Collis Dianne, Kennedy-Behr Ann, Kearney Lauren
Women's and Families Service Group, Sunshine Coast Hospital and Health Service, Birtinya, Queensland, Australia.
School of Health and Sport Science, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.
Child Care Health Dev. 2019 Jan;45(1):1-14. doi: 10.1111/cch.12620. Epub 2018 Oct 16.
Functional bladder and bowel problems are common in children and have a serious psychological as well as physical impact. The objective of this scoping review was to synthesise evidence on the impact of such conditions both on children's quality of life (QOL) and their parents.
The scoping review followed Arksey and O'Malley's framework. Relevant studies were identified by a comprehensive search of scientific databases. Inclusion criteria focused on children with bladder and bowel dysfunction, their QOL, and impact on parents. Studies were analysed for aims, study populations, measures, and results.
A total of 783 records were retrieved with 30 meeting the criteria. Most studies found that QOL was reduced in children with nocturnal enuresis, day bladder dysfunction, bowel dysfunction, and combined bladder and bowel dysfunction. Parents' QOL and social-emotional functioning were also negatively affected.
Functional bladder and bowel problems should be identified and treated as early as possible to minimise negative impacts on QOL of children and their carers. Future research should focus on how to best provide early and effective intervention in the most accessible manner.
功能性膀胱和肠道问题在儿童中很常见，对儿童的心理和身体都有严重影响。本范围综述的目的是综合关于此类疾病对儿童生活质量（QOL）及其父母的影响的证据。
范围综述遵循了阿克西和奥马利的框架。通过全面检索科学数据库来识别相关研究。纳入标准聚焦于膀胱和肠道功能障碍儿童、他们的生活质量以及对父母的影响。对研究的目的、研究人群、测量方法和结果进行了分析。
共检索到783条记录，其中30条符合标准。大多数研究发现，夜间遗尿、日间膀胱功能障碍、肠道功能障碍以及膀胱和肠道联合功能障碍的儿童生活质量下降。父母的生活质量和社会情感功能也受到负面影响。
应尽早识别并治疗功能性膀胱和肠道问题，以尽量减少对儿童及其照顾者生活质量的负面影响。未来的研究应侧重于如何以最便捷的方式提供最佳的早期有效干预。
