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父母对遗尿症病因、治疗方法以及寻求专业医疗护理必要性的看法。

Parental beliefs about nocturnal enuresis causes, treatments, and the need to seek professional medical care.

机构信息

University of California San Francisco, 400 Parnassus Avenue, Suite A-633, San Francisco, CA 94143, United States.

出版信息

J Pediatr Urol. 2013 Dec;9(6 Pt B):1043-8. doi: 10.1016/j.jpurol.2013.02.013. Epub 2013 Apr 19.

Abstract

OBJECTIVE

To better understand parental beliefs regarding the etiology and treatment of nocturnal enuresis (NE).

METHODS

A self-administered survey queried parental NE beliefs including perceived etiologies and home behavioral treatments. We assessed for associations between demographic characteristics and propensity to seek medical care for NE.

RESULTS

Of 216 respondents, 78% were female. The most common causes for NE reported were: deep sleeper (56%), unknown (39%), and laziness (26%). Popular home behavioral therapies included: void prior to sleep (77%) and limiting fluid intake at night (71%). Few reported they would use a bedwetting alarm (6%). Fifty-five percent reported they would seek medical care for NE and 28% reported awareness of effective treatments. On multivariable analysis, females (OR 2.3, 95% CI 1.04-5.0) and those with graduate level education (OR 4.8, 95% CI 1.5-15.7) were more likely to seek medical care for their child with NE.

CONCLUSIONS

General parental knowledge of the causes and effective treatments for NE is lacking. Only 55% reported they would seek medical care for their child with NE and only 28% reported awareness of effective treatments. Counseling should focus on dispelling common misconceptions about causes and treatments of NE and focus on proven effective treatments.

摘要

目的

更好地了解父母对遗尿症(NE)病因和治疗的看法。

方法

采用自我管理的问卷调查父母对 NE 的信念,包括感知病因和家庭行为治疗。我们评估了人口统计学特征与寻求 NE 医疗护理意愿之间的相关性。

结果

在 216 名受访者中,78%为女性。报告的 NE 最常见原因包括:深度睡眠者(56%)、未知原因(39%)和懒惰(26%)。受欢迎的家庭行为疗法包括:睡前排空(77%)和限制夜间液体摄入(71%)。很少有人报告说他们会使用尿床报警器(6%)。55%的人表示会为 NE 寻求医疗护理,28%的人表示了解有效的治疗方法。多变量分析显示,女性(OR 2.3,95%CI 1.04-5.0)和具有研究生学历的人(OR 4.8,95%CI 1.5-15.7)更有可能为其患有 NE 的孩子寻求医疗护理。

结论

父母普遍缺乏对 NE 病因和有效治疗方法的了解。只有 55%的人表示会为其患有 NE 的孩子寻求医疗护理,只有 28%的人表示了解有效的治疗方法。咨询应重点消除对 NE 病因和治疗的常见误解,并关注经过验证的有效治疗方法。

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