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Yıl:2017; Cilt: 24; Sayı: 3>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2017;24(3):207-218
Bir Ruh Sağlığı Ve Hastalıkları Hastanesinin Çocuk ve Ergen Psikiyatrisi Kliniğinde Yatarak Tedavi Gören Hastalarda İlaç Kullanımı
BŞ Pilan, Ö Bilaç, Z Orhon, HÖ Erkuran
Manisa Ruh Sağlığı ve Hastalıkları Hastanesi, Manisa,
Amaç: Bu çalışmanın amacı, Türkiye’nin az sayıdaki çocuk ve ergen yataklı servislerinden olan Manisa Ruh Sağlığı ve Hastalıkları Hastanesi Çocuk ve Ergen Ruh Sağlığı Yataklı birimimizdeki psikofarmakolojik girişimleri değerlendirmektir. Yöntem: Manisa Ruh Sağlığı ve Hastalıkları Hastanesi Çocuk ve Ergen Ruh Sağlığı Yataklı Biriminde, Eylül 2011 ve Eylül 2012 tarihleri arasında yatarak tedavi görmüş hastaların tıbbi kayıtları geriye dönük incelenmiştir. İlaç tedavileri alt gruplara ayrılmıştır (antipsikotikler, antidepresanlar vs.). Sonuçlar: İki yüz oniki hastanın içinden 201’i (%94,8) tedavi sürecinde bir psikotrop ajan kullanmıştır. İlaç kullanım sıklığı açısından gruplar ele alındığında, en sık kullanılan diğer ilaç grupları sırası ile antidepresanlar, anksiyolitik ilaçlar ve duygudurum düzenleyicileri olmuştur. 152 hastada (%76,9) en az iki psikotrop ajan birlikte kullanılmıştır. Çalışmamızda en çok tercih edilen ilaç grubunun antipsikotikler olduğu gözlenmiştir (%84,9). Tartışma: Çalışmamızın sonuçları güncel bilgiler ve diğer çalışmalarda bildirilen bulgular eşliğinde tartışılmıştır. Bu görece az çalışılmış alan üzerinde daha fazla araştırma yapmak ve deneyimleri paylaşmanın hem çocuk ve ergenlerin ruh sağlıklarına hem de hala gelişme sürecinde olan ayaktan ve yataklı tedavi birimlerine olumlu katkı sağlayacağına inanmaktayız.
Medication Use in a Child and Adolescent Inpatient Unit of a Mental Health Hospital
Objective: Aim of this study was to evaluate psychopharmacologic interventions in Manisa Mental Health Hospital's Child and Adolescent Psychiatry in-patient unit, which is one of the few inpatient child psychiatry clinics in Turkey. Method: Medical records of patients treated between September 2011 and September 2012 in the Child and Adolescent Psychiatry inpatient unit of Manisa Mental Health Hospital were retrospectively evaluated. Medications used were divided into subgroups (antipsychotics, antidepressants, etc.). Results: Out of 212 patients, 201 (94,8%) had used one psychotropic agent during treatment. Antipsychotics were the most commonly chosen drugs (84,9%) in the treatment process. When groups were evaluated by frequency of drug use, other common medications were antidepressants, anxiolytic and mood stabilizers, respectively. 152 patients (76,9 %) had used at least two psychotropic agents, simultaneously. Results of our study have suggested antipsychotics being the most commonly used psychotropic medication (84,9%). Discussion: Results of our study were discussed along with updated data from relevant literature and results that have been reported by similarly designed studies. We believe increasing research in this relatively understudied fi eld and sharing experiences shall make great contribution to mental health of children and progress of outpatient and inpatient services, still evolving to this date.

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