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Yıl:2009; Cilt: 10; Sayı: Ek 1>> Özet
Anadolu Psikiyatri Dergisi; 2009;10(Ek 1):84-85
Bir eğitim hastanesinde yatarak tedavi gören şizofreni hastalarında sosyodemografik özellikler ve tedavi ile ilişkili olası etkenler
A Çayköylü, Y Albayrak, S Önen, A İbiloğlu, EA Yiğit, M Kuloğlu
Atatürk Eğitim ve Araştırma Hastanesi, Ankara
Amaç: Şizofreni günümüzde mesleksel ve sosyal işlevsellikte bozulmanın en şiddetli şekilde görüldüğü hastalıklardan biri olarak araştırma konusu olmayı sürdürmektedir. İntihar girişiminde, şiddet davranışında ve madde kötüye kullanımındaki yüksek oranlar yeni tedavi arayışlarını da beraberinde getirmektedir. Bu çalışmada yeni kurulan bir psikiyatri kliniğinde şizofreni hastalarının sosyodemografik ve klinik özellikleri ile tedaviyle ilişkili olası diğer etkenlerin araştırılması amaçlanmıştır. Yöntem: Çalışmamızda Ankara Atatürk Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği'nde Şubat 2006-Şubat 2009 tarihleri arasında DSM-IV-TR tanı ölçütlerine göre şizofreni tanısı ile izlenen 105 hasta dosyası geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya alınan hastaların yüzde 52.4'nün kadın, 47.6'sının erkek, 46.7'si nin bekar, 39'nun ilköğretim mezunu, 60%'nın işsiz olduğu saptandı. Hastaların yaş ortalaması 36.3±2.2 yıldı ve 44.8%'i ne paranoid tip şizofreni tanısı konmuştu. Oral atipik antipsikotik kullanımı 75.2%, tipik antipsikotik kullanımı 24.8%, depo antipsikotik kullanımı 41%, EKT uygulanma öyküsü 15.2% idi. Hastaların 61.9%'unda sigara içme, 8.6%'sında madde bağımlılığı, 56.2%'si nde şiddet davranışı, 45.7%'si nde intihar girişimi öyküsü vardı. Sonuç: Çalışmamızda kadın erkek oranı literatür ile uyumlu olarak eşit bulunmuştur. Erkeklerde işsizlik, şiddet davranışı, intihar girişi-mi öyküsü oranları istatistiksel olarak anlamlı düzeyde yüksek bulunurken, hastalığın başlangıç yaşı iki cinsiyette benzer olarak saptanmıştır. Çalışmamız yeni kurulan bir psikiyatri kliniğinde şizofreni tanılı hastaların sosyodemografik özellikleri ile tedaviyle ilişkili olası diğer etkenleri vurgulaması yönünden önemlidir.
The sociodemographic features and probable treatment-related factors of schizophrenic inpatients in an education and research hospital
Objective: Schizophrenia, causes severe impaired professional and social functioning, is continued to be investigated. New treatment searches come along with the higher risk of suicidal attempt, violence and substance abuse. In this study, our aim is to investigate the sociodemographic and clinical features and other probable treatment-related factors in schizophrenic inpatients in a new set up psychiatry clinic. Methods: In our study, 105 inpatient files, diagnosed as schizophrenia according to DSM-IV-TR diagnostic criteria between February 2006 and February 2009, are evaluated retrospectively. Results: In this study, of the whole patients, 52.4% was female, 47.6% was male, 46.7% was single, 39% was primary school graduate, 60% was unemployed. The mean age was 36.3±2.2. %44.8 of the patients were diagnosed as paranoid schizophrenia. In the oral medication the usage ratio of atypical antipsychotics were 75.2%, whereas the typical antipsychotics were 24.8%. 41% of the patients were using depot antipsychotics. 15.2% of the patients had ECT history. Of the whole patients, 61.9% were smoking, 8.6% had substance dependence, 56.2% had violent behaviors and 45.7% had suicidal attempt history. Conclusions: In our study, the female/male ratio was found similar with the literature. While the unemployment, violent behavior, suicidal attempt history were found significantly more frequent in males; age of onset were similar between males and females. This study is important for underlining the sociodemographic features and treatment-related other probable factors of schizophrenic inpatients in a new set up psychiatry clinic.

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