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Dergiler / Osmangazi Tıp Dergisi / 2026 / Cilt: 48 Sayı: 5

COVID-19 Salgını Öncesi ve Sonrasında Bir Psikiyatri Kliniğinde Yatırılarak Tedavi Edilen Hastaların Tanı ve Tedavi Süreçlerinin Değerlendirilmesi

Evaluation of Diagnostic and Treatment Processes of Patients Hospitalized in a Psychiatry Clinic Before and After the COVID-19 Outbreak

Furkan Demircan(Eskişehir Yunus Emre Devlet Hastanesi)0000-0002-7014-5120
Ferdi Köşger(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-6013-2457
Sayfa
817–826
Yayın Tarihi
2026-08-26
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular, pandemi döneminde klinik uygulamalar ve bazı yatış özelliklerinin değiştiğini göstermektedir.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Bu çalışmada pandemi öncesi ve pandemi döneminde bir üniversite hastanesinin psikiyatri servisinde yatarak tedavi gören hastaların yatış özellikleri, tanısal dağılımları ve tedavi uygulamalarındaki değişimlerin karşılaştırılması amaçlanmıştır.
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Temel Bulgular & Veri:Retrospektif ve karşılaştırmalı olarak planlanan çalışmada, 11 Mart 2018–10 Mart 2020 tarihleri pandemi öncesi, 11 Mart 2020–2 Mart 2022 tarihleri pandemi dönemi olarak tanımlanmıştır.
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Sonuç & Katkı:Bulgular, pandemi döneminde klinik uygulamalar ve bazı yatış özelliklerinin değiştiğini göstermektedir.
🔬Tür:Araştırma Makalesi
📍Kapsam:2018 Verileri
⚙️Değişkenler:COVID-19 · elektrokonvülzif tedavi · psikiyatrik tedavi süreci

Özet

Bu çalışmada pandemi öncesi ve pandemi döneminde bir üniversite hastanesinin psikiyatri servisinde yatarak tedavi gören hastaların yatış özellikleri, tanısal dağılımları ve tedavi uygulamalarındaki değişimlerin karşılaştırılması amaçlanmıştır. Retrospektif ve karşılaştırmalı olarak planlanan çalışmada, 11 Mart 2018–10 Mart 2020 tarihleri pandemi öncesi, 11 Mart 2020–2 Mart 2022 tarihleri pandemi dönemi olarak tanımlanmıştır. Bu dönemlerde psikiyatri servisinde yatarak tedavi gören hastalara ait epikriz kayıtları incelenmiş ve toplam 891 yatış değerlendirilmiştir. Bunların 547’si pandemi öncesi, 344’ü pandemi dönemine aittir. Sosyodemografik özellikler, tanı grupları, yatış özellikleri ve tedavi uygulamaları iki dönem arasında karşılaştırılmıştır. Pandemi döneminde toplam yatış sayısı azalmıştır. Sosyodemografik özellikler ve tanı dağılımları açısından iki dönem arasında anlamlı fark saptanmamıştır. Her iki dönemde en sık yatış nedenleri majör depresyon ve bipolar bozukluk olmuştur. Pandemi döneminde acil servis üzerinden yatış oranı, yatış sırasında bildirilen intihar düşüncesi ve ek medikasyon gereksinimi artmıştır. Buna karşın ortalama yatış süresi ve elektrokonvülzif tedavi seans sayısı azalırken depo antipsikotik kullanım oranı artmıştır. Bulgular, pandemi döneminde klinik uygulamalar ve bazı yatış özelliklerinin değiştiğini göstermektedir.

Abstract

This study aimed to compare hospitalization characteristics, diagnostic distributions, and treatment practices among patients hospitalized in a university psychiatry inpatient unit before and during the pandemic. In this retrospective comparative study, March 11, 2018–March 10, 2020 was defined as the pre-pandemic period and March 11, 2020–March 2, 2022 as the pandemic period. Medical records of hospitalized patients were reviewed, and 891 hospitalizations were evaluated, including 547 in the pre-pandemic period and 344 during the pandemic. Sociodemographic characteristics, diagnostic groups, hospitalization features, and treatment practices were compared between the two periods. The total number of hospitalizations decreased during the pandemic. No significant differences were found in sociodemographic characteristics or diagnostic distributions. Major depressive disorder and bipolar disorder were the most common reasons for hospitalization in both periods. During the pandemic, admissions through the emergency department, suicidal ideation at admission, and the need for additional medication increased. In contrast, the mean length of hospitalization and the number of electroconvulsive therapy sessions decreased, while the use of long-acting injectable antipsychotics increased. These findings suggest that clinical practices and some hospitalization characteristics changed during the pandemic.

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Bu Makaleye Atıf Yap

Demircan, F., Köşger, F. (2026). COVID-19 Salgını Öncesi ve Sonrasında Bir Psikiyatri Kliniğinde Yatırılarak Tedavi Edilen Hastaların Tanı ve Tedavi Süreçlerinin Değerlendirilmesi. Osmangazi Tıp Dergisi, Cilt: 48 Sayı: 5, 817–826. https://doi.org/10.20515/otd.1908012

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