Memduha AYDIN, HÜLYA ERTEKİN, Tahsin ETLİ, Hatice Yardim OZAYHAN, İbrahim EREN

Psychotherapy Perspective of Physicians and Psychiatric Patients

Amaç: Bu çalışmamızda günümüz psikiyatri ve genel tıp uygulamalarında ruh sağlığını iyileştirme ve korumada psikoterapilerin yerini araştırmayı amaçladık. Yöntem: Bu çalışma Mayıs 2013-Temmuz 2013 tarihleri arasında Konya Eğitim ve Araştırma Hastanesinde yürütülmüş olan kesitsel bir çalışmadır. Çalışmada veri toplamak için hastalara ve dahili ve cerrahi branşlarda çalışan doktorlara yönelik ayrı ayrı 5'er maddelik anketler uygulandı. Bulgular: Çalışmamızın örneklemi; psikiyatri polikliniğine başvuran 173 hasta, 28 cerrahi branş ve 89 dahili branş doktorundan oluşmaktaydı. Psikiyatri polikliniğine başvuran hastaların psikiyatrik hastalıkların tedavisinde psikoterapinin etkili bir yöntem olduğunu düşündükleri, psikiyatristlerin psikoterapi uygulayabildiklerini bildikleri, ancak poliklinikte psikoterapiler için yeterli sürenin ayrılamayacağını düşündükleri bulundu. Cerrahi ve dahili bölüm doktorlarının hastalarının tedavisinde psikiyatriden destek isteme eğiliminde fark olmadığı (p=0.115), dahili bölüm doktorlarının daha yüksek oranda ilaçla tedavi kadar psikoterapilerden de yararlanılabileceği fikrine sahip oldukları (p=0.038) bulundu. Cerrahi ve dahili bölüm doktorlarının psikiyatristlerin psikoterapi hizmeti verebilecekleri fikirleri arasında fark olmadığı, dahili bölüm doktorlarının psikoterapilerin poliklinik koşullarında uygulanabilirliğine inancının cerrahi bölüm doktorlarından daha yüksek olduğu (p=0.038) saptandı. Sonuç: Bu çalışma, "psikoterapi" kavramının hasta, dahili ve cerrahi branş doktorlarının bakış açısından değerlendirilmesine olanak sağlamıştır.

Doktorların ve psikiyatri hastalarının psikoterapiye bakışı

Objective: In this study, we aimed to investigate the role of psychotherapy in healing and protection of mental health in integrated psychiatry and general medicine practice. Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between dates May 2013 and July 2013. Data were collected by using 5-item questionnaires prepared separately for patients and doctors from internal medicine and surgical disciplines. Results: The sample is consisting of 173 patients admitted to psychiatric outpatient clinic, 28 doctors from surgical and 89 doctors from internal medicine disciplines. Patients at psychiatric outpatient clinic believed that psychotherapy was an effective method for the treatment of psychiatric disorders, and knew that psychiatrists could apply psychotherapy, but thought that there was no sufficient time at outpatient clinics. No difference was determined between the doctors from internal medicine and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (p=0.115). Doctors from internal medine disciplines had a higher proportion of belief that psychotherapy was as effective as medication treatments (p=0.038). No difference was determined between doctors from internal medicine and surgical disciplines in the belief that psychiatrists could provide psychotherapy service. Belief of applicability of psychotherapy at the outpatient clinic settings was higher among doctors from internal medicine than those from the surgical disciplines (p=0.038). Conclusion: This study enabled us to assess the attitudes towards "psychotherapy" among patients and doctors from internal medicine and surgical disciplines.

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