AN ANALYSIS OF THE CONSULTATIONS REQUESTED IN THE CHILD AND ADOLESCENT CLINIC OF A REGIONAL PSYCHIATRIC HOSPITAL
Abstract
Objective: This study was conducted in a regional psychiatric hospital to analyze the consultations that were requested for the children who were treated there in 2016 and 2017. Methodology: This retrospective cohort study was carried out based on the examination of patients’ medical records for 82 children and adolescents 44 females and 38 males that were treated in the inpatient units of the child and adolescent clinic of a regional psychiatric hospital in 2016 and 2017. The study evaluated the sociodemographic characteristics of the consultation requests for the children and adolescents using a 22-question form that included open- and closed-ended questions. The study data were analyzed using numbers, percentage distributions, means, and standard deviations. Findings: For the subjects mean age, 15.13 ± 1.73 years the mean value of the requested consultations was 1.15 ± 0.42. Of these consultations, 54.9% were requested from the primary care physician, whereas 29.3% were requested from the neurology department, and 8.6% from a dietitian. In the study subjects, the most reported reasons for consultation requests were organic mental disorders 11% , soft tissue injuries 24.4% , obesity 8.6% , abdominal pain 6.1% , diarrhea 6.1% , epilepsy 6.1% , upper respiratory tract infection 6.1% , and routine preliminary evaluation for electroconvulsive therapy 7.3% . Results: The study determined that consultations were requested most frequently from primary care physicians, and mainly to distinguish any other accompanying organic disorders, treat soft tissue injuries that had occurred due to physical trauma experienced before coming to the hospital, and focus on obesity. Based on this result, it is very important and beneficial for the identification of any accompanying medical problems, adverse effects of medications, or neglect and abuse history that mental health professionals conduct an efficient physical examination upon admission of a child or adolescent in addition to a comprehensive mental evaluation. These procedures will enable mental health professionals to provide a holistic and quality health care service.
References
- Kocaman N. Konsültasyon liyezon psikiyatrisi hemşireliği ve rolü nedir? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2005;8: 107-18.
- Welsh ER, McEnany GP. Approaches to reduce physical comorbidity in individuals diagnosed with mental illness. J Psychosoc Nurs Ment Health Serv 2015;53:32-7. [CrossRef]
- Happell B, Scott D, Nankivell J, Platania-Phung C. Screening physical health? Yes But…: nurses’ views on physical health screening in mental health care. J C Nurs 2013;22: 2286-97. [CrossRef]
- Karşıdağ Ç, Aksoy UM, Yüksel G ve ark. Yataklı Tedavi Hizmeti Sunan Psikiyatri Kliniklerinde Ektanılar. Klin Psikiyatr 2013;16:47–52.
- Farrelly S, Clement S, Gabbidon J et al. Anticipated and experienced discrimination amongst people with schizophrenia, bipolar disorder and major depressive disorder: A cross sectional study. BMC Psychiatry 2014;14:157. [CrossRef]
- Collins E, Tranter S, Irvine F. The physical health of the seriously mentally ill: an overview of the literature. J Psychiatric Ment Health Nurs 2012;19: 638-46. [CrossRef]
- Güleç Öyekçin D. Bir grup şizofreni ve şizoaffektif bozukluk hastasında metabolik sendrom sıklığı. Anatol J Psychiatry 2009;10:26–33.
