Psikiyatrik hastalığa sahip olan bireylerin tekrarlayan klinik yatışlarını etkileyen risk faktörlerinin incelenmesi: Sistematik inceleme

Yıl 2024, Cilt: 11 Sayı: 3, 433 - 442, 30.09.2024

Necla Şahin , Birgül Özkan

https://doi.org/10.52880/sagakaderg.1369022

Öz

Giriş ve Amaç: Bu araştırma, psikiyatrik bozukluk tanısı olan bireylerin tekrarlayan klinik yatışlarını etkileyen faktörlerin incelenmesi amacıyla yapılmış sistematik bir derlemedir.
Gereç ve Yöntem: Çalışma için son literatür taraması Mart 2023 tarihinde yapılmıştır. Bu çalışma kapsamına psikiyatrik bozukluk tanısı olan ve klinik yatışı bulunan bireyler dahil edilmiştir. Science Direct, Pubmed, Cochrane, YökTez, Ulakbim veri tabanı ve Dergipark veri tabanlarına ait son 6 yılda yapılmış çalışmalar taranarak araştırma yürütülmüştür. Bu çalışmada ‘tekrarlayan yatış’, yeniden yatış’, ’tekrarlayan klinik yatış’ ve ‘recurrent psychiatric readmissions’ terimleri ile kombinasyonlar yapılarak tarama yürütülmüştür.
Bulgular ve Sonuç: Değerlendirme ölçütlerini karşılayan toplam 8 çalışma incelemeye dahil edilmiştir. Bu çalışmada 7 adet araştırma makalesi ve 1 tez incelenmiştir. 7 uluslararası makale ve 1 Türkiye’de yapılmış hemşirelik anabilim dalı yüksek lisans tezi mevcuttur. Türkiye’de yapılmış kriterlere uygun sadece 1 yüksek lisans tezine rastlanmıştır. Çalışmaların verileri tekrarlayan psikiyatri kliniği yatışlarını etkileyen çeşitli risk faktörleri sunmaktadır. Elde edilen veriler; ‘örneklemin özellikleri’ ‘müdahale ve prosedürler’ ‘tekrarlayan yatış için risk faktörleri’ şeklinde başlıklar halinde sunulmuştur. Değerlendirmeye alınan çalışmaların bulgularına göre çeşitli risk faktörleri belirtilmektedir.
Bu sistematik derleme psikiyatri kliniğine tekrarlayan yatışı etkileyen risk faktörlerinin fazla olduğu ancak önlemeye yönelik yeterli çalışmanın ve müdahalelerin yapılmadığı sonucuna varmaktadır.

Anahtar Kelimeler

Tekrarlayan yatış, psikiyatri, etkileyen faktörler

Investigation of risk factors affecting recurrent clinical hospitalizations of individuals with psychiatric disease: A systematic review

Öz

İntroduction and Objective: This study is a systematic review to examine the factors affecting recurrent clinical hospitalizations of individuals with a diagnosis of psychiatric disorder.
Materials and Methods: The last literature review for the study was conducted in March 2023. Individuals diagnosed with psychiatric disorders and hospitalized were included in this study. The research was conducted by scanning the studies conducted in the last 6 years of the Science Direct, Pubmed, Cochrane, YökTez, Ulakbim database and Dergipark database. In this study, a search was conducted by combining the terms 'recurrent hospitalization' and readmission' and 'recurrent clinical admission' and 'recurrent psychiatric readmissions'.
Results and Conclusion: A total of 8 studies meeting the evaluation criteria are included in the review. In this study, 7 research articles and 1 thesis were examined. There are 7 international articles and 1 nursing department master's thesis made in Turkey. Only 1 master's thesis was found in Turkey that complies with the criteria. The data of the studies present various risk factors affecting recurrent psychiatric hospitalizations. The data obtained; 'characteristics of the sample', 'intervention and procedures', 'risk factors for recurrent hospitalization' were presented under the headings. Various risk factors are specified according to the findings of the studies included in the evaluation.
This systematic review concludes that the risk factors affecting recurrent admission to the psychiatry clinic are high, but there are not enough studies and interventions for prevention.

Anahtar Kelimeler

Recurrent psychiatric readmissions, Psychiatry, Factors affecting

Kaynakça

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