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Yıl:2017; Cilt: 20; Sayı: 4>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2017;20(4):263-267
Çocuk Psikiyatri Hastalarında Yatış Süresine Etki Eden Faktörler
MB Usta, E Ürer, A Aral, GN Say, K Karabekiroğlu
Ondokuz Mayıs Üniversitesi, Samsun
Amaç: Ülkemizde yataklı hizmet veren çocuk ve ergen psikiyatri kliniklerinin sayısının az olması nedeniyle bu yaş grubunda literatürde kısıtlı veri bulunmaktadır. Bu çalış- mada Samsun Ondokuz Mayıs Üniversitesi Tıp Fakültesi Psikiyatri Servisi’ne yatarak sağaltım gören çocuk ve ergenlerde yatış süresine etki eden faktörlerin belirlenmesi amaçlanmıştır. Yöntem: Ocak 2013 - Aralık 2015 tarihleri arasında Ondokuz Mayıs Üniversitesi Psikiyatri Servisinde yatarak tedavi gören ve yaşları 11-18 arasında değişen 194 çocuk ve ergen hastanın hastane kayıtları retrospektif olarak incelenmiştir. Yatış süreleri ve çoklu yatışa etki edebilecek klinik ve sosyodemografik veriler için ANOVA ve logistik regresyon analizleri yapılmıştır. Bulgular: Çalışmaya alınan hastaların 138'i kız, 56'sı erkek cinsiyetteydi. hastaların en fazla aldığı yatış tanısı Major Depresif Bozukluk’du (n: 79, %41.1) ve ortalama yatış süresi 8.43 gündü. Ortalama yatış süresi en uzun olan grup Psikotik Bozukluk grubuydu (n: 17, ort: 19.92 gün, p: 0.01). Çoklu yatış risk faktörleri için yapılan lojistik regresyon analizinde; kız cinsiyetin (OR: 2.02) ve MDB tanısının (OR: 1.51) çoklu yatış için risk oluşturduğu saptandı. Sonuç: Çalışmamızda Major Depresif Bozukluk ve kız cinsiyette olmanın çoklu yatışlar için risk faktörü olduğu gözlemleniştir. Hastalara ait klinik ve sosyodemografik özellikler tedavi planı içerisinde hastaneye yatış için öngörücü olabilir.
Factors Effecting Length of Stay in Child Psychiatry Hospital Setting
Objective: Due to the low number of children and adult psychiatric clinics serving in our country, there is limited data in this age group in the literature. In this study, it was aimed to determine the factors affecting the duration of admission in children and adolescents receiving treatment in Samsun Ondokuz Mayis University Medical Faculty Psychiatry Clinic. Methods: Hospital records of 194 children and adolescents aged between 11 and 18 years who were hospitalized at Ondokuz Mayis University Psychiatric Service between January 2013 and December 2015 were retrospectively reviewed. ANOVA and logistic regression analyzes were performed for clinical and sociodemographic data that could effect hospitalization times and multiple admission. Results: 138 of the patients were female and 56 were male. Major depressive disorder patients (n: 79, 41.1%) and the average duration of hospitalization were 8.43 days. The group with the longest mean duration of admission was the Psychotic Disorder group (n: 17, mean: 19.92 days, p: 0.01). In logistic regression analysis for multiple risk factors, Female gender (OR: 2.02) and MDD diagnosis (OR: 1.51) were found to be risk factors for multiple admission. Discussion: In our study, it was observed that the presence of Major Depresive Disorder and female gender was a risk factor for multiple admission. Clinical and sociodemographic features of the disease can be predictive of hospitalization within the treatment plan.

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