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日间尿失禁和遗尿的患病率及生活质量:学校样本

The Prevalence of Diurnal Urinary Incontinence and Enuresis and Quality of Life: Sample of School.

作者信息

Savaser Sevim, Kizilkaya Beji Nezihe, Aslan Ergul, Gozen Duygu

机构信息

Department of Child Development, Biruni University Faculty of Health Sciences, Istanbul, Turkey.

Department of Nursing, Biruni University Faculty of Health Sciences, Istanbul, Turkey.

出版信息

Urol J. 2018 Jul 10;15(4):173-179. doi: 10.22037/uj.v0i0.3982.

Abstract

PURPOSE

Enuresis can cause loss of self-esteem in children, change relations with family and friends, and decrease the school success. This study was conducted to determine the prevalence of urinary incontinence (UI) in school children aged between 11-14 years and identify the emotions and social problems of enuretic children.

MATERIALS AND METHODS

A mixed methods approach was used on a group of students who reported UI by combining quantitative data from school population-based cross-sectional design with qualitative data using in-depth interview techniques. The data of this descriptive and cross-sectional study were collected from 2750 primary school students aged between 11-14 years in Istanbul.

RESULTS

The overall prevalence of UI was 8.6% and decreased with age. Prevalence of the diurnal enuresis in children was 67.9% and all of them had non-monosymptomatic enuresis. 83.3% of the children were identifiedwith secondary enuresis for 1-3 years. UI was significantly more common in boys and those who had frequent urinary infections, whose first degree relatives had urinary incontinence problem in childhood, and who reportedlow socioeconomic level in the family. The emotional and social effects of urinary incontinence were given in the context of children's own expressions.

CONCLUSION

Urinary incontinence is an important problem of school-age children. In this study the prevalence of UI was found to be 8.6%, diurnal UI and secondary enuresis were very common, and all of the children werenon-monosymptomatic. Enuresis has negative emotional and social effects on children.

摘要

目的

遗尿症会导致儿童自尊心丧失,改变与家人和朋友的关系,并降低学业成绩。本研究旨在确定11至14岁学龄儿童中尿失禁(UI)的患病率,并识别遗尿儿童的情绪和社会问题。

材料与方法

采用混合方法对一组报告有尿失禁的学生进行研究,将基于学校人群的横断面设计的定量数据与使用深入访谈技术的定性数据相结合。这项描述性横断面研究的数据收集自伊斯坦布尔2750名11至14岁的小学生。

结果

尿失禁的总体患病率为8.6%,且随年龄增长而降低。儿童日间遗尿症的患病率为67.9%,且所有患儿均为非单纯症状性遗尿。83.3%的儿童被诊断为继发性遗尿1至3年。尿失禁在男孩以及那些经常发生泌尿系统感染、一级亲属在儿童期有尿失禁问题且报告家庭社会经济水平较低的儿童中更为常见。尿失禁的情感和社会影响是根据儿童自己的表述给出的。

结论

尿失禁是学龄儿童的一个重要问题。在本研究中,尿失禁的患病率为8.6%,日间尿失禁和继发性遗尿非常常见,且所有儿童均为非单纯症状性。遗尿症对儿童有负面的情感和社会影响。

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