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儿童下尿路功能障碍。幼儿教师对此了解多少?

Lower urinary tract dysfunction in children. What do pre-school teachers know about it?

作者信息

Lordelo Patricia, Maron Fabio, Barros Daniela G, Barroso Danilo V, Bessa Jose, Barroso Ubirajara

机构信息

Department of Pediatric Urology, School of Medicine, Federal University of Bahia, Salvador, Bahia, Brazil.

出版信息

Int Braz J Urol. 2007 May-Jun;33(3):383-8; discussion 388. doi: 10.1590/s1677-55382007000300012.

DOI:10.1590/s1677-55382007000300012
PMID:17626656
Abstract

OBJECTIVE

To evaluate the basic knowledge of pre-school teachers who deal with children between the ages of 4 and 7 years, who present signs of lower urinary tract dysfunction (LUTD).

MATERIALS AND METHODS

We performed a survey with 50 teachers from 9 private schools working with pre-school children. The criteria for selection were if teachers were certified or non-certified elementary school teachers - NCEST and the amount of professional experience.

RESULTS

Thirty-three teachers considered that the normal daily urinary frequency should be from 4 to 7 times. Two of the 50 teachers considered it normal to urinate less than 4 times per day and 15 teachers considered more than 7 times per day as normal. There was no difference between the 2 categories of certified or NCEST nor between those with more or less than five years of professional experience. Thirty-three percent believed that to urinate more than 4 times during a class period (4-5 hours) could indicate a urinary problem. There was a statistically significant difference among the certified and NCEST but not in terms of time of professional experience. If during this period the child would not ask to urinate, only 18% considered that as an indication of urinary problem. When asked about the symptoms that would indicate urinary urgency and urge incontinence, only 24% of the teachers connected it with urinary problem. There was no difference in terms of professional background or professional experience in these 2 last analyses.

CONCLUSION

Our data shows evidences that private pre-schools teachers are not well informed of the clinical manifestation of LUTD.

摘要

目的

评估处理4至7岁出现下尿路功能障碍(LUTD)迹象儿童的学前教师的基础知识。

材料与方法

我们对9所私立学校的50名从事学前教育的教师进行了一项调查。选择标准是教师是否为有资质或无资质的小学教师——无资质小学教师(NCEST)以及专业经验的时长。

结果

33名教师认为正常的每日排尿频率应为4至7次。50名教师中有2名认为每天排尿少于4次是正常的,15名教师认为每天排尿超过7次是正常的。在有资质教师和无资质小学教师这两类教师之间以及专业经验多于或少于五年的教师之间没有差异。33%的教师认为在一节课(4 - 5小时)期间排尿超过4次可能表明存在泌尿问题。在有资质教师和无资质小学教师之间存在统计学上的显著差异,但在专业经验时长方面没有差异。如果在此期间孩子没有要求排尿,只有18%的教师认为这表明存在泌尿问题。当被问及表明尿急和急迫性尿失禁的症状时,只有24%的教师将其与泌尿问题联系起来。在这最后两项分析中,在专业背景或专业经验方面没有差异。

结论

我们的数据表明私立学前教师对下尿路功能障碍的临床表现了解不足。

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