水代谢平衡紊乱的患者。创新性精神科护理干预策略。

Patients with disordered water balance. Innovative psychiatric nursing intervention strategies.

Ribble D J, Thelander B

Middletown Psychiatric Center, New York 10940.

J Psychosoc Nurs Ment Health Serv. 1994 Oct;32(10):35-42. doi: 10.3928/0279-3695-19941001-09.

Abstract

Patients with disordered water balance (DWB) have difficulty with fluid intake/output and osmoregulation. These difficulties are characterized by polydipsia, polyuria, significant variation in pattern of excretion, abnormal diurnal weight gain, and behavioral changes. 2. Therapeutic milieu-management strategies for patients experiencing acute and chronic phases of DWB are the cornerstone of long-term management of these patients. 3. Implementation of the intervention and milieu-management strategies described in this article resulted in a reduction of patients requiring acute medical treatment subsequent to an acute phase of DWB.

摘要

水代谢平衡紊乱（DWB）患者在液体摄入/排出及渗透压调节方面存在困难。这些困难的特征包括烦渴、多尿、排泄模式显著变化、日间体重异常增加以及行为改变。2. 针对处于DWB急性期和慢性期患者的治疗环境管理策略是这些患者长期管理的基石。3. 实施本文所述的干预措施和环境管理策略后，处于DWB急性期后需要接受急性药物治疗的患者数量有所减少。