Rogers June
PromoCon, Worsley, Greater Manchester.
Nurs Child Young People. 2013 Jul;25(6):26-33. doi: 10.7748/ncyp2013.07.25.6.26.e195.
Daytime wetting is a common problem in early childhood. This article explains how the infant's bladder develops and how children are able to develop bladder control. The need for more structured toilet training at an earlier age than is standard today is proposed to prevent children having difficulty attaining and maintaining bladder control, which may be associated with delays in becoming continent and the development of daytime wetting. The article discusses common daytime wetting problems and describes how they can be assessed using a structured, standardised approach to history taking. Management using bladder retraining in the form of modified urotherapy is outlined, which aims to retrain the bladder without the need for surgery or pharmaceutical treatment.
日间遗尿是幼儿期的常见问题。本文解释了婴儿膀胱的发育过程以及儿童如何能够发展膀胱控制能力。有人提出，需要在比当今标准更早的年龄进行更有组织的如厕训练，以防止儿童在获得和维持膀胱控制方面出现困难，这可能与实现自主排尿延迟和日间遗尿的发生有关。本文讨论了常见的日间遗尿问题，并描述了如何采用结构化、标准化的病史采集方法对其进行评估。概述了采用改良尿疗法形式的膀胱再训练进行管理，其目的是在无需手术或药物治疗的情况下对膀胱进行再训练。
