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Published on: October 2, 2019
A programme for children with nocturnal enuresis
Ann McKillop1, Bev MacKay, Norma Scobie
1University of Auckland, New Zealand.
Insights
A nurse-led program for nocturnal enuresis (bedwetting) achieved an 87% success rate. Empowering children and personalized nurse interaction were key to improving continence and self-esteem.
Area of Science:
- Pediatric Nursing
- Community Health
- Urology
Background:
- Nocturnal enuresis significantly impacts children's self-esteem and social interactions.
- Effective management strategies are crucial for improving quality of life.
Purpose of the Study:
- To evaluate a nurse-managed nocturnal enuresis treatment program.
- To assess the implementation, effects, and outcomes of the program.
Main Methods:
- Utilized a mixed-methods approach with focus groups of nurses (n=6).
- Analyzed case notes from children completing the program (n=30).
- Conducted interviews with children post-program completion (n=7).
Main Results:
- Achieved an 87% success rate, defined as 14 consecutive nights of nocturnal continence.
- Child-led responsibility, nurse-child interaction quality, and nurse adaptability were critical factors.
- Significant improvements in children's self-esteem and social abilities were observed.
Conclusions:
- Nurse-managed programs are effective in treating nocturnal enuresis.
- Empowering children and personalized care enhance treatment outcomes.
- The study contributes valuable data to community-based management of nocturnal enuresis.
Aim:
To describe and evaluate the implementation, effects and outcomes of a nurse-managed nocturnal enuresis treatment programme.
Method:
The research design comprised three data sources: focus group interviews with six public health nurses providing the nocturnal enuresis treatment programme, case notes of a convenience sample of 30 children who had completed the treatment programme and interviews with seven children who had completed the programme.
Results:
The study showed a success rate of 87 per cent (n = 26). Success was defined as maintaining nocturnal continence for 14 consecutive nights. Key aspects in the programme's success and delivery included the child taking responsibility for the programme instead of the parent, the nature of the nurse-child interaction and the nurses' flexibility in adapting the programme for each child.
Conclusion:
The children had experienced low self-esteem as a result of nocturnal enuresis, but success on the programme dramatically improved their self-esteem and ability to socialise with other children. The study affirmed the value of the nurse as the facilitator of this programme. The study has contributed to the knowledge base on the management of nocturnal enuresis in a community-based nurse-managed programme.
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