Journals / Psikiyatri Hemşireliği Dergisi / 2021 / Cilt: 12 - Sayı: 4

How did the COVID-19 pandemic affect outpatient presentations and consultation requests at a university hospital psychiatry clinic in Turkey?

Pages
324–332
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Patients with depression particularly experienced exacerbation, and the number of delirium consultations in the emergency room increased significantly.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to investigate the change in sociodemographic characteristics and the diagnostic distribution of patients who presented at a psychiatric clinic in Turkey or were the subject of a consultation request during the coronavirus 2019 (COVID-19) pandemic compared with the pre-pandemic period.
📊
Key Findings & Data:Methods: The research included patients who presented at the Tokat Gaziosmanpaşa University Research and Practice Hospital Psychiatry Outpatient Clinic as well as consultation cases requested by the clinic during 3 periods that reflected conditions prior to and after the declaration of a pandemic: March 12-June 9, 2020, December 13, 2019-March 11, 2020, and March 12-June 9, 2019.
💡
Conclusion & Impact:Patients with depression particularly experienced exacerbation, and the number of delirium consultations in the emergency room increased significantly.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: The aim of this study was to investigate the change in sociodemographic characteristics and the diagnostic distribution of patients who presented at a psychiatric clinic in Turkey or were the subject of a consultation request during the coronavirus 2019 (COVID-19) pandemic compared with the pre-pandemic period. Methods: The research included patients who presented at the Tokat Gaziosmanpaşa University Research and Practice Hospital Psychiatry Outpatient Clinic as well as consultation cases requested by the clinic during 3 periods that reflected conditions prior to and after the declaration of a pandemic: March 12-June 9, 2020, December 13, 2019-March 11, 2020, and March 12-June 9, 2019. An independent samples t-test, one-way analysis of variance or chi-squared test was used to provide statistically descriptive analyses and intergroup comparisons. Results: A total of 5139 cases, 4634 outpatient presentations and 505 consultations, were included in the study. The number of outpatient clinic presentations decreased significantly during the pandemic. The most common psychiatric diagnoses were anxiety disorders (35.8%) and depression disorders (30.2%). The proportional change in depression and sleep disorders was statistically significant during the pandemic; anxiety (n=94, 40.9%) and depression (n=89, 38.7%) complaints increased the most. Inpatient (n=95, 22.9%) and emergency room consultations (n=12, 13.3%) were lower during the pandemic period measured. There was no significant difference in the diagnostic distribution of inpatient consultations during the pandemic period; however, there was a significant increase in the number of requests for consultation from the emergency room for delirium cases. Conclusion: The number of outpatient clinic presentations and consultation requests decreased during the pandemic period. Patients with depression particularly experienced exacerbation, and the number of delirium consultations in the emergency room increased significantly.

🔖

Cite This Article

ÇELİKBAŞ, Z., BATMAZ, S., ASLAN, E. A., ESER, B., GÜNEYSU, İ., SAVAŞ, A. E., AYDIN, S. (2021). How did the COVID-19 pandemic affect outpatient presentations and consultation requests at a university hospital psychiatry clinic in Turkey?. Psikiyatri Hemşireliği Dergisi, Cilt: 12 - Sayı: 4, 324–332. https://ajindex.com/articles/413555

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Turkish Ministry of Health. COVID-19 Novel Coronavirus Disease [online]. Available at: https://covid19bilgi.saglik.gov. tr. Access May 30, 2020
  2. World Health Organization. Mental health considerations during COVID-19 outbreak. Available from: https://www.who.int/ director-general/speeches/detail/who-director-general-sopening-remarks-at-the-media-briefing-on-covid-19---11- march-2020. Access March 8, 2021
  3. Wheaton MG, Abramowitz JS, Berman NC, Fabricant LE, Olatunji BO. Psychological predictors of anxiety in response to the H1N1 (swine flu) pandemic. Cognit Ther Res 2012;36:210–8
  4. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009;54:302–11
  5. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr 2020;33:e100213
  6. Dong L, Bouey J. Public mental health crisis during COVID-19 pandemic, China. Emerg Infect Dis 2020; 26:1616–8
  7. Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: First suicidal case in India!. Asian J Psychiatr 2020;49:101989
  8. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228–9
  9. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17:1729
  10. Lunn PD, Belton CA, Lavin C, McGowan FP, Timmons S, Robertson DA. Using behavioral science to help fight the coronavirus. JBPA 2020;3:1–15
  11. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912–20
  12. Kang C, Yuan J, Xu L, Wei Y, Fan X, Rohlof H, et al. The change of mental health status and health-seeking behaviors of psychiatric outpatients in general hospital during the COVID-19 outbreak in China: A Retrospective study from unaware of the outbreak till control. Lancet Psychiatry doi: 10.2139/ ssrn.3578799. [Ahead of Print]
  13. Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire, P, FusarPoli, P, et al. Psych