Shelov S P, Gundy J, Weiss J C, McIntire M S, Olness K, Staub H P, Jones D J, Haque M, Ellerstein N S, Heagarty M C, Starfield B
Pediatrics. 1981 May;67(5):707-10.
Questionnaires were used to survey 1,435 parents and 446 physicians in order to determine and compare attitudes and beliefs about enuresis. Although both groups thought that bed-wetting is a maturational problem, the parent group thought emotional causes were important and were less likely to accept small bladder size as an etiology. Parents thought that children should be dry at a much younger age than did the physicians (2.75 vs 5.13 years, respectively). Only 63% of parents thought that medical intervention is a good way to deal with a child's bed-wetting, yet 87% of the physicians suggested medical evaluation. A comparison of the various methods used to stop bed-wetting indicated that parents use waking the child, reassurance and talking with the child, restricting fluids, and punishment significantly more often than physicians. Although many physicians prescribe medication, only 6.6% of the parents thought that medicines are a "very good way" to treat enuresis. When developing a treatment plan for a child with enuresis, the physician should recognize the wide differences between parental and physician attitudes toward this common problem of childhood.
为了确定并比较对遗尿症的态度和看法，研究人员使用问卷对1435名家长和446名医生进行了调查。尽管两组人员都认为尿床是一个发育问题，但家长组认为情感因素很重要，而且不太可能接受膀胱小是病因。家长认为孩子应该比医生认为的年龄更小就不再尿床（分别为2.75岁和5.13岁）。只有63%的家长认为医学干预是处理孩子尿床问题的好方法，然而87%的医生建议进行医学评估。对用于停止尿床的各种方法的比较表明，家长比医生更频繁地使用叫醒孩子、安慰并与孩子交谈、限制液体摄入以及惩罚等方法。尽管许多医生会开药，但只有6.6%的家长认为药物是治疗遗尿症的“非常好的方法”。在为患有遗尿症的孩子制定治疗方案时，医生应该认识到家长和医生对这个常见儿童问题的态度存在很大差异。
