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Yıl:2000; Cilt: 1; Sayı: 3>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2000;1(3):148-156
Bir üniversite hastanesinde yatan hastalarda psikiyatrik bozukluk dağılımı
FÇ Ateşci, F Karadağ, NK Oğuzhanoğlu
Pamukkale Üniv. Tıp Fak. Psikiyatri ABD, Denizli.
Amaç: Genel hastanede yatan hastaların büyük bir kısmında, psikiyatrik bozuklukların olması ve fiziksel
hastalıkların gidişini etkilemesi önemli bir sorundur. Çalışmamızda, Pamukkale Üniversitesi Tıp Fakültesi'nde
psikiyatri dışı kliniklerde yatarak tedavi gören hastaların psikiyatrik bozukluk oranları, bu oranları etkileyen
faktörler, sosyodemografik özellikleri ve fiziksel hastalıkları araştırılmıştır. Yöntem: Bu çalışma, psikiyatri dışı
kliniklerde yatarak tedavi gören ve araştırmaya katılmayı kabul eden 201 hastada gerçekleştirildi. Hastaların
psikiyatrik bozukluk tanılarını saptamak için Prime-MD (Primary Care Evaluation of Mental Disorder) ölçeği
kullanıldı. Sonuçlar: Psikiyatrik bozukluk oranı % 23.4'dü ve hastalarda en fazla depresif bozukluklar
görülmekteydi. Psikiyatrik bozukluğu olan ve olmayan hastaların sosyodemografik özellikleri anlamlı bir
farklılık göstermemekle beraber, ileri yaş, fiziksel hastalıkların kronik oluşu, kısmi işlev kaybı, kanser ve stres
etmenleri psikiyatrik bozukluklar için önemli risk faktörleriydi. Tartışma: Fiziksel hastalığın kronik oluşu, kısmi
işlev kaybı ve stres etmenleri psikiyatrik bozukluklara yatkınlık sağlamaktadır. Yatan hastalarda önemli oranda
psikiyatrik bozukluk saptanması, bu hastalara biyopsikososyal yaklaşımın önemini vurgulamaktadır.
The distribution of psychiatric disorders among inpatients in an university hospital
Objective: It is a crucial problem that the inpatients in the non-psychiatric clinics in general hospital have
generally psychiatric disorder which can affect the course of medical condition. In this study, the rate of
psychiatric disorders, the factors affecting these rates, the sociodemographic characteristics, medical disorders
in the Pamukkale University have been investigated. Method: In this study has been aplied to 201 inpatients in
the non-psychiatric clinics, who accepted to be included in the study. Psychiatric disorders were diagnosed
using Prime-MD (Primary Care Evaluation of Mental Disorder). Results: It had been observed that the rate of
psychiatric disorders was 23.4 % and depressive disorders were mostly common among inpatients. Although
there was not a significant sociodemografic difference between the patients who had a psychiatric disorder and
who did not, old age, chronical medical disorders, partial disability, cancer and stress were the majör risk
factors for psychiatric disorders. Conclusion: Cronic medical disorder, partial disability and stress factors may
give rise to psychiatric disorder. The frequent determination of psychiatric disorders among the inpatients
emphasizes the importance of psychosocial approach.

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