Ajite Hastaya Yaklaşım

Yıl 2019, , 206 - 211, 20.12.2019

Demet Gülpek Ayşe Nur İnci Kenar Çiçek Hocaoğlu

https://doi.org/10.35365/ctjpp.19.1.27

Öz

Ajitasyon, pek çok psikiyatrik ve tıbbi durumun seyri sırasında ortaya çıkabilen yaşamı tehdit edebilen bir durumdur. Ajitasyon, bir kişinin, kendisi ya da yakın çevresinin güvenliğini tehlikeye sokan her türlü sesli, sözlü ve/veya motor davranışlar kümesidir. Saldırgan davranışların gelişiminde biyolojik, sosyal, çevresel etkenler gibi birçok etmen rol oynar. Öncesinde psikiyatrik hastalık öyküsü olmayan aniden ortaya çıkan ajitasyon, saldırgan davranış ve dürtüsellik gösteren hastalarda, psikiyatri dışı tıbbi durumların mutlaka dışlanması gerekir. Klinisyenler açısından da tanı ve tedavi yöntemleri konusunda bazı güçlüklere yol açabilen ajitasyonun izlemi önemlidir. Bu nedenle klinisyenlerin ajitasyonu olan olgulara yaklaşımı, risk faktörlerini konusunda bilgi sahibi olmaları yaşam kurtarıcı olabilir. Bu derlemede ajite davranış açısından riskli bireylere yaklaşım ve tedavi süreçleri konusunda mevcut literatür bilgilerinin gözden geçirilmesi amaçlanmıştır. Çalışma için PubMed, Google Scholar, Türk Psikiyatri Dizini gibi arama motorları taranmış ve konu ile ilgili İngilizce, Türkçe dillerinde yazılmış tam metin olarak ulaşılabilen yayınlar çalışmaya dahil edilmiştir. Sağlık çalışanlarının ajitasyonu olan hastanın yönetimi konusunda eğitilmesi, bilgilendirilmesi gereklidir. Sağlık çalışanlarına ve hasta yakınlarına zor anlar yaşatan saldırgan davranış nedeni ile başvuran olgular için öncelikle güvenlik tedbirleri alınmalıdır. Saldırgan hastaların tedavisinde çevresel düzenleme, yatıştırma, bedensel tespit veya tecrit ve farmakolojik yaklaşım uygulanır.

Anahtar Kelimeler

Ajitasyon, Saldırgan Davranış, ruhsal bozukluklar, risk faktörleri, tedavi

Kaynakça

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