Evaluation of Child Psychiatry Consultations of Stayed Patients at Pediatric Clinic

Pediatri Kliniğinde Yatarak Tedavi Gören Hastalarda, Çocuk Psikiyatrisi Konsültasyonlarynyn Değerlendirilmesi

Abstract

Object: This study was conducted to evaluate child psychiatry consultations of patients which were stayed indifferent clinics in a university hospital. Methods: Therecords of the patients who were consulted in between01.07.2016 and 31.12.2016 and was made diagnosisaccording to DSM5 was scanned restrospectively. Thesociodemographic information of the patients, the diagnosis of physical illness, the clinic requested for consultation, the reason for the consultation, the psychiatricdiagnoses determined in the consultation result and thepsychiatric treatment process were analyzed by usingthe SPSS 15.0 program. Results: Psychiatric consultationwas requested for 55 inpatient children within a sixmonth period. %63,6 of consulted cases was a girl,%36,4 of them was a boy and the average age wasfound as 13,2 ± 3,6. When the consultations were evaluated, it was determined that the 23,6% of the patientswere consulted for suicide attempt and 83,6% of themhad at least one mental disorder. The most commondiagnosis was major depression in the rate of 36,4% andpsychotropic treatment was recommended to 38,2% ofevaluated cases because of the psychiatric disorder.Discussion: In our study, it was found that the consultation rates were low despite the rate of psychopathology(83,4%) was rather high in consulated children and adolescents. This suggests that the doctors who are workingin non-psychiatric areas are having difficulty understanding and evaluating the psychiatric symptoms inchildren and that the cooperation among physiciansshould be increased so that psychiatric illnesses can bebetter recognized.

Özet

Amaç: Celal Bayar Üniversitesi Typ Fakütesi'nde farklykliniklerde yatarak tedavi gören hastalardan istenençocuk psikiyatrisi konsültasyonlarynyn de?erlendirilmesiamaçlanmy?tyr. Yöntem: 01.07.2016-31.12.2016 tarihleriarasynda konsültasyon istenen ve tanylary DSM-5'e görekonulmu? olan hastalaryn kayytlary geriye dönük olaraktaranmy?tyr. Hastalaryn sosyodemografik bilgileri,bedensel hastalyk tanylary, konsültasyonun istendi?ibölüm, konsültasyonun istenme nedeni, konsültasyonsonucunda saptanan psikiyatrik tanylary ve psikiyatriktedavi sürecine ili?kin veriler incelenmi? ve SPSS 15.0programy kullanylarak analiz edilmi?tir. Bulgular: Altyaylyk süre içinde yatarak tedavi gören 55 çocuk için çocukpsikiyatrisi konsültasyonu istenmi?tir. Konsültasyon istenen olgularyn %63,6'sy kyz, %36,4'ü erkek ve ya? ortalamasy 13,2 ± 3,6 olarak bulunmu?tur. Konsültasyonlarde?erlendirildi?inde en syk %23,6 ile intihar giri?iminedeniyle konsültasyon istendi?i ve %83,6 'synyn en azbir ruhsal bozukluk tanysy aldy?y saptanmy?tyr. En çokkonulan tany %36,4 ile major depresyon olmu?tur vede?erlendirilen olgularyn %38,2'sine ruhsal bozukluknedeniyle psikotrop tedavi önerilmi?tir. Sonuç: Çaly?mamyzda, konsültasyon istenen çocuk ve ergenlerdepsikopatoloji orany oldukça yüksek (%83,4) saptanmasyna ra?men konsültasyon istenme oranlary dü?ük bulunmu?tur. Bu durum psikiyatri dy?y alanlarda çaly?an hekimlerin çocuklardaki psikiyatrik belirtileri anlama ve de?erlendirme konusunda zorluklar ya?ady?yny ve psikiyatrikhastalyklaryn daha iyi tanynabilmesi için hekimler arasyi?birli?inin artyrylmasy gerekti?ini dü?ündürmü?tür