Base de dados : LILACS
Pesquisa : C12.777.934.284.500 [Categoria DeCS]
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Lopes, Maria Helena Baena de Moräes
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Id: biblio-1012004
Autor: Campos, Renata Martins; Lúcio, Adélia Correia; Lopes, Maria Helena Baena de Moraes; Hacad, Claudia Rosenblatt; Perissinotto, Maria Carolina Ramos; Glazer, Howard I; D' Ancona, Carlos Arturo Levi.
Título: Pelvic floor muscle training alone or in combination with oxybutynin in treatment of nonmonosymptomatic enuresis. A randomized controlled trial with 2-year follow up / Exercícios dos músculos do assoalho pélvico exclusivos ou em combinação com oxibutinina no tratamento da enurese não monossintomática. Um estudo randomizado controlado com 2 anos de seguimento
Fonte: Einstein (Säo Paulo);17(3):eAO4602, 2019. tab, graf.
Idioma: en.
Resumo: Abstract Objective To compare the results of the standard urotherapy alone and associated with pelvic floor muscle training alone, and in combination with oxybutynin in treatment of nonmonosymptomatic nocturnal enuresis. Methods A total of 38 children aged 5 to 10 years were randomized into three groups: Group I (n=12) that was submitted to standard urotherapy; Group II (n=15), standard urotherapy associated with pelvic floor muscle training; and Group III (n=11), standard urotherapy associated with pelvic floor muscle training and oxybutynin; the treatment lasted 12 weeks. The assessment tools used were playful bladder diary, and a 48-hour bladder diary, before and after treatment. After 2 years, patients were assessed by telephone using a standardized questionnaire. Results The data of children from the three groups were homogeneous at baseline. After 12-week treatment, all children showed improved symptoms and signs of nonmonosymptomatic nocturnal enuresis, but the differences were not significant among the groups. After 2 years, the three groups showed maintenance of treatment results, but no differences among them. Conclusion All treatment modalities were effective regarding improved enuresis and lower urinary tract symptoms, but the sample was not large enough to show differences among groups.

Resumo Objetivo Comparar os resultados da uroterapia padrão isolada e associada ao treinamento dos músculos do assoalho pélvico isoladamente e em combinação com a oxibutinina no tratamento da enurese noturna não monossintomática. Métodos Trinta e oito crianças entre 5 e 10 anos de idade foram randomizadas em três grupos: Grupo I (n=12) realizou uroterapia padrão; Grupo II (n=15) realizou uroterapia padrão associada ao treinamento muscular do assoalho pélvico; e Grupo III (n=11) realizou uroterapia padrão associada ao treinamento muscular do assoalho pélvico e oxibutinina. O tratamento teve duração de 12 semanas. Os instrumentos de avaliação foram diário miccional lúdico e diário miccional de 48 horas, antes e depois do tratamento. Após 2 anos, os pacientes foram avaliados por telefone, usando um questionário padronizado. Resultados Os dados das crianças dos três grupos eram homogêneos no início do estudo. Após 12 semanas de tratamento, todas as crianças apresentaram melhora em relação aos sinais e sintomas de enurese noturna não monossintomática, mas as diferenças não foram significativas entre os grupos. Depois de 2 anos, os resultados do tratamento se mantiveram nos três grupos, mas não houve diferenças entre os grupos. Conclusão As três modalidades de tratamento foram eficazes na melhora da enurese e dos sintomas do trato urinário inferior, mas o tamanho da amostra não foi grande o suficiente para mostrar diferenças entre os grupos.
Descritores: Incontinência Urinária
Diafragma da Pelve/fisiologia
Terapia por Exercício/métodos
Enurese Noturna/terapia
Agentes Urológicos/uso terapêutico
Ácidos Mandélicos/uso terapêutico
-Incontinência Urinária/fisiopatologia
Brasil
Inquéritos e Questionários
Resultado do Tratamento
Terapia Combinada
Enurese Noturna/fisiopatologia
Força Muscular/fisiologia
Contração Muscular/fisiologia
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Criança
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: lil-794673
Autor: Sousa, Ariane Sampaio; Veiga, Maria Luisa; Braga, Ana Aparecida N; Carvalho, Maria Clara; Barroso Junior, Ubirajara.
Título: Enuresis and overactive bladder in children: what is the relationship between these two conditions?
