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Management of primary nocturnal enuresis
1North Dakota State School of Science, Ashley Medical Center, Ashley, ND, USA.
Insights
Many 5-year-olds experience bedwetting, known as nocturnal enuresis. Effective treatments can improve children's self-esteem and are manageable by healthcare professionals.
Area of Science:
- Pediatrics
- Urology
- Child Psychology
Background:
- Parental expectations often set age 5 as a benchmark for dryness.
- Nocturnal enuresis affects 10-20% of 5-year-old children.
- Successful treatment correlates with enhanced child self-concept.
Purpose of the Study:
- To highlight the prevalence of nocturnal enuresis in 5-year-olds.
- To emphasize the psychological benefits of treating bedwetting.
- To define the role of healthcare providers in managing this condition.
Main Methods:
- Review of existing evidence on nocturnal enuresis treatment outcomes.
- Identification of effective behavioral and pharmacological interventions.
- Assessment of the suitability of various healthcare roles for management.
Main Results:
- Evidence supports that treating nocturnal enuresis improves children's self-concept.
- Treatment options include behavioral modifications and pharmacologic approaches.
- Nurses and nurse practitioners are well-positioned for management.
Conclusions:
- Primary nocturnal enuresis is common in 5-year-olds.
- Effective management strategies exist and improve children's well-being.
- Healthcare professionals play a crucial role in identifying and treating childhood bedwetting.
Abstract:
Most parents believe that their child should not be wetting the bed by age 5. Statistics show that 10% to 20% of 5 year olds continue with a least one episode of nocturnal enuresis per month. There is evidence that successful treatment leads to improved self-concept in children (Moffatt, Kato, & Pless, 1987). Treatment consists of various behavior modifications or pharmacologic regimes. Nurses and nurse practitioners in family practice, pediatric practice, school health, and urologic practice are in ideal roles to seek out and manage children with primary nocturnal enuresis.
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