Engelli Sağlık Kuruluna Başvuran Hastalarda Engel Oranlarının ve Psikiyatrik Hastalıkların Değerlendirilmesi

Abstract

Amaç: Bu çalışmada, Burdur Devlet Hastanesi Engelli Sağlık Kurulu’na başvuran erişkin bireylerde psikiyatrik hastalıkların dağılımı, engellilik oranları ve tam bağımlılık durumlarının değerlendirilmesi amaçlanmıştır. Yöntemler: 1 Ocak 2024–31 Aralık 2025 tarihleri arasında başvuran 2322 bireyin dosyaları retrospektif olarak incelenmiştir. Psikiyatrik tanılar ICD-11’e göre sınıflandırılmış ve Erişkinler İçin Engellilik Değerlendirmesi Hakkında Yönetmelik esas alınmıştır. Veriler SPSS 27.0 ile analiz edilmiştir. Bulgular: Katılımcıların yaş ortalaması 59.9±19.9 yıl olup %54.5’i erkekti. Bireylerin %25.5’inde psikiyatrik tanı saptandı. En sık psikiyatrik tanı grubu anksiyete bozuklukları (%35.3) olup bunu zekâ gerilikleri (%30,9) ve şizofreni ile diğer psikotik bozuklukları (%11.3) izledi. Psikiyatrik tanı alan bireylerin %59.8’i erkekti. Kadınlarda anksiyete (%40.3) ve duygudurum bozuklukları (%18.5) daha yüksek oranlarda saptanırken, erkeklerde şizofreni ve psikotik bozukluklar (%14.1) daha yüksek bulundu. Tam bağımlı engelli bireylerin en sık psikiyatrik tanısı zekâ gerilikleri (%61.5) olup bunu şizofreni ve diğer psikotik bozuklukları (%22.2) izledi. Ağır ve çok ağır zekâ geriliği olan bireylerin tamamı ise tam bağımlıydı. Sonuç: Psikiyatrik hastalıklar engelli sağlık kurulu başvurularında önemli yer tutmakta olup, özellikle zekâ gerilikleri ve psikotik bozukluklar tam bağımlılık kararlarında belirleyicidir.

Keywords

• Psikiyatrik bozukluklar
• engellilik değerlendirmesi
• zihinsel yetersizlik
• anksiyete bozuklukları.

Supporting Institution

Yazar, bu çalışma için finansal destek almadığını beyan etmiştir.

Ethical Statement

Çalışmanın etik onayı Süleyman Demirel Üniversitesi Araştırma Etik Kurulu'ndan alınmıştır (Tarih: 05/03/2026, Sayı: 113/7).

Evaluation of Disability Rates and Psychiatric Disorders in Patients Applying to the Disability Health Board

Abstract

Objective: This study aimed to evaluate the distribution of psychiatric disorders, disability rates, and total dependency status among adult individuals applying to the Disability Health Board of Burdur State Hospital. Methods: A retrospective review was conducted on 2322 individuals who applied between January 1, 2024, and December 31, 2025. Psychiatric diagnoses were classified according to ICD-11, and the National Regulation on Disability Assessment for Adults was used as the reference framework. Data were analysed using SPSS version 27.0. Results: The mean age of participants was 59.9±19.9 years, and 54.5% were male. Psychiatric disorders were identified in 25.5% of the participants. The most common psychiatric diagnosis group was anxiety disorders (35.3%), followed by intellectual disabilities (30.9%) and schizophrenia and other psychotic disorders (11.3%). Among individuals with psychiatric diagnoses, 59.8% were male. Anxiety disorders (40.3%) and mood disorders (18.5%) were more prevalent in females, whereas schizophrenia and other psychotic disorders (14.1%) were more frequent in males. Among individuals classified as totally dependent, the most common psychiatric diagnosis was intellectual disability (61.5%), followed by psychotic disorders (22.2%). All individuals with severe and profound intellectual disability were classified as totally dependent. Conclusion: Psychiatric disorders represent an important proportion of disability health board applications, and intellectual disabilities and schizophrenia and other psychotic disorders are key determinants of total dependency decisions.

Keywords

• Psychiatric disorders
• disability evaluation
• intellectual disability
• anxiety disorders

Supporting Institution

The author declared that this study has received no financial support.

Ethical Statement

Ethical approval of the study was received from the Committee for Ethics Research at the University of Süleyman Demirel (Date: 05/03/2026, Number: 113/7).

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