Fonte: Int. braz. j. urol;42(4):798-802, July-Aug. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Objective: Evaluate clinical aspects associated with the presence of nocturnal enuresis (NE) in children with a diagnosis of overactive bladder (OAB). Material and Methods: A data base of 200 children who were evaluated by a structured questionnaire was analysed retrospectively . OAB was defined as the presence of urinary urgency (n=183 cases) and/or daytime urinary incontinence associated with holding maneuvers (n=168 cases). Inclusion criteria were a confirmed diagnosis of OAB, age 5-16 years, and no anatomical or neurological alterations of the urinary tract. Patients were divided into enuretics and non-enuretics. The two groups were compared with respect to sex, age, skin color, presence urinary infection, urgency, urge incontinence, non-urge incontinence, pollakiuria, urinary dysfunction, nocturia, holding maneuvers, number of episodes of enuresis and bowel alterations. In a univariate analysis, the chi-square test was used to compare proportions, with p-values <0.05 being considered significant. A multivariate analysis was conducted to identify independent predictive factors. Results: Enuresis was diagnosed in 141/200 children. The two groups were similar with respect to sex, age and skin color. No difference was found in relation to urinary infection, non-urge incontinence, urinary dysfunction, nocturia, encopresis or constipation. The two groups were significantly different with regard to some symptoms related to OAB such as urgency (p=0.001), urge incontinency (p=0.001) and holding maneuvers (p=0.033). Following multivariate analysis, only holding maneuvers (p=0.022) remained as an independent predictive factor. Conclusion: The only independent predictive factor for resolution of enuresis in children with OAB, as detected in the multivariate analysis, was holding maneuvers.
Descritores: Bexiga Urinária Hiperativa/diagnóstico
Enurese Noturna/diagnóstico
-Incontinência Urinária/diagnóstico
Incontinência Urinária/epidemiologia
Análise Multivariada
Inquéritos e Questionários
Diagnóstico Diferencial
Bexiga Urinária Hiperativa/epidemiologia
Enurese Diurna/diagnóstico
Enurese Diurna/epidemiologia
Enurese Noturna/epidemiologia
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Criança
Adolescente
Responsável: BR1.1 - BIREME


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Id: biblio-954065
Autor: Chang, Shang-Jen; Yang, Stephen Shei-Dei.
Título: Are uroflowmetry and post - void residual urine tests necessary in children with primary nocturnal enuresis?
Fonte: Int. braz. j. urol;44(4):805-811, July-Aug. 2018. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objectives: To examine the benefits of repetitive uroflowmetry and post void residual urine (PVR) tests in children with primary nocturnal enuresis (PNE). Material and methods: Children aged ≥6 years with PNE who visited our clinics for management of enuresis were included for study. Patients were requested to complete a questionnaire including baseline characteristics and Dysfunctional Voiding Symptom Score (DVSS), 2-day bladder diary, and Rome III criteria for constipation. Two uroflowmetry and PVR tests were requested. Children with congenital or neurogenic genitourinary tract disorders were excluded. All children underwent urotherapy and desmopressin combined with anticholinergics or laxatives if indicated. The definition of abnormal flow patterns (≥1 abnormal), elevated PVR (≥1 abnormal), small maximal voided volume (MVV), nocturnal polyuria (NP) and response to treatment complied with the ICCS standardization document. Kaplan-Meier survival analysis and Cox proportional-hazards regression tests were used to evaluate the predictors of response. Results: In total, 100 children aged 8.5±2.3 years were enrolled for study (M: F=66:34) with 7.3±7.4 months of follow-up. Poor correlation was observed between DVSS/small MVV and PVR (p>0.05). Univariate analysis revealed that elevated PVR is associated with significantly less hazard of complete response to medical treatment (HR: 0.52, p=0.03), while not significantly associated with abnormal flow patterns, NP, constipation or small MVV. Multivariate analysis revealed that only elevated PVR (HR 0.30, 95% CI 0.12-0.80) and NP (HR 2.8, 95% CI 1.10-7.28) were significant predictors for complete response. Conclusions: In managing pediatric enuresis, elevated PVR is a significant predictor for lower chance of complete response to treatment whether they had high DVSS or not.