- Happell B, Wilson K, Platania‐Phung C, Stanton R. Physical health nurse consultant role to improve physical health in mental health services: A carer’s perspective. Int J Ment Health Nurs 2016;25: 243-50. [CrossRef]
- Dikeç G, Arabaci LB, Uzunoglu GB, Mizrak SD. An Investigation of Cardiovascular Risks in a Group of Children and Adolescents Who Use Atypical Antipsychotics. Issues Ment Health Nurs 2017,38:872– 80. [CrossRef]
- Ehrlich C, Kendall E, Frey N, Kisely S, Crowe E, Crompton D. Improving the physical health of people with severe mental illness: Boundaries of care provision. Int J Ment Health Nurs 2014;23: 243-51. [CrossRef]
- McCloughen A, Foster K, Kerley D, Delgado C, Turnell A. Physical health and well‐being: Experiences and perspectives of young adult mental health consumers. Int J Ment Health Nurs 2016;25:299-307. [CrossRef]
- İmren SG, Ayaz AB, Yusufoğlu C ve ark. Cinsel istismara uğrayan çocuk ve ergenlerde klinik özellikler ve intihar girişimi ile ilişkili risk etmenleri. Marmara Med J. 2013;26:11–6. [CrossRef]
- Erginer DK, Günüşen NP. Determination of physical health status and healthy lifestyle behaviors of individuals with mental illness. Perspectives in Psychiatric Care (online published) 2018;54:371-79. [CrossRef]
- Leung MW, Xiong GL, Leamon MH, McCarron RM, Hales RE. General- medical hospital admissions from a public inpatient psychiatric health facility: a review of medical complications over 30 months. Psychosomatics 2010;51: 498-502. [CrossRef]
- Bebbington PE, Cooper C, Minot S, Brugha TS, Jenkins R, Meltzer H, et al. Suicide attempts, gender, and sexual abuse: data from the 2000 British Psychiatric Morbidity Survey. Am J Psychiatry 2009;166:1135- 40. [CrossRef]
- Akın E, Berkem M. İntihar girişiminde bulunan ergenlerde psikiyatrik tanıların, demografik ve klinik özelliklerin değerlendirilmesi. Fırat Tıp Derg 2012;17: 228-32.
- White J, Gray R, Jones M. The development of the serious mental illness physical Health Improvement Profile. J Psychiatr Ment Health Nurs 2009;16: 493–8. [CrossRef]
Bir Bölge Psikiyatri Hastanesi Çocuk ve Ergen Kliniğinde İstenen Konsültasyonların Değerlendirilmesi
Abstract
Amaç: Bu çalışma, bir bölge psikiyatri hastanesinde 2016-2017 yıllarında tedavi edilmiş olan çocuklara istenen konsültasyonları incelemek amacıyla yapıldı. Yöntem: Retrospektif kohort olarak tasarlanan çalışma, 2016-2017 yıllarında bir bölge psikiyatri hastanesi Çocuk ve Ergen Psikiyatri yataklı birimlerinde tedavi edilen ve konsültasyon istenen 82 44 kız ve 38 erkek çocuk/ergen hastanın dosya kayıtları incelenerek yapıldı. Çalışmada, çocuk/ergenlerin sosyodemografik özellikleri ve konsültasyon istemleri açık ve kapalı uçlu olarak hazırlanmış 22 soru ile değerlendirildi. Verilerin analizinde, sayı-yüzde dağılımları, ortalama ve standart sapma kullanıldı. Bulgular: Yaş ortalaması 15.13±1.73 olan olgular için tıbbi sorunlar nedeniyle ortalama 1.15±0.42 kez ve %54.9’unda aile hekiminden, %29.3’ünde nörolojiden ve %8.6’sında diyetisyenden konsültasyon istenildiği belirlendi. Olgularda, organik mental bozukluklar %11 , yumuşak doku zedelenmesi %24.4 , obezite %8.6 , karın ağrısı %6.1 , ishal %6.1 , epilepsi %6.1 , üst solunum yolu enfeksiyonu %6.1 ve elektrokonvulsif tedaviye bağlı rutin ön değerlendirme %7.3 en sık bildirilen konsültasyon istenme nedenleri olarak belirlendi. Sonuç: Çocuk/ergenler için en sık aile hekiminden ve sıklıkla eşlik eden başka bir organik bozukluk olup olmadığını ayırt etmek, hastaneye gelmeden önce yaşanan fiziksel travmalara bağlı oluşan yumuşak doku zedelenmesi ve aşırı kilo nedeniyle konsültasyon istendiği belirlenmiştir. Bu sonuca göre, ruh sağlığı profesyonellerinin bütüncül nitelikli bir bakım sunabilmesi için, çocuk/ergenin psikiyatri kliniğine kabulünde kapsamlı bir ruhsal değerlendirmenin yanı sıra etkin bir fiziksel değerlendirme yapmaları, eşlik eden tıbbi sorunların, ilaç yan etkilerinin, ihmal ve istismar öykülerinin belirlenmesinde son derece önemli ve yararlı olacaktır.
