Çocuk ve ergenlerde psikotrop ilaç kullanımı: Poliklinik tedavilerinin gözden geçirilmesi
Mirac Baris Usta, Yusuf Yasin Gumus, Armagan Aral, Gokce Nur Say, Koray Karabekiroglu
Makale No: 7   Makale Türü:  Kısa Araştırma
Amaç: Literatürde, çocuk ve ailelerin yüksek oranlarda psikofarmakolojik tedaviye uyumsuzluk gösterdiği bildirilmiştir. Bu çalışmada bir üniversite hastanesi psikiyatri bölümüne başvuran çocuklarda psikotrop kullanım sıklığının saptanması, tekrar reçetelenme oranları ile tedavi uyumunun araştırılması amaçlanmıştır.

Yöntem: Ondokuz Mayıs Üniversitesi Çocuk Psikiyatri Polikliniği’nde muayene edilen hastalar çalışmaya dahil edilmiştir. Hastalar retrospektif olarak Nucleus® poliklinik sistemi ile taranmıştır.

Bulgular: Üç yıllık zaman periyodunda 12607 kayıtlı hastaya ulaşılmıştır. Hastaların yaş ortalaması 12.1±5.0 ve erkek cinsiyet oranı %57.4’tü. En yüksek oranda reçetelenen ilaç grubu %32.7 ile antipsikotikler ve %32.5 ile stimulan ilaçlar olduğu tespit edilmiştir. Poliklinik kontrolleri sırasında 8.889 hasta (%70.4) en az bir kez reçetelendirilmiştir ve toplam 38432 adet psikotrop ilaç reçete edilmiştir. Psikotrop kullanan hastalar çalışma zaman periyodunda ortalama 4.32 kez reçetelendirilmiştir ve 2356 hasta (%26.2) bir kere reçetelendirilmiştir.

Tartışma: Çalışmanın zaman aralığında, psikotrop ilaç kullanan her dört hastadan biri sadece bir kez reçetelendirilmiştir. Psikotrop ilaçların bir çoğu uzun süreli tedavilerin parçasıdır ve çalışmamızdaki veriler ile hastaların yüksek oranda tedaviye devam etmediği gözlenmiştir. Çocuk, ergenler ve ailelerinde ilaç uyumunu etkileyen faktörlere ait çalışmalara ihtiyaç duyulmaktadır.
Anahtar Kelimeler: Ergen, çocuk, poliklinik tedavileri, psikotrop ilaç
Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2018;31:72-78
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