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Yıl:1998; Cilt: 35; Sayı: 2>> Özet
Nöropsikiyatri Arşivi; 1998;35(2):77-88
Konsültasyon-Liyezon Psikiyatrisi Bilim Dalı'ndan 1995-1996 Yıllarında İstenen Konsültasyonların Değerlendirilmesi
M Özkan, S Özkan, N Kaçmaz, S Akkaş
Istanbul Tıp Fakültesi Psikiyatri Anabilim Dalı Konsültasyon-Liyezon Psikiyatrisi Bilim Dalı\r\n
Psikiyatrisi Bilim Dalı'mızdan Ocak 95 - Aralık 96 yıllan arasında istenen konsültasyon olguları değerlendirilmiştir.
Yöntem: Toplam 1482 olgu araştırmaya alınmıştır. Her olgu için, Konsültasyon-Liyezon Psikiyatrisi Bilim Dalında kullanılan konsültasyon istem formu, konsültasyon yanıt formu, ruhsal durum muayene formu değerlendirilmeye alınmıştır. Psikiyatrik konsültasyon isteme nedenleri, olgu­ların sosyodemografik özellikleri, çeşitli klinik durumlarda en sık görülen psikopatolojik sendrom-lar, tanınma güçlüğü çekilen psikopatoloji alanları, bedensel - ruhsal etkileşim eksenleri, tedavi yön­temleri ve izleme şekli incelenmiştir. Sonuçlar; En sık konsültasyon isteğinin İç Hastalıkları Kliniği'nden (%41.8), Cerrahi Kliniği'n-den (%30.5) ve Nöroloji Kliniği'nden (%6.6) geldiği saptanmıştır. İsteme nedenleri arasında en sık temel dürtü ve güdü bozukluğu (%21.6), anksiyete (%17.1), depresyon (%12.8), psikiyatrik tanılardan da uyum güçlüğü (%12.8), depresyon (%17.3), organik beyin sendromu (%14.5) saptanmıştır. Konsültasyon isteme nedenlerinin majör psikiyatrik bozukluklarla sınırlı olmadığı ve bedensel - ruhsal etkileşim eksenleri açısından eştanıMık oranlarının arttığı saptanmıştır.
Değerlendirme: Bulgular geçmiş yıllardaki veriler­le ve dünyadaki bulgularla karşılaştırılıp tartışılmış, hastanemizde psikiyatrik tıp hizmet­lerinin gelişimi, psikiyatrik hizmetlerin akılcı kul­lanımı ve eğitim programlarının etkisi açısından karşılaştırmalı olarak değerlendirilmiştir.
An Overall Evaluation of Psychiatric Consultation Requests From the Department of Consultation - Liaison Psychiatry
consultation requests from the department of CLP during the period of January 1995-December 1996 is given.
Method: The distribution of consultation requests according to clinics, the reasons for psychiatric referral, psychopathological syndromes frequently recognized by other clinics, the most frequent syn­dromes in various clinics, physical-mental interac­tion axis, treatment and follow-up strategies are researched.
Results: The distribution of consultation requests according to clinics go (in order of frequency) as follows internal medicine (%41.8), surgical depart­ments (%30.5), neurology (%6.6). The most fre­quently stated reasons for psychiatric referral hap­pened to be, disorders of basic drives (%21.6), anx­iety states (%17.1), and thirdly depression (%12.8). The most frequent psychiatric states, were adjust­ment disorders (%28), depression (%17.3), OBS (%14.5). It is seen that consultation request are not limited with major psychiatric disorders and medical - psychiatric comorbidity increase accord­ingly.
Discussion: Our findings are compared with the findings in the literature within the context of the development of psychiatric medicine of our faculty, rational utilization of psychiatric services in gener­al hospitals, and effort of educational standarts.

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