Öz
Amaç
Bu araştırmada çocuk psikiyatrisi bölümüne konsültasyonu yapılan, solid organ nakilli çocukların klinik özelliklerinin incelenmesi; ayrıca hastanede yattığı süreçte, nakil merkezi tarafından bildirilen tedaviye uyumsuzluğun risk faktörlerinin belirlenmesi hedeflenmiştir.
Gereç ve Yöntem
Çalışmaya Başkent Üniversitesi Hastanesi Nakil Merkezi’nde Ağustos 2012 ile Ağustos 2023 tarihleri arasında yatan, Çocuk ve Ergen Psikiyatrisi Bölümü’ne konsültasyonu yapılan, 18 yaş altı tüm katı organ nakli alıcıları dahil edildi. Veriler hastane kayıtlarından geriye dönük olarak toplandı.
Bulgular
Çalışma kohortu yaş ortalaması 10,3±4,34 olan 55 katı organ (böbrek, karaciğer ve kalp) nakilli çocuktan oluşmaktadır. Ruhsal muayene sonucunda en sık (%50,9) konulan tanı uyum bozukluğu (UB) iken; bu tanının içinde “depresif duygudurum ile giden” en sık gözlemlenen alt tip oldu (%39,3). Ayrıca bu hastaların %27,3’ünde tedaviye uyumsuzluk raporlanmış; UB tanısının tedaviye uyumsuzluğun bağımsız bir yordayıcısı olduğu belirlenmiştir (odds oranı: 15,77, %95 güven aralığı: 1,77-140,75, p=0,014).
Sonuç
Bulgular nakil sonrası dönemde çocuk ve ergen psikiyatrisi konsültasyonlarının hayati rolünü vurgulayarak, bu hastalarda tedaviye uyumsuzluğunu öngörmede önemli bir faktör olan UB tanısına ışık tutmaktadır.
Anahtar Kelimeler: Transplantasyon, uyum bozukluğu, çocuk, ergen
Kaynakça
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