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Yıl:2009; Cilt: 11; Sayı: 3>> Özet
Türkiye'de Psikiyatri; 2009;11(3):104-111
İki Anadolu Kenti Psikiyatri Servisinde Yatan Olguların Retrospektif Olarak Degerlendirilmesi
DG Öyekçin, SM Demet
Çanakkale Devlet Hastanesi, Psikiyatri Kliniği
Amaç: Bu çalışmanın amacı iki farklı anadolu kentinin psikiyatri kliniğinde yatarak tedavi gören hastaların tanı
dağılımını ve demografik özelliklerini araştırmaktır
Yöntem:1 yıl içinde yatarak tedavi gören hastaların demografik özellikleri,yatış ayı,mevsimi ve tanıları hasta
dosyalarından kaydedildi.1 Aralık 2006 '1 Mart 2007 tarihleri arasında Erzincan Devlet Hastanesinde yatarak
tedavi gören 83 olgu ve Bayburt Devlet Hastanesi Psikiyatri servisinde yatarak tedavi gören 15 olgu,
toplam 98 olgu çalışmaya alındı.
Bulgular: Olguların % 54.1'i (n= 53) erkek, % 45.9'u (n= 45) kadin, eğitim yılı ortalaması 6.96±4.33 yıl,
yaş ortalaması 39.88±14.86 yıl olarak saptandı.% 72.4'ü nde (n=71) özgeçmişte psikiyatrik tedavi öyküsü,%
15.3'ü nde (n=15) soygeçmişte psikiyatrik hastalık öyküsü saptandı. Yatan olguların psikiyatri servisinde
yattığı süre 27.65±17.87 gün, tüm olguların %17.3'ü nün (n=17) ilkbahar, %23.5'i nin (n=23) sonbahar,
% 45.9'unun (n=45) kış,% 13.2'si nin (n=13) yaz aylarında yatarak tedavi olduğu saptandı. Duygudurum
bozukluğu tanısı alan olguların %81'i nin (n=34) sıklıkla kış ve sonbahar aylarında, psikotik bozukluk tanısı
alan olguların % 65.7'si nin (n=23) ise ilkbahar ve kış aylarında yatarak tedavi olduğu saptandı.Tüm olguların
% 41.8'i (n=41) tekli farmakoterapi kullanırken,% 58.2'si (n=57) çoklu farmakoterapi kullanmakta idi.
Duygudurum bozukluğu tanısına en sık eşlik eden eş tanı % 19 ile anksiyete bozuklukları ve % 19 ile somatoform
bozukluklardı.
Tartışma: Bu çalışmada hastaneye yatışların genellikle kış dönemlerinde olduğu saptanmıştır. Duygudurum
bozukluğu tanısı alan hastalarda literatürden farklı olarak somatoform bozukluk eş tanısı sıktı.
Bu sonuçların ülkemiz ruh sağlığı hizmetlerinin belirlenmesine küçük de olsa katkıda bulunması ve iki anadolu
kenti devlet hastanesi psikiyatri servisinde yatan hasta grubuna yönelik ilk çalışma olması nedeniyle
önem taşımaktadır.
Retrospective Analysis of the Patients who Attempted to Psychiatry In-Patient Units in Two Anatolian Cities
Objective: The aim of this study was to investigate the sociodemographic features and psychiatric diagnosis of the patients who attempted
to psychiatry clinics of two anatolian cities.
Method: Demographic characteristics, hospitalization time ( [month] and season) and diagnoses of patients who have been hospitalized over
the past [year] were recovered from patient files and recorded. A total of 98 subjects hospitalized at psychiatry clinics of the Erzincan State Hospital
(n=83) and Bayburt State Hospital (n=15) between December 1st, 2006- March 1st, 2007 were enrolled in the study.
Results: Of the subjects, 54.1% (n= 53) were men and 45.9% (n= 45) were women, with a mean [year]s of education of 6.96±4.33 [year]s
and a mean age of 39.88±14.86 [year]s. Of them, 72.4% (n=71) had psychiatric therapy history and 15.3% (n=15) had a familial history of
psychiatric disorders. The mean period of hospitalization at psychiatry clinics for inpatients was 27.65±17.87 days, and 17.3% of all subjects
(n=17) were hospitalized during spring, 23.5% (n=23)autumn, 45.9% (n=45) winter and 13.2% (n=13) during summer [month]s. Of the subjects
with mood disorder diagnosis, 81% (n=34) were hospitalized mostly during winter and autumn [month]s while 65.7% (n=23) of the subjects
with psychotic disorder diagnosis were hospitalized mostly during spring and winter [month]s. Of all the cases, 41.8% (n=41) were on
single pharmacotherapy, while 58.2% (n=57) were on multiple pharmacotherapy. The most common comorbidities of mood disorder were
anxiety disorders (19%) and somatoform disorders (19%).
Discussion: The importance of this study is that it is the first in psychiatric inpatients hospitalized at two state hospitals of two small Anatolian
cities. In addition to revealing differences in the course of the disease compared to previous studies, such as the findings indicating that these
disorders mostly peaked during winter [month]s, that patients with mood disorder also had somatoform disorders as comorbidities, and that
the course of the disorders are affected by climate, socioeconomic level and social conditions, the results of the present study also contribute,
though to a certain extent, to endeavors to define mental health services in our country.

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