Schast Aileen P, Zderic Stephen A, Richter Meg, Berry Amanda, Carr Michael C
The Children's Hospital of Philadelphia, Division of Urology, Philadelphia, PA 19104, USA.
J Pediatr Urol. 2008 Apr;4(2):127-33. doi: 10.1016/j.jpurol.2007.10.007. Epub 2008 Jan 11.
This project examines the voiding and behavioral characteristics of children referred to a specialty voiding clinic, including the impact of incontinence on the child and family.
A total of 351 new patients (aged 5-17 years) referred to our specialty voiding clinic completed background information, including demographics and medical history, a standardized voiding questionnaire, school history, and questions about child and family quality of life, prior to their first appointment.
Patients are primarily female (53%) and Caucasian (70%) with a mean age of 9.5 years (range 5-17; SD=3.5). Of the patients, 25% were diagnosed with a mental or behavioral health problem. Mean urological symptom score was 12 (range 0-29). Higher symptom scores are associated with younger age, ethnic minority status, a mental health diagnosis, being on psychotropic medications, and a poor child and family quality of life. Families of children who are wet day and night reported a poorer quality of life as compared to the families of children who were daytime wetters or bedwetters only.
Symptom scores are associated with type of incontinence, social and quality of life variables. Collecting this baseline data will enable ongoing monitoring of progress for these complex patients.
本项目研究转诊至专科排尿诊所的儿童的排尿及行为特征，包括尿失禁对儿童及其家庭的影响。
共有351名新患者（年龄5 - 17岁）转诊至我们的专科排尿诊所，在首次就诊前填写了背景信息，包括人口统计学和病史、标准化排尿问卷、学校情况以及有关儿童和家庭生活质量的问题。
患者主要为女性（53%）和白种人（70%），平均年龄9.5岁（范围5 - 17岁；标准差 = 3.5）。其中25%的患者被诊断患有精神或行为健康问题。泌尿症状平均评分为12分（范围0 - 29分）。较高的症状评分与年龄较小、少数族裔身份、心理健康诊断、服用精神药物以及儿童和家庭生活质量较差有关。与仅白天尿床或夜间尿床儿童的家庭相比，日夜尿床儿童的家庭报告生活质量较差。
症状评分与尿失禁类型、社会及生活质量变量相关。收集这些基线数据将有助于对这些复杂患者的病情进展进行持续监测。
