儿童与青少年精神病学门诊咨询与住院咨询的比较

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Mustafa Tolga Tunagür, M. Özbek, S. A. İpek Baş, S. Karakoç, Hatice Aksu
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引用次数: 0

摘要

研究目的本研究旨在探讨儿童和青少年精神科就诊者的社会人口学和临床特征,并比较门诊和住院就诊者的特征:研究共纳入了 354 名在某大学附属医院儿童和青少年精神科就诊的患者。研究收集了有关患者社会人口学特征、就诊科室、诊断和治疗方法的数据:研究病例的平均年龄为(10.6±4.8)岁,其中 51.4% 为女孩。住院病人以少女居多。小儿神经科门诊的就诊率最高(22.3%),最常见的就诊原因是自杀未遂(12.1%)。在请求会诊的病例中,67.8%的人被诊断患有至少一种精神障碍,最常见的诊断是焦虑症,占 12.7%。与门诊患者相比,住院病人中冲动性自杀企图和抑郁障碍更为常见,而智力障碍则较少见。97.2%的患者接受了家长教育,44.6%的患者被建议接受药物治疗,最常用的处方药物是选择性血清素再摄取抑制剂。与住院治疗组相比,门诊治疗组的心理治疗和特殊教育更为普遍:目前的研究显示,门诊组和住院组的儿童与青少年精神病学咨询者在咨询原因、诊断和治疗方式方面存在明显差异。研究结果为临床实践和服务发展提供了有价值的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Outpatient and Inpatient Consultations Requested from Child and Adolescent Psychiatry
Objective: This study aims to examine the sociodemographic and clinical characteristics of child and adolescent psychiatry consultations and to compare characteristics of outpatient and inpatient consultations. Methods: A total of 354 patients who were consulted to child and adolescent psychiatry department of a university hospital were included in the study. Data were collected regarding sociodemographic characteristics of patients, departments requesting consultation, diagnoses, and treatment methods. Results: The cases included in the study had a mean age of 10.6±4.8 years,with 51.4% being girls. Adolescent girls formed the majority of the inpatient group. The pediatric neurology outpatient clinic had the highest frequency of requested consultations (22.3%), and the most common reason for consultation was a suicide attempt (12.1%). Of the cases for which consultation was requested, 67.8% were diagnosed with at least one psychiatric disorder, and the most common diagnoses were anxiety disorders, with 12.7%. In the inpatient group, impulsive suicide attempts and depressive disorders were more frequent compared to the outpatient group, while intellectual disability was less common. Parent education was provided for 97.2% of the cases, pharmacological treatment was recommended for 44.6% of the cases, and the most commonly prescribed medications were selective serotonin reuptake inhibitors. Psychotherapy and special education were significantly more common in the outpatient group compared to the inpatient treatment group. Conclusion: The current study revealed significant differences in consultations requested from child and adolescent psychiatry between the outpatient and inpatient groups regarding consultation reasons, diagnoses, and treatment modalities. The findings provide valuable information for clinical practice and service development.
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来源期刊
European Journal of Therapeutics
European Journal of Therapeutics MEDICINE, GENERAL & INTERNAL-
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