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Behavioral factors for predicting severity of enuresis and treatment responses in different compliance groups

Yanli Ma1, Xiaomei Liu2, Ying Shen3

  • 1Yanli Ma, Department of Nephrology, Beijing Children's Hospital, Capital Medical University, Beijing Key Laboratory of Chronic Kidney Disease andBlood Purification of Children. No.56, South Lishi Road, Xicheng District, Beijing, China.

Pakistan Journal of Medical Sciences
|October 26, 2017
PubMed

Insights

Behavioral factors like stool frequency and fluid intake impact nocturnal enuresis severity. High compliance with behavioral interventions significantly improves treatment outcomes for bedwetting in children.

Area of Science:

  • Pediatric Urology
  • Behavioral Medicine
  • Sleep Medicine

Background:

  • Nocturnal enuresis affects a significant number of children, impacting their quality of life.
  • Identifying predictive factors and optimizing treatment adherence are crucial for effective management.

Purpose of the Study:

  • To identify behavioral factors predicting nocturnal enuresis severity.
  • To compare treatment response rates based on compliance with behavioral interventions.

Main Methods:

  • 311 children with nocturnal enuresis were studied.
  • Behavioral factors and enuresis severity were correlated.
  • Patients received desmopressin and behavioral interventions for two months, with compliance assessed post-treatment.

Main Results:

  • Stool frequency, pre-sleep fluid intake, nighttime awakenings for toileting, and appetite were independent risk factors for enuresis severity.
  • Higher compliance groups demonstrated significantly better complete and partial response rates compared to lower compliance groups (P<0.01).

Conclusions:

  • Specific behavioral factors are key predictors of nocturnal enuresis severity.
  • Adherence to behavioral interventions plays a critical role in achieving successful therapeutic outcomes for childhood bedwetting.
Abstract

Keywords:
Behavioral factorBehavioral interventionsComplianceEnuresis

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