Descritores: Micção/fisiologia
Retenção Urinária/diagnóstico
Retenção Urinária/fisiopatologia
Enurese Noturna/diagnóstico
Enurese Noturna/fisiopatologia
-Prognóstico
Fatores de Tempo
Urodinâmica/fisiologia
Bexiga Urinária/fisiopatologia
Valor Preditivo dos Testes
Estudos Retrospectivos
Fatores de Risco
Retenção Urinária/complicações
Resultado do Tratamento
Estatísticas não Paramétricas
Enurese Noturna/etiologia
Enurese Noturna/terapia
Limites: Humanos
Masculino
Feminino
Criança
Responsável: BR1.1 - BIREME


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Id: biblio-1019876
Autor: Ma, Yanli; Shen, Ying; Liu, Xiaomei.
Título: Association between enuresis and obesity in children with primary monosymptomatic nocturnal enuresis
Fonte: Int. braz. j. urol;45(4):790-797, July-Aug. 2019. tab.
Idioma: en.
Resumo: ABSTRACT Objective The purpose of this study was to determine whether the presence of obesity was related with symptoms of nocturnal enuresis (NE) and the efficacy of behavioral intervention in the treatment of NE. Materials and Method The patients diagnosed with primary monosymptomatic nocturnal enuresis (PMNE) were studied retrospectively. NE severity was classified as mild, moderate, and severe according to the frequency of enuresis. The children were divided into three groups, namely normal weight (5th-84th percentile), overweight (85th-94th percentile), and obesity (≥95th percentile), according to their Body Mass Index (BMI) percentage. The relationship between obesity level and enuresis severity was analyzed. After three months of behavioral therapy, the efficacy of treatment among normal, overweight, and obese groups were evaluated. Moreover, the predictive risk factors for treatment failure were investigated. Results The rates of severe enuresis in patients with normal weight, overweight, and obesity were 63.9%, 77.5%, and 78.6%, respectively. Obese children depicted higher odds of having severe enuresis compared with normal-weight children (OR: 1.571; 95% confidence interval [CI]: 1.196-2.065; P=0.001). The odds of presenting with severe enuresis were 1.99 times higher in children who are obese or overweight compared to children with normal weight (OR: 1.994; 95% CI: 1.349-2.946; P=0.001). The complete response of the normal group was higher than those of the overweight and obese groups (26.8% vs. 14.0%, P=0.010; 26.8% vs. 0.0%, P=0.000). Overweight children showed higher complete response than obese ones (14.0% vs. 0.0%, P=0.009). Logistic regression analysis revealed that obesity level and enuresis frequency were significantly related to the treatment failure of behavioral intervention. Conclusions Obesity is associated with severe enuresis and low efficacy of behavioral therapy in children with nocturnal enuresis.
Descritores: Terapia Comportamental/métodos
Enurese Noturna/etiologia
Enurese Noturna/terapia
Obesidade Pediátrica/complicações
-Valores de Referência
Índice de Gravidade de Doença
Índice de Massa Corporal
Modelos Logísticos
Fatores Sexuais
Estudos Retrospectivos
Fatores de Risco
Falha de Tratamento
Sobrepeso/complicações
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Criança
Adolescente
Responsável: BR1.1 - BIREME


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Id: biblio-1090576
Autor: Mungmunpuntipantip, Rujittika; Wiwanitkit, Viroj.
Título: Re: Association between enuresis and obesity in children with primary monosymptomatic nocturnal enuresis
Fonte: Int. braz. j. urol;46(2):301-301, Mar.-Apr. 2020.
Idioma: en.
Descritores: Incontinência Urinária
Enurese
Enurese Noturna
Obesidade Pediátrica
Limites: Humanos
Criança
Tipo de Publ: Comentário
Carta
Responsável: BR1.1 - BIREME


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Id: biblio-1134307
Autor: Ghanavati, Parvin Mousavi; Khazaeli, Dinyar; Amjadzadeh, Mohammadreza.
Título: A comparison of the efficacy and tolerability of treating primary nocturnal enuresis with Solifenacin Plus Desmopressin, Tolterodine Plus Desmopressin, and Desmopressin alone: a randomized controlled clinical trial
Fonte: Int. braz. j. urol;47(1):73-81, Jan.-Feb. 2021. tab, graf.
Idioma: en.
