Objective To study the primary enuresis (PNE) in children's psychological and behavioral problems and related factors,and to provide reference for clinical psychological intervention and treatment aged 6 to 11. Methods Using cross sectional design,72 cases of PNE children aged 6 to 11 were selected from Boai Hospital from June 2013 to June 2015 as observation group;At the same time,82 cases of children aged 6 to 11 who participated in physical examination were selected as control group.Their psychological behavior problems were measured by Achenbach Child Behavior Scale (CBCL),while self-designed questionnaires were used to collect general data.The each factor scores of CBCL were compared between two groups.The PNE children's psychological behavior problems and related factors were analyzed. Results For boys,except hyperactivity and discipline,the other factors' scores of the observation group were higher than those of control group (P<0.05);For girls,in addition to schizophrenia,hyperactivity and discipline,other factor's scores of the observation group were higher than those of control group (P<0.05).CBCL behavior problems detection rate (34.72%) of the observation group was obviously higher than that of control group (7.32%),with statistically significant difference (χ2=18.541,P=18.541).Children whose age older,parents relationship worse,nocturia children raised by olders or a nanny,had higher CBCL total score,and the serious psychological behavior problems.Children with parents education higher,the family main parenting was democratic or hybrid,had lower CBCL total score,so they were protective factors. Conclusions Primary enuresis children aged 6 to 11 have adverse psychological behavior problems such as depression,social withdrawal.They are associated with age and parents' education.So combined with the related factors,such measures as a good family environment should be created to strengthen the psychological intervention treatment.
Key words
primary enuresis /
psychological behavior /
factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Yu B,Kong F,Peng M,et al.Assessment of memory/attention impairment in children with primary nocturnal enuresis:A voxel-based morphometry study[J].European Journal of Radiology,2012,81(12):4119-4122.
[2] 庄艳云,邱惠仙,叶丽芹,等.家庭护理干预对小儿原发性遗尿症的疗效观察[J].医学临床研究,2013,30(6):1242-1243.
[3] 陶公民,陈京栋,方红英,等.铜陵城区3~12岁儿童睡眠状况的流行病学调查[J].中国儿童保健杂志,2010,18(6):510-513.
[4] 沈颖,刘小梅.儿童遗尿症的诊治进展[J].北京医学,2013,35(1):33-35.
[5] Van HE,De FF,De CB,et al.Internalizing and externalizing problem behavior in children with nocturnal and diurnal enuresis:A five-factor model perspective[J].J Pediatr Psychol,2006,31(5):460-468.
[6] 周蔚然,刘小梅,沈颖,等.儿童原发性遗尿症发病机制的研究进展[J].中华实用儿科临床杂志,2013,28(23):1828-1830.
[7] 付本燕,杨贵仁,黎逢保,等.岳阳市学龄儿童行为问题与家庭环境因素的病例-对照研究[J].中国儿童保健杂志,2009,17(5):509-510,513.
[8] Lei D,Ma J,Du X,et al.Altered brain activation during response inhibition in children with primary nocturnal enuresis:An fMRI study[J].Human Brain Mapping,2012,33(12):2913-2919.
[9] 邓会英.原发性夜间遗尿症的治疗进展[J].国际儿科学杂志,2013,40(5):501-504.
[10] 冯天行,俞建,徐虹,等.小儿遗尿症中医及西医诊疗方法的评价研究[C].第14届全国儿科肾脏病大会论文集,2010:211-212.
[11] Kwak KW,Lee YS,Park KH,et al.Efficacy of desmopressin and enuresis alarm as first and second line treatment for primary monosymptomatic nocturnal enuresis:prospective randomized crossover study[J].The Journal of Urology,2010,184(6):2521-2526.
[12] 路静.家庭护理干预治疗儿童遗尿症24例疗效观察[J].中国中西医结合儿科学,2014,6(6):565-566