Haug-Schnabel G
Freiburg University Children's Hospital.
Acta Paedopsychiatr. 1990;53(1):45-53.
In addition to the careful, non-invasive, usual out-patient care, looking after bed-wetting children requires a biographical anamnesis inquiry with special regard for the bed-wetting situation for child and family. Only in this way can bed-wetting careers with numerous unsuccessful, disappointing stages of diagnosis and therapy be recognized. Chosen interview main points such as: reason for bringing the child, the parents' experiences with the symptom course, treatment history, description of the child, family and care situation give insights into the suffering, the dealings with the symptoms within the family as well as the family's motivation for getting rid of the enuresis. Symptom-orientated treatment attempts may not be continued, the punitive character of many therapies must be spoken about. The connection between stressing events and bed-wetting at night has already been noticed by many parents. This is an important starting-point for the child's care and the parents' counselling.
除了细心、无创的常规门诊护理外,照顾尿床儿童还需要进行个人经历问诊,尤其要关注儿童和家庭的尿床情况。只有这样,才能识别出经历过无数次诊断和治疗失败且令人失望阶段的尿床历程。选定的访谈要点,如:带孩子前来的原因、父母对症状过程的经历、治疗史、对孩子、家庭及护理情况的描述,能让我们深入了解孩子的痛苦、家庭内部对症状的应对方式以及家庭摆脱尿床问题的动机。以症状为导向的治疗尝试可能不应继续,必须提及许多疗法的惩罚性质。许多家长已经注意到压力事件与夜间尿床之间的关联。这是儿童护理和家长咨询的重要起点。