Resumo: ABSTRACT Introduction: Nocturnal enuresis (enuresis) is one of the most common developmental problems of childhood, which has often a familial basis, causes mental and psychological damage to the child and disrupts family solace. Objectives: In this study, we compared therapeutic efficacy and tolerability of treating primary nocturnal enuresis (PNE) with solifenacin plus desmopressin, tolterodine plus desmopressin, and desmopressin alone. Because we don't have enough information about this comparison especially about solifenacin plus desmopressin. Patients and Methods: This clinical trial study was performed on 62 patients with enuresis aged 5-15 years who referred to the urology clinic of Imam Khomeini Hospital in Ahwaz in 2017-2018. Patients were randomly assigned to one of the three different therapeutic protocols and any participants were given a specific code. After that, we compared the therapeutic response and the level of satisfaction of each therapeutic group in different months. Data were analyzed using SPSS 22 software and descriptive and analytical statistics. Results: The mean age of patients was 8.70±66 years. In the therapeutic group with desmopressin and solifenacin, 19 of 20 patients (95%) achieved complete remission (1) after a 3-month treatment in comparison with monotherapy group in which 14 of 22 patients (63.63%) achieved complete remission; and in the combination therapy group of desmopressin and tolterodine, in the study and the evaluation of the consequences of 3-month treatment of this group, it was found that 17 of 20 patients (85%) had complete remission. Overall, the therapeutic response in combination therapy groups of desmopressin plus anticholinergic was higher than the monotherapy group of desmopressin alone. Conclusion: Our results demonstrate that the combination of desmopressin and an anticholinergic agent is highly effective in treatment of children with PMNE. Although desmopressin has long been a first - line treatment for PMNE, desmopressin monotherapy often fails to achieve a successful response in patients with PMNE.
Descritores: Enurese
Enurese Noturna/tratamento farmacológico
-Antagonistas Colinérgicos
Desamino Arginina Vasopressina/uso terapêutico
Tartarato de Tolterodina
Succinato de Solifenacina
Limites: Humanos
Pré-Escolar
Criança
Adolescente
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: biblio-1154514
Autor: Rangel, Raquel A; Seabra, Carolina Ribeiro; Ferrarez, Carlos Eduardo P. F; Soares, Josana L; Choi, Mauro; Cotta, Robert Gomes; Figueiredo, Andre Avarese de; Bessa J, José de; Murillo B. Netto, Jose.
Título: Quality of life in enuretic children
Fonte: Int. braz. j. urol;47(3):535-541, May-June 2021. tab, graf.
Idioma: en.
Resumo: ABSTRACT Introduction: Nocturnal enuresis is a highly incident chronic disorder that generates countless problems to the child and their parents. Bed-wetting has significant negative impacts on self-esteem and the performance of children. The aim of the current study is to assess the quality of life of enuretic children, as well as its association to sex and age. Patients and Methods: Thirty-nine enuretic children (23 boys) and 49 healthy children (27 boys) without any history of previous treatment for enuresis or voiding dysfunction were included. Age ranged between 6 and 11 years old. The "AUQEI" questionnaire was applied in a private environment to all children by the same researcher (psychologist) to evaluate quality of life. Results: Enuretic children displayed loss in quality of life when compared to non-enuretic (35.9% of enuretic x 16.3% of non-enuretic, p=0.035). They were mostly affected in their daily activities (p=0.02). No significant differences were found in the association of sex and gender with quality of life. These results suggest that, children with nocturnal enuresis have 2.87 times more chances of having loss in quality of life compared to non-enuretic. Conclusions: Enuresis has a great impact in quality of life of children. This impact is not related to the age or sex of the child.
Descritores: Incontinência Urinária
Enurese Diurna
Enurese Noturna
-Qualidade de Vida
Doença Crônica
Inquéritos e Questionários
Limites: Humanos
Masculino
Criança
Responsável: BR1.1 - BIREME


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Id: biblio-1090281
Autor: Salviano, Cristiane Feitosa; Gomes, Priscilla Lemos; Martins, Gisele.
Título: Experiências vividas por famílias e crianças com sintomas urinários e intestinais: revisão sistemática de métodos mistos / Experiencias vividas por familias y niños con síntomas urinarios e intestinales: revisión sistemática de métodos mixtos / Lived experiences by families and children with urinary and intestinal symptoms: systematic review of mixed methods
Fonte: Esc. Anna Nery Rev. Enferm;24(3):e20190137, 2020. tab, graf.
