Evaluation of the contribution of inpatient services and experiences on improvement in child and adolescent psychiatry practice/Cocuk ve ergen psikiyatrisi uygulamasinda yatakli servis deneyimi ve yatisin iyilesmeye katkisinin degerlendirilmesi

• Published in: Anadolu psikiyatri dergisi Vol. 17; no. 2; p. 120
• Main Authors: Ozbaran, Burcu, Kose, Sezen, Yilmaz, Ebru, Aydin, Ayse Nur, Aydin, Cahide
• Format: Journal Article
• Language: Turkish
• Published: Anadolu Psikiyatri Dergisi 01-04-2016
• Subjects: Analysis; Attention deficit hyperactivity disorder; Care and treatment; Diagnosis; Schizophrenia
• ISSN: 1302-6631
• DOI: 10.5455/apd.184670

Objective: In this study it's aimed to evaluate the sociodemographic characteristics, psychiatric diagnoses, treatment options and improvement levels of the patients who were treated in Child and Adolescent Psychiatry inpatient service. Methods: One hundred and forty-nine patients between who were treated in Ege University Child and Adolescent Psychiatry inpatient service between March 2013 and September 2014 were evaluated. The patients' files were used for data collection and Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime version (K-SADS) was used for appropriate patients. Clinic Global Impression Scale-Severity (CGIS-S) was used for all cases for determining the psychiatric disorder severity and Clinic Global Impression Scale-Improvement (CGIS-I) was used for evaluating the treatment effect. Results: The age mean was 14.2. %63.1 of the patients were girls and %36.9 boys. The common diagnoses were mood disorders %57.7, attention deficit and hyperactivity disorder %10.7, schizophrenia and other psychotic disorders %8.1. The mean treatment duration was 24.4 days. It is founded that the longer duration of hospitalization has positive effect on CGI improvement scores. All patients get psychopharmacological medication during inpatient follow up. The most used medication were antipsychotics. First CGIS-S median level of the patients was 5 (markedly ill) (range: 3-7) and 3 when discharging. When we compare the hospitalization and discharge CGI-S score medians of patients', a statistically significant difference was founded. Results: Although there is a limited number of inpatient services for children, the positive contribution of inpatient services on children and adolescents' mental health is incontrovertible unquestionable. This study is a preliminary report for forthcoming studies with special inpatient services for children and adolescent. Keywords: child and adolescent psychiatry, disorder severity, inpatient services Amac: Bu calismada Mart 2013-Eylul 2014 tarihleri arasindaki donemde cocuk ve ergen psikiyatrisi yatakli servisinde tedavi gormus olan hastalarin, sosyodemografik ozellikleri, psikiyatrik tanilari, tedavi secenekleri ve yatis sonrasi iyilesme duzeylerinin degerlendirilmesi amaclanmistir. Yontem: Mart 2013-Eylul 2014 tarihleri arasinda, Ege Universitesi Cocuk ve Ergen Ruh Sagligi ve Hastaliklari Yatakli Servisi'nde yatarak tedavi goren ve taburcu edilen 149 hasta degerlendirmeye alinmistir. Verilerin elde edilmesinde, yatis sirasinda her hasta icin ayri olarak hazirlanmis olan hasta dosyalarindan yararlanilmis, uygun hastalar Okul Cagi Cocuklari icin Duygulanim Bozukluklari ve Sizofreni Gorusme Cizelgesi-Simdi ve Yasam Boyu Sekli ile degerlendirilmistir. Yatis sirasinda ve taburculukta hastalik siddetini ve iyilesme duzeylerini degerlendirmek icin Klinik Global Izlenim Olcegi-Siddet (KGIO-S) ve Klinik Global Izlenim Olcegi-Iyilesme (KGIO-I) kullanilmistir. Bulgular: Hastalarin yas ortalamasi 14.2 idi. Hastalarin %63.1'i kiz, %36.9'u erkekti. Hastalarin tani dagilimlarina bakildiginda en sik tanilar duygudurum bozukluklari %57.7, dikkat eksikligi hiperaktivite bozuklugu %10.7, sizofreni ve diger psikotik bozukluklar %8.1 idi. Hastalarin ortalama yatis sureleri 24.4 gundu. Yatis suresi uzadikca KGIO-I'de iyilesme duzeylerinin arttigi belirlenmistir. Hastalarin tumunde yatisi sirasinda psikotrop ilaclar kullanilmis, en sik kullanilan ilac grubu antipsikotik ilaclar olarak belirlenmistir. Ilk yatis sirasindaki muayenede degerlendirilen KGIO-S ortalama degeri 5 (belirgin hasta) (aralik: 3-7); taburculuk sonrasi KGIO-S ortalama degeri 3 (hafif duzeyde hasta) olarak saptanmistir. Hastalarin yatis ve cikis KGIO-S puanlari karsilastirildiginda anlamli fark bulunmustur. Sonuc: Turkiye'de sinirli sayida bulunan cocuk ve ergen psikiyatrisi yatakli servislerinin, cocuk ve genclerin ruh sagligina olumlu katkisi tartisilmazdir. Bu calisma yatakli servislerle yapilacak ileriki calismalar icin bir on calisma niteligindedir. Anahtar sozcukler: Cocuk ve ergen psikiyatrisi, hastalik siddeti, yatakli servis