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瓦加杜古(布基纳法索)5至16岁儿童及青少年遗尿症的流行病学研究

[Epidemiology of enuresis in children and adolescents aged 5-16 years in Ouagadougou (Burkina Faso)].

作者信息

Ouédraogo A, Kere M, Ouédraogo T L, Jesu F

机构信息

Service de psychiatrie, CHN Yalgado Ouédraogo, France.

出版信息

Arch Pediatr. 1997 Oct;4(10):947-51. doi: 10.1016/s0929-693x(97)86089-7.

Abstract

BACKGROUND

Enuresis is a frequent manifestation with important psychological and social consequences in Africa. In order to help the public authorities to plan monitoring actions and better targeted health interventions, we carried out this prospective study in one district of Ouagadougou. The aim of this study was to describe and analyze enuretic children and teenagers' profile from 5- to 16-years old, and their parents' attitude toward the disorder.

POPULATION AND METHODS

A cross-sectional study was conducted among 1,575 children and teenagers of this age group. Those children and teenagers were chosen from a random sample of 645 households. Sociodemographic and medical data were obtained from respondents by using a written questionnaire.

RESULTS

The rate of young people affected was 12.95%. Among them, 78.9% had primary enuresis; 50.5% of them were not treated. Those with secondary enuresis were more easily treated than those with primary stage. 87.3% were traditionally treated and 3.4% of enuretic children were essentially submitted to fluid restrictions. In about 27% of the cases, children were punished by their parents.

CONCLUSION

Sociodemographic characteristics of our sample were similar to those in the literature. However, the parents in our study rarely used modern treatment and had inappropriate attitudes toward the disorder. We recommend that the most important factors to be taken into account in the secondary prevention of enuresis are the parents' ignorance and/or their scepticism toward the modern therapeutic possibilities.

摘要

背景

遗尿症在非洲是一种常见的症状,会产生重要的心理和社会后果。为了帮助公共当局规划监测行动和更有针对性的健康干预措施,我们在瓦加杜古的一个地区开展了这项前瞻性研究。本研究的目的是描述和分析5至16岁遗尿儿童和青少年的情况,以及他们父母对该疾病的态度。

人群与方法

对这个年龄组的1575名儿童和青少年进行了横断面研究。这些儿童和青少年从645户家庭的随机样本中选取。通过书面问卷从受访者那里获取社会人口学和医学数据。

结果

受影响的年轻人比例为12.95%。其中,78.9%患有原发性遗尿症;50.5%未接受治疗。继发性遗尿症患者比原发性患者更容易治疗。87.3%接受传统治疗,3.4%的遗尿儿童主要接受液体限制。在约27%的病例中,儿童受到父母的惩罚。

结论

我们样本的社会人口学特征与文献中的相似。然而,我们研究中的父母很少使用现代治疗方法,并且对该疾病持有不恰当的态度。我们建议,在遗尿症二级预防中需要考虑的最重要因素是父母对现代治疗可能性的无知和/或怀疑态度。

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