Kocaeli Med J. 2021; 10(3): 184-192 | DOI: 10.5505/ktd.2021.00377

Evaluation of Sociodemographic and Clinical Characteristics of Cases Followed in a Community Mental Health Center

Ayþegül Barak Özer¹, Mehmet Baltacýoðlu², Meltem Puþuroðlu², Þima Ceren Pak³, Çiçek Hocaoðlu^1
1Department Of Mental Health And Illness, Recep Tayyip Erdogan University, Rize, Turkey
²Rize State Hospital, Psychiatry Outpatient Clinic
³Freelance Physician, Antalya, Turkey

INTRODUCTION: n this study, we aimed to examine the clinical and sociodemographic characteristics and treatment characteristics of the patients who are currently receiving service from Community Mental Health Center(CMHC) in Rize.
METHODS: In this study, 1119 patients aged 18 and over who were enrolled in Rize State Hospital TRSM between March 2012 and December 2018 were included. The sociodemographic and clinical characteristics data form created by the researchers was applied to the cases. The information obtained from the hospital records of the cases and interviews with families were analyzed retrospectively.
RESULTS: In our study, 41.5%(n=464) of the patients were female and 58.5%(n=655) of the patients were male. The average age of 1119 people was found to be 45.92(±12.781). 335(29.9%) patients had Bipolar Disorder, 538(48.1%) patients had schizophrenia, 96(8.6%) patients had schizoaffective disorder, and 150(13.4%) patients had other diagnoses. Most of the patients were found to be single with a rate of 47.8%(n=535). It was determined that they were primary school graduates with the highest rate of 43.9%(n=489) and the majority of the patients were unemployed with 56.8%(n=635). It was observed that 72.9(n=814) patients received regular treatment, 50.5%(n=560) patients smoked, 62.3%(n=696) patients had at least one previous hospitalization, 46.6%(n=521) patients had a family history of psychiatric illness and 39.2%(n=438) patients had comorbid medical illnesses.
DISCUSSION AND CONCLUSION: Our study is the first to report the current CMHC status with a high number of cases. We think that it will reflect the situation in the geographic region of affiliation and will make significant contributions to the literature.

Keywords: community mental health services, schizophrenia, bipolar disorder

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Bir Toplum Ruh Saðlýðý Merkezinde Ýzlenen Olgularýn Sosyodemografik ve Klinik Özelliklerinin Deðerlendirilmesi

Ayþegül Barak Özer¹, Mehmet Baltacýoðlu², Meltem Puþuroðlu², Þima Ceren Pak³, Çiçek Hocaoðlu^1
1Recep Tayyip Erdoðan Üniversitesi Týp Fakültesi, Ruh Saðlýðý ve Hastalýklarý Ana Bilim Dalý, Rize, Türkiye
²Rize Devlet Hastanesi, Psikiyatri Polikliniði, Rize, Türkiye
³Serbest Hekim, Antalya, Türkiye

GÝRÝÞ ve AMAÇ: Bu çalýþmada halen Rize ilindeki Toplum Ruh Saðlýðý Merkezi(TRSM)’nden hizmet alan hastalarýn klinik ve sosyodemografik özellikleri ile tedavi özelliklerini incelemeyi amaçladýk.
YÖNTEM ve GEREÇLER: Bu çalýþmaya Mart 2012- Aralýk 2018 tarihleri arasýnda Rize Devlet Hastanesi TRSM’e kayýtlý olan 18 yaþ ve üzerindeki 1119 hasta dahil edildi. Araþtýrmacýlar tarafýndan oluþturulan sosyodemografik ve klinik özellikler veri formu olgulara uygulandý. Olgularýn hastane kayýtlarý ve ailelerle yapýlan görüþmelerden elde edilen bilgiler geriye dönük olarak incelendi.
BULGULAR: Çalýþmamýzda %41,5(n=464) hasta kadýn, %58,5(n=655) hasta erkekti. 1119 kiþinin yaþ ortalamasýnýn 45,92(±12,781) olduðu görüldü. 335(%29,9) hastada Bipolar Bozukluk, 538(%48,1) hastada þizofreni, 96(%8,6) hastada þizoaffektif bozukluk ve 150(%13,4) hastada diðer tanýlar vardý. Hastalarýn çoðunun %47,8 (n=535) oraný ile bekar olduðu görüldü. %43,9(n=489) ile en yüksek oranda ilkokul mezunu olduklarý ve %56,8(n=635) oran ile hastalarýn büyük kýsmýnýn iþsiz olduðu tespit edildi. Hastalarýn %72,9(n=814)'unun düzenli tedavi aldýðý, %50,5(n=560)'inin sigara kullandýðý, %62,3(n=696)'ünün daha öncesinde en az bir kez hastane yatýþý olduðu, %46,6(n=521)'sýnýn ailesinde psikiyatrik hastalýk öyküsü olduðu ve %39,2(n=438)'sinin komorbid týbbi hastalýðýnýn olduðu görüldü.
TARTIÞMA ve SONUÇ: Çalýþmamýz mevcut TRSM durumunu yüksek sayýda olgu ile bildiren ilk çalýþmadýr. Baðlý olunan coðrafi bölgedeki durumu yansýtacaðýný ve literatüre önemli katkýlarý olacaðýný düþünmekteyiz.

Anahtar Kelimeler: toplum ruh saðlýðý hizmetleri, þizofreni, bipolar bozukluk

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