增加接受保守治疗的便秘儿童的每日水分摄入和液体摄入量。
Increasing daily water intake and fluid adherence in children receiving treatment for retentive encopresis.
机构信息
Department of Psychology, Eastern Michigan University, USA.
出版信息
J Pediatr Psychol. 2010 Nov;35(10):1144-51. doi: 10.1093/jpepsy/jsq033. Epub 2010 May 3.
OBJECTIVE
To examine the efficacy of an enhanced intervention (EI) compared to standard care (SC) in increasing daily water intake and fluid goal adherence in children seeking treatment for retentive encopresis.
METHODS
Changes in beverage intake patterns and fluid adherence were examined by comparing 7-week diet diary data collected during participation in the EI to achieved data for families who had previously completed the SC.
RESULTS
Compared to children in SC (n = 19), children in the EI (n = 18) demonstrated a significantly greater increase in daily water intake from baseline to the conclusion of treatment ( p ≤ .001), and were four and six times more likely to meet fluid targets in Phases 1 (Weeks 3-4) and 2 (Weeks 5-6) of fluid intervention, respectively (both p ≤ .001).
CONCLUSIONS
Enhanced education and behavioral strategies were efficacious in increasing children's intake of water and improving fluid adherence. Future research should replicate the findings in a prospective randomized clinical trial to discern their effectiveness.
目的
研究强化干预（EI）与标准护理（SC）相比，在增加寻求治疗习惯性便秘儿童的每日水摄入量和液体摄入目标依从性方面的效果。
方法
通过比较 EI 期间收集的 7 周饮食日记数据与之前完成 SC 的家庭的已实现数据，来检查饮料摄入模式和液体依从性的变化。
结果
与 SC 组的儿童（n = 19）相比，EI 组的儿童（n = 18）在从基线到治疗结束时的每日饮水量显著增加（p ≤.001），并且在液体干预的第 1 阶段（第 3-4 周）和第 2 阶段（第 5-6 周）分别有 4 倍和 6 倍更有可能达到液体目标（均 p ≤.001）。
结论
强化教育和行为策略在增加儿童的水摄入量和改善液体摄入依从性方面是有效的。未来的研究应在前瞻性随机临床试验中复制这些发现，以确定其有效性。
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