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Yıl:2007; Cilt: 9; Sayı: 1>> Özet
Türkiye'de Psikiyatri; 2007;9(1):12-17
Psikiyatri Kliniğinde Yatış Sürelerini Etkileyen Faktörler
C Kısa, Ç Aydemir, S Cebeci, SG Yıldırım, E Göka
Ankara Numune Eğitim ve Araştırma Hastanesi 1. Psikiyatri Kliniği, Ankara
Amaç: Bu çalışmada bir psikiyatri kliniğinde ruhsal bozukluk nedeniyle yatırılarak tedavi edilen hastaların
yatış sürelerini etkileyen faktörlerin değerlendirilmesi amaçlanmıştır.
Yöntem: Araştırma Ankara Numune Eğitim ve Araştırma Hastanesi 1. Psikiyatri Kliniğinde bir yıllık süre içinde
yatarak tedavi görmüş olan 240 hastanın kayıt bilgilerini içeren tıbbi dosyalarının geriye dönük olarak taranması
yoluyla gerçekleştirildi. Hastalar, 0?14 gün (grup 1) ve 14 günden daha uzun süreli (grup 2) yatanlar
şeklinde iki gruba ayrıldı. Bu iki grupta sosyodemografik özellikler, ruhsal bozukluk tanısı, fiziksel hastalık
varlığına ilişkin veriler karşılaştırıldı.
Bulgular: Hastaların % 46.3'ü (n=111) kadın, % 53.8'i (n=129) erkek ve yaş ortalaması 35.92±13.4
(16-75) şeklindeydi. Yatış sürelerine bakıldığında ortalama 12±8.5 gün (1-54) yatarak tedavi gördükleri
saptandı. Yaş, cinsiyet, medeni durum, eğitim düzeyi ve sosyal güvence açısından grup bir ve grup iki
arasında fark yoktu. Psikiyatrik tanılara bakıldığında, duygu durumu bozukluğu tanısı konulan hastalar diğer
tüm hastalara göre 3.45 kat ve psikotik bozukluk tanısı konulan hastalar diğer tüm hastalara göre 3.39 kat
daha fazla oranda 14 günden uzun yatış grubunda yer almaktadır.
Sonuç: Bu araştırmada sosyodemografik özelliklerin hastanede yatış süresini etkilemediği, psikiyatrik tanıların
özellikle psikotik bozukluk ve duygudurum bozukluğunun yatış süresini diğer hastalık tanılarına göre
artırma yönünde etkilediği sonucuna varılmıştır.
Factors Effecting The Length Of Hospitalization in A Psychiatry Unit
Objective: This study is designed to explore the factors those effect the length of stay in the inpatient unit of a psychiatry department.
Method: This study is carried out by reviewing the charts of 240 patients who were hospitalised in inpatient unit of Ankara Numune Research
and Education Hospital 1 Psychiatry department, in the previous one [year]. The patients were divided into two groups regarding their duration
of stay in the hospital as; 0?14 days (group 1) and more than 14 days (group 2). These two groups were compared and contrasted by means
of sociodemographic features, diagnosis of psychiatric disorder and additional physical disorders.
Results: The mean age of the whole group was 35.92±13.4 (16?75), 46.3 % (n=111) of whom were female and 53.8 % (n=129) were
male. Mean length of stay of the whole group was 12±8.5 days (1-54). The two groups were similar regarding their distrubition of age,
educational, marital and social security status. We found that patients with mood disorders and psychotic disorders had higher risk for longer
hospitalization that the first had 3.45 and the latter had 3.39 times of greater risk.
Conclusion: In this study we found that sociodemographic features did not effect the length of stay in hospital. However psychiatric diagnoses
particularly psychotic disorders and mood disorders increased the lenght of stay in hospital.

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