SACİT NURİ GÖRGEL, OSMAN KÖSE, Nida DİNÇEL, Cengiz GİRGİN

Çocuklarda monosemptomatik enürezisi tedavi etmeli miyiz?

Amaç: Monosemptomatik enürezisli çocuklarda ve annelerinde tedavi öncesi dönemde hayat ve uyku kalitesini değerlendirmek.Gereç ve Yöntemler: İki yüz kırk olgu çalışmaya dahil edildi. Olguların 124’ü monosemptomatik enürezisli hasta ve 116’sı sağlık problemi olmayan çocuklardı. Çocuklarda yaşam kalitesi Pediatric Quality of Life Inventory PEDSQL ile değerlendirildi. Annelerde hayat kalitesi Short-Form Health Survey SF-36 ile değerlendirildi. Çocuklarda ve annelerinde hayat kalitesi Pittsburgh Sleep Quality Index PSQI ile değerlendirildi.Bulgular: Emosyonel ve okul fonksiyon skalası monosemptomatik enüzesli çocuklarda ‘child self-report and parent proxy-report’ kontrol grubuna göre anlamlı olarak yüksekti p=0.02, p=0.03 ve p=0.03, p=0.04 . Annelerin yaşam kalitesinin değerlendirildiği SF-36 ya göre emosyonel ve vücut ağrı skoru enürezisli çocukların annelerinde anlamlı olarak daha düşüktü p=0.02 ve 0.04 . Çocuklar arasında toplam PSQI skoru ve alt gruplarında anlamlı fark saptanmazken subjektif uyku kalitesi, uyku latensi ve PSQI toplam skoru enürezisli çocukların annelerinde anlamlı olarak daha yüksekti p=0.04, p=0.03 ve p=0,02 .Sonuç: Monosemptomatik enürezis tedavi öncesi dönemde çocukların ve annelerin hayat kalitesini olumsuz olarak etkileyen bir hastalıktır. Ek olarak çocuklarının hastalığı nedeniyle sis is a disease that negatively affects the quality of life of children and their mothers before treatment. In additon sleep quality of their mothers are adversly affected because of children’s disease. Moannelerin uyku kalitesi de bozulmaktadır. Bu nedenlerden dolayı çocuklarda monosemptomatik enürezis tedavi edilmelidir

Anahtar Kelimeler:

Monosemptomatik enürezis, Yaşam kalitesi, Uyku kalitesi

Should we treat monosymptomatic enuresis in children?

Objective: To evaluate quality of life and sleep in monosymtomatic enuretic children and their mothers before treatment. Materials and Methods: Two hundrend fourty cases were included to this study. Of the cases 124 had monosymptomatic enuresis and 116 voluntary children had no health problems. The quality of life was evaluated according to Pediatric Quality of Life Inventory PEDSQL in children. Quality of life for their mothers were evaluated using the Short-Form Health Survey SF-36 . Sleep quality of children and their mothers were evaluated according to Pittsburgh Sleep Quality Index PSQI . Results: Emotional and school functioning were significantly higher in children with monosymptomatic enuresis than that of controls for child self-report and parent proxy-report p=0.02, p=0.03 and p=0.03, p=0.04 respectively . The quality of life of the mothers as shown by SF-36, the emotional domain score and bodily pain score were significantly lower compared to controls p=0.02 and 0.04 . However PSQI total and subgroup scores were not stasitically significant in between children groups, subjective sleep quality, sleep latency domain scores and total scores in enuretic children’s mothers were significantly higher than healty group p=0.04 ,p=0.03 and p=0,02 respectively . Conclusions: Monosymptomatic enure sis is a disease that negatively affects the quality of life of children and their mothers before treatment. In additon sleep quality of their mothers are adversly affected because of children’s disease. Monosymptomatic enuresis should be treated in children because of these reasons

Keywords:

Monosymtomatic Enuresis, Quality of Life, Sleep Quality,

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