Objective: The purpose of this study is to retrospectively determine the sociodemographic characteristics of inpatients with the diagnoses of alcohol and substance use disorder in AMATEM (Research, Treatment and Training Center for Alcohol and Substance Dependence) clinic of Kayseri Training and Research Hospital.
Methods: Medical records of 1222 patients who were hospitalized at AMATEM clinic of Kayseri Training and Research Hospital between the years 2007-2015 were analyzed retrospectively and the obtained data were recorded on data sheets prepared by us. Statistical evaluation of the data was recorded in a database prepared by SPSS 23 software. Chi-square test was used for descriptive analyzes. The confidence level was taken as 95% and the statistical significance limit was accepted as p<0.05 for all analyses.
Results: A total of 1222 patients were included in the study. Of the all patients, 94.8% were male, 5.2% were female, mean age was 33.6±10.83 years. The mean age of alcohol users was 39.8±8.7; the mean age of substance users was 27.5±12.68. The mean age of the patients suffering from alcohol dependence was significantly higher than the mean age of applicants with other addictions. Patients who were mostly single (49.6%) were living with parents or family (90.4%). The rate of those who were married among the alcohol dependents was higher than the ones in the other substance dependents group. The most common reason for admission was alcohol dependence (37.2%), while the second most common was cannabis dependence. The majority of patients were hospitalized 1-15 days (67.7%) and these patients were often discharged from the hospital upon their requests (59.8%). The rate of the patients hospitalized for the first time at the clinic was 59% and this was higher than the recurrent hospitalizations. A huge majority of inpatients were smokers (91.7%).
Conclusion: This is the first study to investigate the socio-demographic and clinical characteristics of patients who were hospitalized in Kayseri Training and Research Hospital AMATEM Clinic. We think that our study will contribute to the comparative evaluation of the clinical and socio-demographic characteristics of the individuals who applied to other AMATEMs in our country. In this way, it will be useful for determining the changes that may be caused by regional differences in alcohol and substance use disorder and determining the common features that can be generalized independent of such local features.
Amaç: Bu çalışmada Kayseri Eğitim ve Araştırma Hastanesi AMATEM (Alkol ve Madde Bağımlılığı Araştırma Tedavi ve Eğitim Merkezi) kliniğinde alkol ve madde kullanım bozukluğu nedeni ile yatarak tedavi edilen kişilerin sosyo-demografik özelliklerinin retrospektif olarak değerlendirilmesi amaçlandı.
Yöntem: AMATEM kliniğinde 2007-2015 tarihleri arasında yatarak tedavi gören 1222 hastanın kayıtlı yatış dosyaları geriye dönük olarak incelendi ve elde edilen veri tarafımızca hazırlanan bilgi formlarına kaydedildi. Verinin istatistiksel değerlendirmesi SPSS 23 programı ile hazırlanan bir veri tabanına kaydedildi. Tanımlayıcı analizler için ki-kare testi kullanıldı. Güvenirlik düzeyi %95 olarak alındı ve tüm analizler için istatistiksel anlamlılık sınırı p<0.05 olarak kabul edildi.
Bulgular: Çalışmaya 1222 hasta dahil edildi. Hastaların %94.8’i erkek, %5.2’si kadın olup, yaş ortalamaları 33.6±10.83 idi. Alkol kullananların yaş ortalaması 39.8±8.7; madde kullananların yaş ortalaması 27.5±12.68’di. Alkol bağımlılığı nedeniyle başvuran olguların yaş ortalaması diğer madde bağımlılığı ile başvuranların yaş ortalamasından anlamlı olarak yüksekti. Çoğunlukla bekâr (%49.6) olan hastalar ebeveyn/aileyle (%90.4) yaşamaktaydı. Alkol bağımlıları arasında evli olanların oranı diğer madde bağımlılarından yüksekti. En sık başvuru nedeni alkol bağımlılığı (%37.2), ikinci sıklıkta ise esrar bağımlılığıydı (%34.1). Hastaların büyük çoğunluğu 1-15 gün yatmakta (%67.7) ve kendi istekleriyle taburcu (%59.8) olmaktaydı. Serviste ilk kez yatan hasta oranı %59 olup, tekrarlayan yatışlara göre fazlaydı ve hastaların büyük bir çoğunluğu sigara (%91.7) kullanmaktaydı.
Sonuç: Bu araştırma, Kayseri AMATEM’inde yatarak tedavi gören alkol ve madde bağımlılarının sosyo-demografik özelliklerini araştıran ilk çalışmadır. Araştırmamızın ülkemizin diğer AMATEM’lerine başvuran bireylerin klinik ve sosyo-demografik özelliklerinin birbirleriyle karşılaştırılarak değerlendirilmesinde katkı sağlayacağını, bu sayede, alkol ve madde kullanım bozukluklarında bölgesel farklılıkların neden olabileceği değişikliklerin saptanmasında ve bu gibi yerel özelliklerden bağımsız olan genellenebilir ortak özelliklerin belirlenmesinde fayda sağlayacağını düşünmekteyiz.
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