References
- Kocaman N. Konsültasyon liyezon psikiyatrisi hemşireliği ve rolü nedir? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2005;8: 107-18.
- Welsh ER, McEnany GP. Approaches to reduce physical comorbidity in individuals diagnosed with mental illness. J Psychosoc Nurs Ment Health Serv 2015;53:32-7. [CrossRef]
- Happell B, Scott D, Nankivell J, Platania-Phung C. Screening physical health? Yes But…: nurses’ views on physical health screening in mental health care. J C Nurs 2013;22: 2286-97. [CrossRef]
- Karşıdağ Ç, Aksoy UM, Yüksel G ve ark. Yataklı Tedavi Hizmeti Sunan Psikiyatri Kliniklerinde Ektanılar. Klin Psikiyatr 2013;16:47–52.
- Farrelly S, Clement S, Gabbidon J et al. Anticipated and experienced discrimination amongst people with schizophrenia, bipolar disorder and major depressive disorder: A cross sectional study. BMC Psychiatry 2014;14:157. [CrossRef]
- Collins E, Tranter S, Irvine F. The physical health of the seriously mentally ill: an overview of the literature. J Psychiatric Ment Health Nurs 2012;19: 638-46. [CrossRef]
- Güleç Öyekçin D. Bir grup şizofreni ve şizoaffektif bozukluk hastasında metabolik sendrom sıklığı. Anatol J Psychiatry 2009;10:26–33.
- Happell B, Wilson K, Platania‐Phung C, Stanton R. Physical health nurse consultant role to improve physical health in mental health services: A carer’s perspective. Int J Ment Health Nurs 2016;25: 243-50. [CrossRef]
- Dikeç G, Arabaci LB, Uzunoglu GB, Mizrak SD. An Investigation of Cardiovascular Risks in a Group of Children and Adolescents Who Use Atypical Antipsychotics. Issues Ment Health Nurs 2017,38:872– 80. [CrossRef]
- Ehrlich C, Kendall E, Frey N, Kisely S, Crowe E, Crompton D. Improving the physical health of people with severe mental illness: Boundaries of care provision. Int J Ment Health Nurs 2014;23: 243-51. [CrossRef]
- McCloughen A, Foster K, Kerley D, Delgado C, Turnell A. Physical health and well‐being: Experiences and perspectives of young adult mental health consumers. Int J Ment Health Nurs 2016;25:299-307. [CrossRef]
- İmren SG, Ayaz AB, Yusufoğlu C ve ark. Cinsel istismara uğrayan çocuk ve ergenlerde klinik özellikler ve intihar girişimi ile ilişkili risk etmenleri. Marmara Med J. 2013;26:11–6. [CrossRef]
- Erginer DK, Günüşen NP. Determination of physical health status and healthy lifestyle behaviors of individuals with mental illness. Perspectives in Psychiatric Care (online published) 2018;54:371-79. [CrossRef]
- Leung MW, Xiong GL, Leamon MH, McCarron RM, Hales RE. General- medical hospital admissions from a public inpatient psychiatric health facility: a review of medical complications over 30 months. Psychosomatics 2010;51: 498-502. [CrossRef]
- Bebbington PE, Cooper C, Minot S, Brugha TS, Jenkins R, Meltzer H, et al. Suicide attempts, gender, and sexual abuse: data from the 2000 British Psychiatric Morbidity Survey. Am J Psychiatry 2009;166:1135- 40. [CrossRef]
- Akın E, Berkem M. İntihar girişiminde bulunan ergenlerde psikiyatrik tanıların, demografik ve klinik özelliklerin değerlendirilmesi. Fırat Tıp Derg 2012;17: 228-32.
- White J, Gray R, Jones M. The development of the serious mental illness physical Health Improvement Profile. J Psychiatr Ment Health Nurs 2009;16: 493–8. [CrossRef]
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 1, 2020 |
| Published in Issue | Year 2020Issue: 3 |