幼児のトイレ訓練と膀と腸の健康:グローバル・インテグレーティブ・レビュー
Celia Hindmarsh1, Deborah Davis2, Marjorie Atchan2
1Faculty of Health, University of Canberra, Building 10 B Office 35, University Dr, Bruce, ACT, 2617, Australia. u3046284@uni.canberra.edu.au.
Maternal and child health journal
|September 5, 2025
まとめ
幼児トイレトレーニング (AITT) は膀と腸の機能不全を軽減する可能性があるが,証拠は限られている. これらの発見を確認するために,特に高所得国では,より多くの研究が必要です.
科学分野:
- 小児科
- 公衆衛生
- 発達心理学
背景:
- トイレのトレーニング方法は 世界的に歴史的に異なります
- 幼児トイレ訓練 (AITT) は,低所得国や中所得国で広く行われています.
研究 の 目的:
- 幼児トイレ訓練支援 (AITT) に関する既存の文献をレビューする.
- AITTの開始と完了のスケジュールを検討する.
- 乳幼児の排泄シグナルとAITTと膀/腸の機能障害の関連を調査する.
主な方法:
- 統合的レビューの方法論が用いられました.
- 6つの主要な学術データベース (Scopus,Medline,CINAHL,Web of Science,PsycINFO,Google Scholar) で検索しました
- 2人の独立した審査員は,GRADEとJBIのツールを用いて,特定された2,069件の研究をスクリーニングし,評価した.
主要な成果:
- 含める基準を満たした研究は21件であった.
- 6つの観察研究では,AITTの実践者の間で膀および腸機能不全の割合が低いことが示されました.
- 証拠の質は限られており 偏見の危険性が高い
結論:
- AITTは低所得で英語を話さない国で一般的です
- 観察データはAITTが膀と腸の健康を守る可能性があることを示唆しています.
- これらの予備的な発見を検証するために,高所得環境でのさらなる研究が必要である.
関連する概念動画
01:21Nursing Assessment of the Genitourinary System I: Health History
75
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
75
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
221
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
221
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
34
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
34
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
286
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
286
01:25Assessment of the Rectum and Anus
399
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
399
01:17Urinary Tract Infection IV: Nursing Management
86
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
86