Swett C
Dartmouth Medical School, New Hamsphire Hospital, Concord 03301.
Bull Am Acad Psychiatry Law. 1994;22(3):421-30.
A total of 114 (31%) of 370 acute admissions to an inpatient unit over a one-year interval had at least one episode of seclusion or restraint. Four variables were significant predictors of seclusion and restraint. They were young age, diagnosis of borderline personality disorder, and two scores (irritability and total assets) on the Nurses Observation Scale for Inpatient Evaluation (NOSIE). More than 81% of the predictions were correct (Kappa = .37, p < .001). The four predictive variables were used to predict seclusion and restraint in a new sample of 80 patients. More than 79% of the predictions were correct (Kappa = .40, p < .001).
在一年的时间里，某住院部370例急性入院患者中有114例（31%）至少经历过一次隔离或约束。有四个变量是隔离和约束的显著预测因素。它们是年轻、边缘性人格障碍诊断以及护士住院患者评估量表（NOSIE）上的两个得分（易怒和总资产）。超过81%的预测是正确的（卡帕系数=0.37，p<0.001）。这四个预测变量被用于预测80例新患者样本中的隔离和约束情况。超过79%的预测是正确的（卡帕系数=0.40，p<0.001）。
