Üçer Oktay, Gümüş Bilal
Uşak State Hospital, Urology Clinic, Uşak, Turkey,
World J Urol. 2014 Feb;32(1):239-43. doi: 10.1007/s00345-013-1193-1. Epub 2013 Oct 23.
The aim of this study was to compare a group of children who has monosymptomatic nocturnal enuresis (MNE) with a healthy control group by assessing their depression scales, quality of life and sleep quality.
Hundred and one children with MNE and 38 healthy controls are included in the study, aged between 8 and 16 years old. All participants were performed the Pediatric Quality of Life Inventory (PedsQL 4.0), Depression Scale for Children (CES-DC) and The Pittsburgh Sleep Quality Index (PSQI) tests. The two groups were compared for their demographic factors and for the results of the tests above.
There were no significant differences between the two groups according to age, gender and other demographic factors. Quality of life, depression and sleep quality scores implied worse health in the patient group. The PedsQL scores were assessed as 1,659.90 ± 296.01 in the patient group and 1,818.42 ± 227.92 in the control group (p = 0.001). The CES-DC scores were 11.74 ± 6.11 in the patient group and 7.00 ± 3.97 in the control group (p < 0.001). And the PSQI scores were 2.58 ± 2.48 in the patient group, 1.15 ± 1.10 in the control group (p < 0.001). Also in the patient group, there was a positive correlation between participants' ages and the PedsQL (p = 0.010; r = 0.256), the CES-DC (p = 0.000; r = 0.382), the PSQI (p = 0.000; r = 0.403) scores. The success parameters at school were significantly worse in the patient group (p = 0.05).
All our findings show us that the children with nocturnal enuresis were affected negatively because of their disease; especially when they grow up the scores get worse health, so we suggest that treatment must be started at suitable age according to guidelines.
本研究旨在通过评估一组患有单症状性夜间遗尿症（MNE）的儿童与健康对照组的抑郁量表、生活质量和睡眠质量，对二者进行比较。
本研究纳入了101名患有MNE的儿童和38名健康对照儿童，年龄在8至16岁之间。所有参与者均进行了儿童生活质量量表（PedsQL 4.0）、儿童抑郁量表（CES-DC）和匹兹堡睡眠质量指数（PSQI）测试。比较了两组的人口统计学因素以及上述测试结果。
根据年龄、性别和其他人口统计学因素，两组之间无显著差异。生活质量、抑郁和睡眠质量得分表明患者组的健康状况较差。患者组的PedsQL得分为1659.90±296.01，对照组为1818.42±227.92（p = 0.001）。患者组的CES-DC得分为11.74±6.11，对照组为7.00±3.97（p < 0.001）。患者组的PSQI得分为2.58±2.48，对照组为1.15±1.10（p < 0.001）。此外，在患者组中，参与者的年龄与PedsQL（p = 0.010；r = 0.256）、CES-DC（p = 0.000；r = 0.382）、PSQI（p = 0.000；r = 0.403）得分之间存在正相关。患者组在学校的成绩参数明显更差（p = 0.05）。
我们所有的研究结果表明，夜间遗尿症儿童因其疾病受到负面影响；尤其是随着年龄增长，得分显示健康状况更差，因此我们建议必须根据指南在合适的年龄开始治疗。
