied to the subscale questionnaire PAREM schizophrenia. Results: Study of 129 males (62.3%), 78 females (% 23.4) was attended by health workers. Schizophrenia with the disease as those who rate% 97.6 (n = 200), as those who have mental illness rate% 51.3 (n = 165). Shows that the phenomenon of a mentally ill schizophrenia identified participants rate was 95.2%. % Of participants indicated that most social problems as to why the etiological 32.2. % of participants 39.0 (n = 120) is aggressive, 78% of schizophrenic patients (n = 149) whether it’s the right decision,% 34.0 (n = 105) is a schizophrenic person who cannot act, the (n = 178) 92.2% of schizophrenic persons to marry, he said. Physicians, other professional groups are more accurate and have a positive attitude. Conclusion: The diagnosis and treatment of schizophrenia, negative direction of health care personnel is not the case, however, the negative attitudes observed that patients with schizophrenia in terms of the adoption and prejudices. Training to recognize mental illness to reduce the training needed to be effective, but is still a stigma.

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