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Yıl:2015; Cilt: 53; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2015;53(3):10-16
Bir Üniversite Hastanesinde Hastalardan İstenen Çocuk ve Ergen Psikiyatrisi Konsültasyonlarının Değerlendirilmesi
AH Alpaslan, U Koçak, C Çobanoğlu, Y Görücü
Afyon Kocatepe Üniversitesi, Afyon
Amaç: Bu çalışmanın amacı, bir üniversite hastanesinde, 1 yıllık süreçte istenen çocuk ve ergen psikiyatrisi konsültasyonlarının nedenlerini, olguların klinik ve sosyodemografik özelliklerini ve bu olgulara önerilen tedavileri sunmaktır. Yöntem: Çalışmada, Afyon Kocatepe Üniversitesi Tıp Fakültesi Hastanesinde Şubat 2014 - Ocak 2015 tarihleri arasında çocuk hastalıkları ve diğer klinikler tarafından, çocuk ve ergen psikiyatrisi ana bilim dalından istenen konsültasyonlara dair hastaların bilgileri geriye dönük taranmıştır. Bulgular: Çalışmanın sonuçlarına göre, son bir yılda 137 hastadan çocuk ve ergen psikiyatrisi konsültasyonu istenmişti. Olguların %56,2’si kız (n=77) ve %43,8’u ise erkek (n=60) olup olguların yaş ortalaması 10,9±4,3 olarak saptanmıştır. En sık konsültasyon isteyen klinikler; çocuk sağlığı ve hastalıkları (%27,8; n=38) ile çocuk yoğun bakım servisi (%16,7; n=23) idi. Psikiyatrik tanılar; en sık %12,4 oranla depresif bozukluk, ikinci sıklıkta %8,0 oranla uyum bozukluğu, üçüncü sıklıkta %7,3 oranla dikkat eksikliği hiperaktivite bozukluğu tanılarıdır. Olguların %29,2’si psikiyatrik tanı almamıştır. Değerlendirilen olguların %70,2’sine (n=97) medikal tedavi uygulanmıştır. Tartışma: Çalışmamız fiziksel hastalığı olan çocuklarda depresyon ve uyum bozukluğu başta olmak üzere psikiyatrik bozuklukların sık görüldüğünü ortaya koymaktadır. Çalışmamızın sonuçları, konsültasyon istemlerinin değeri ve bölümler arası işbirliğinin önemini vurgulamaktadır. Bu konuda düzenlenecek eğitim toplantılarının klinikler arasındaki işbirliğini artırmada katkı sağlayabileceği düşünülmüştür.
Evaluation of Child and Adolescent Psychiatry Consultations in a University Hospital
Objective: Main objective was to address the issue by presenting the reasons of child and adolescent psychiatry consultations, clinical and socio-demographic characteristics of the cases and the treatments suggested. Methods: Patient information related to the consultations requested from the department of child and adolescent psychiatry by the clinics of pediatric, and other clinics in the Afyon Kocatepe University, Faculty of Medicine between February 2014 and January 2015 were retrospectively screened. Results: In the past year, 137 child and adolescent psychiatry consultations were requested. 43.8% (n=60) of the cases were male, 56.2% (n=77) were female. While mean age was 10.9±4.3 years. Consultations were most often requested from the clinics of pediatric (27.8%; n=38), and pediatric intensive care unit (16.7%; n=23). Of the cases, 29.2% had not received any psychiatric diagnosis. Psychiatric diagnoses were mostly depressive disorder (12.4%), adjustment disorder (8.0%), and attention deficit hyperactivity disorder (7.3%). Medical treatment was administered to 70.2% (n=97) of the evaluated cases. Conclusions: Our study reveals that psychiatric disorders, mainly depressive disorder and adjustment disorders are frequently seen in patients with physical diseases. Outcomes of our study emphasized the merit of these consultation demands, and importance of collaboration between disciplines. Holding more educational meetings on this issue might contribute to enhancing the cooperation between clinics

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