Faculty of Health Sciences, Department of Child Health and Disease Nursing, Eskisehir Osmangazi University, Eskisehir, Turkey.
Faculty of Health Sciences, Department of Nursing, Gazi University, Ankara, Turkey.
Int J Clin Pract. 2021 Oct;75(10):e14657. doi: 10.1111/ijcp.14657. Epub 2021 Aug 4.
Urinary incontinence is an important problem that can arise due to neurogenic or functional reasons and negatively affect the psychological, social and personality development of children. This study was conducted on secondary school students to determine the prevalence and risk factors of urinary incontinence at night and/or in the daytime.
The study universe included all secondary school students attending public elementary schools in the city centre of Eskişehir (N = 34 000). Ethics Committee and Provincial Directorate of National Education approvals were obtained before conducting the study. A data collection form prepared by the researchers and a consent form were delivered in a sealed envelope to the parents via the students. The study data were collected over the period 09 May 2018-30 May 2018. A total of 6957 questionnaires that were fully completed among the 7370 surveys were taken into consideration. The statistical analysis was carried out using the SPSS software package.
The number of children found to have urinary incontinence was 215 (3.1%). It was seen that 33 children had urinary incontinence only in the daytime, 61 children experienced it both at night and during the day and 121 children at night. It was observed that 56% of the children suffering from urinary incontinence had not applied to any health facility for treatment prior to the study. It was found that among the risk factors for urinary incontinence were young age, late start of toilet training and presence of a family history of urinary incontinence.
Children with urinary incontinence and their families need medical information and support to reach the root of the problem and seek solutions. Accompanying pathologies in detected cases can be determined in the early period by means of school screenings, and medical evaluation and support can prevent adverse effects on children's psychosocial and personality development.
尿失禁是一种重要的问题，可能由于神经源性或功能性原因引起，并对儿童的心理、社会和个性发展产生负面影响。本研究对中学生进行了调查，以确定夜间和/或白天遗尿的患病率和危险因素。
研究范围包括埃斯基谢希尔市中心所有公立小学的中学生（N=34000）。在进行研究之前，获得了伦理委员会和省级国家教育部的批准。研究人员准备了一份数据收集表，并通过学生将一份同意书装在密封的信封中交给家长。研究数据于 2018 年 5 月 9 日至 5 月 30 日期间收集。在 7370 份调查中，共有 6957 份问卷被完整填写。使用 SPSS 软件包进行统计分析。
发现有 215 名（3.1%）儿童患有尿失禁。有 33 名儿童仅在白天出现尿失禁，61 名儿童在夜间和白天都出现尿失禁，121 名儿童仅在夜间出现尿失禁。研究前，有 56%的尿失禁儿童未向任何医疗机构寻求治疗。发现尿失禁的危险因素包括年龄较小、如厕训练开始较晚和家族中有尿失禁病史。
患有尿失禁的儿童及其家庭需要医疗信息和支持，以找到问题的根源并寻求解决方案。通过学校筛查，可以在早期确定发现病例中的伴随疾病，并通过医疗评估和支持，防止对儿童心理社会和个性发展产生不利影响。
