Çocuk ve Ergen Psikiyatrisi Yataklı Tedavi Kliniğinde İzlenen Hastalarda Psikiyatrik Bozukluklar

Öz

Amaç: Çocuk Ergen Psikiyatrisi yataklı kliniğinde izlenen çocuk ve ergenlerin yatış endikasyonlarının ve yatışları süresince konulan psikiyatrik komorbid tanıların araştırılmasıdır.Yöntem: Çocuk ergen ruh sağlığı ve hastalıkları yataklı kliniğinde iki yıllık sürede yatışı yapılmış olan hastaların hastane dosyaları ve Çocuk Psikiyatrisi Kişisel Kartları geriye dönük olarak incelendi. Bulgular: Belirlenen zaman aralığında klinikte 245 olgunun en az bir gece yattığı, olguların yaş aralığının 6-18 (14.5±2.2) olduğu saptandı. Olguların 140’ı kız (%57.1), 105’i erkekti (42.9%). Yatış endikasyonu olan en sık beş tanı sırasıyla majör depresif bozukluk (n= 57, %23.3), bipolar afektif bozukluk (n= 49, %20), yıkıcı davranım bozukluğu (n=36, %14.7), şizofreni açılımı kapsamında ve psikozla giden bozukluklar (n=26, %10.6) ve travma sonrası stres bozukluğu (n=19, %7.8) idi. Tartışma: Ülkemizde kısıtlı yatak sayısı nedeniyle, çocuk ve ergenlerde yaşamı tehdit eden durumlara yatış önceliği verildiği görülmektedir. Yatan hastaların çok büyük bir kısmında komorbid psikiyatrik bozukluklar görülmekte ve tablonun şiddetlenmesinde rol oynamaktadır.

Anahtar Kelimeler

• Çocuk
• Ergen
• Psikiyatri
• Yatış
• Komorbidite

Primary Diagnosis of the Inpatients in an Children and Adolescents Psychiatry Clinic and Their Comorbid Psychiatric Diagnosis

Öz

Objective: The aim of this study is to investigate the indications for hospitalization of children and adolescents followed in the Child Adolescent Psychiatry inpatient clinic and the psychiatric comorbid diagnoses made during their hospitalization. Method: Hospital files and Child Psychiatry Personal Cards of patients who were admitted to our clinic during the two-year period between 2017 and 2018 were examined retrospectively. Results: It was determined that 245 cases stayed in the clinic for at least one night during the specified time period, and the age range of the cases was 6-18 (14.5±2.2). 140 of the cases were girls (57.1%) and 105 were boys (42.9%). The five most common diagnoses that are indications for hospitalization were major depressive disorder (n= 57, 23.3%), bipolar affective disorder (n= 49, 20%), disruptive behavior disorder (n= 36, 14.7%), schizophrenia and psychosis disorders (n=26, 10.6%) and post-traumatic stress disorder (n=19, 7.8%). Discussion: In our country, due to the limited number of beds, it is seen that priority is given to hospitalization for life-threatening situations in children and adolescents. Comorbid psychiatric disorders are observed in the majority of inpatients and play a role in exacerbating the condition.

Anahtar Kelimeler

• Adolescent
• Child
• Comorbidity
• Hospitalization
• Psychiatry

Kaynakça

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