ENURESIS; RISK FACTORS AND FAMILY RESPONSES
Journal Name:
- İstanbul Tıp Fakültesi Dergisi
Key Words:
Keywords (Original Language):
Abstract (2. Language):
Objective: The aim of this study was to determine the frequency of nocturnal enuresis in school children, investigate
the possible risk factors, and to explore the families’ perceptions and attitudes about the problem in a socially
disadvantaged area in Istanbul.
Materials and methods: The study included 252 students. Of all students sixty (23.8 %) had enuresis. These students
and their mothers constituted the study group. The same number of students without enuresis matched by age,
sex, mother’s education and number of siblings constituted the control group. In depth interviews were carried out
for the students with enuresis and their mothers.
Results: The enuretic students were significantly more likely to be immigrant, to have toilet-training problems, and
to have experienced corporal punishment. The enuretic children also had a higher intake of fluids. Of all students
77% had a family history of enuresis. According to the findings of the study more children than mothers reported
that they were distressed and embarrassed by the condition. Gathering information during in depth-interviews was
difficult because of the secrecy involved and the reluctance of the children and parents in admitting the problem.
Conclusion: Our findings showed that enuresis can be a marker of stress which needs to be addressed. Families
should be informed about how to handle this situation without disturbing the children’s self- esteem. In developing
countries where health care infrastructure is not well established school health service can be an important tool to
identify and help children with enuresis.
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Abstract (Original Language):
Amaç: ‹stanbul’un düflük sosyoekonomik koflullu bir bölgesinde yaflayan okul ça¤› çocuklar›nda enürezisin s›kl›¤›-
n› belirlemek, iliflkili faktörleri, ailelerin bu konuya yaklafl›mlar›n› belirlemek.
Gereç ve yöntem: Çal›flmaya dahil olan 252 ö¤rencinin 60’ ›nda (%23,8) enürezis tespit edildi. Enürezisi olan çocuklar
ve anneleri çal›flma grubu; ayn› s›n›f› paylaflan, yafl, kardefl say›s› ve anne ö¤renim düzeyleri benzer olan 60
ö¤renci ve annesi de kontrol grubu olarak kabul edildi. Enürezisli olgular ve anneleriyle derinlemesine görüflmeler
yap›ld›.
Bulgular: Enürezisli olgularda göç, tuvalet e¤itiminde sorun ve fliddete maruziyet belirgin olarak daha fazlayd›, ayr›
ca daha fazla miktarda su tüketimi vard›. Enüresisi olanlar›n % 77 sinin ailesinde benzer hikaye vard›. Çal›flmada
elde edilen bulgulara göre enüresisli çocuklar annelerine k›yasla bu durumdan daha fazla endifle ve üzüntü duymaktayd›.
Ailelerin çocuklar›nda böyle bir problem oldu¤unu aç›klamak istememeleri, duyulmas› halinde çocuklar›n›n
bundan çok etkileneceklerinden endifle duymalar› nedeniyle, verilerin toplanmas› s›ras›nda, gizlemeye ba¤l› olan s›-
k›nt›lar yafland›.
Sonuç: Bulgular›m›z enürezisin belirgin bir stres kayna¤› oldu¤unu gösterdi. Aileler çocuklar›n›n kendine olan güvenini
zedelemeden bu sorunu nas›l yönetebilecekleri konusunda bilgilendirilmelidirler. Koruyucu sa¤l›k hizmetlerinin
yeterli olmad›¤› geliflmekte olan ülkelerde, okul sa¤l›¤› hizmetleri, bu problemi tespit etmek ve enürezisli çocuklara
yard›m etmek için önemli bir araç olabilir.
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