Hayfron-Benjamin J, Peters C A, Woodhouse R A
Queen's University, Kingston, Ontario.
Can J Psychiatry. 1996 Oct;41(8):523-7. doi: 10.1177/070674379604100810.
To determine whether caregiver responses to a screening question are a reliable method of identifying polydipsia (excessive water drinking) in institutionalized residents with mental retardation. To review the etiology, acute and chronic clinical manifestations, and care of polydipsia and water intoxication.
This paper presents an assessment of interrater reliability for a screening question for polydipsia using responses of primary caregivers of preidentified polydipsia cases (n = 32) and matched controls (n = 33) in a large Canadian institution for developmentally handicapped adults. A chart review of all cases of identified water intoxication is also provided. The behavioural outcomes of preventive measures for water intoxication are described.
The screening instrument was reliable, having a kappa (interrater reliability) of 0.73. Several case descriptions illustrate typical presentations of water intoxication in this population.
Polydipsia is reliably identified by caregiver responses to a screening question. It should be screened for regularly to ensure appropriate care to prevent important acute and chronic complications.
确定护理人员对一个筛查问题的回答，是否是识别智障机构化居民中烦渴（过度饮水）的可靠方法。回顾烦渴和水中毒的病因、急性和慢性临床表现以及护理方法。
本文通过加拿大一家大型成年发育障碍者机构中预先确定的烦渴病例（n = 32）和匹配对照（n = 33）的主要护理人员的回答，对烦渴筛查问题的评分者间信度进行了评估。还提供了对所有已确诊水中毒病例的病历回顾。描述了水中毒预防措施的行为结果。
筛查工具可靠，kappa值（评分者间信度）为0.73。几个病例描述说明了该人群中水中毒的典型表现。
护理人员对筛查问题的回答能够可靠地识别烦渴。应定期进行筛查，以确保采取适当护理措施，预防重要的急性和慢性并发症。