Idioma: pt.
Resumo: RESUMO Objetivo Mapear e descrever a ocorrência de sintomas urinários e intestinais durante a infância e investigar o impacto de tais sintomas nas experiências vividas por crianças e suas famílias. Método Revisão sistemática de métodos mistos realizada nas bases eletrônicas MEDLINE/PUBMED, CINAHL, LILACS, PSYCINFO e EMBASE em julho de 2019, as quais geraram 3.020 referências. Após remoção das duplicatas, 2.521 títulos e resumos foram triados com filtro de tempo, e aplicado critérios de inclusão. Desses, 31 artigos foram lidos na íntegra e avaliados quanto à qualidade metodológica pelo Mixed Methods Appraisal Tool, resultando em 15 artigos como amostra final. Resultados Foram encontrados: sentimento de inferioridade, agressividade, culpa e vergonha. A revisão evidenciou, ainda, o impacto negativo dos sintomas urinários e/ou intestinais no contexto social da criança e de sua família, em especial, no ambiente escolar. Conclusão e implicações para a prática Essa revisão sistemática de métodos mistos evidencia a importância de trabalhar os impactos emocionais e sociais da criança, em especial os eventos no ambiente escolar. Se faz necessário subsidiar o profissional de saúde na assistência às famílias e crianças com sintomas urinários e/ou intestinais, no sentido de prover um cuidado ampliado, valorizando as necessidades biopsicoemocionais da díade criança-família.

RESUMEN Objetivo Mapear y describir la ocurrencia de síntomas urinarios e intestinales durante la infancia e investigar su impacto en las experiencias de los niños y sus familias. Método Revisión sistemática de métodos mixtos, realizada en las bases de datos electrónicas MEDLINE/PUBMED, CINAHL, LILACS, PSYCINFO, EMBASE en julio de 2019, las cuales generaron 3,020 referencias. Después de eliminar los duplicados, se seleccionaron 2.521 títulos y resúmenes con filtro de tiempo, y se aplicaron criterios de inclusión. De esos, 31 artículos fueron totalmente leídos y evaluados en cuanto a la calidad metodológica por Mixed Methods Appraisal Tool, resultando en 15 artículos como muestra final. Resultados Fueron encontrados: sentimiento de inferioridad, agresividad, culpa y vergüenza. También se notó el impacto negativo de los síntomas urinarios y/o intestinales en el contexto social de los niños y sus familias, especialmente en el escolar. Conclusión e implicaciones para la práctica Esta revisión sistemática resalta la importancia de abordar los impactos emocionales y sociales de los niños, especialmente en la escuela. Se necesita subsidiar el profesional de salud en la atención a las familias y niños con síntomas urinarios y/o intestinales, a fin de proporcionar un cuidado ampliado, valorando las necesidades biopsicosociales de la díada niño-familia.

ABSTRACT Objective To map and describe the occurrence of urinary and intestinal symptoms during childhood and to investigate the impact of such symptoms on the experiences of children and their families. Method Systematic review of mixed methods, performed in the electronic databases MEDLINE/PUBMED, CINAHL, LILACS, PSYCINFO and EMBASE in July 2019, which generated 3,020 references. After removal of duplicates, 2,521 titles and abstracts were screened with time filter, and application of inclusion criteria. Among these, 31 articles were read in full and evaluated as for methodological quality by the Mixed Methods Appraisal Tool, resulting in 15 articles as the final sample. Results The following results were found: feeling of inferiority, aggressiveness, guilt and shame. The review also showed the negative impact of urinary and/or intestinal symptoms in the social context of children and their families, especially in the school environment. Conclusion and Implications for practice: This systematic review of mixed methods highlights the importance of addressing children's emotional and social impacts, especially events in the school environment. It is necessary to subsidize the health professional in assisting families and children with urinary and/or intestinal symptoms, in order to provide expanded care, valuing the biopsychosocial needs of the child-family dyad.
Descritores: Família
Sintomas do Trato Urinário Inferior/diagnóstico
-Incontinência Urinária
Constipação Intestinal
Encoprese
Enurese Noturna
Incontinência Fecal
Sintomas do Trato Urinário Inferior/psicologia
Limites: Humanos
Criança
Adolescente
Tipo de Publ: Revisão Sistemática
Responsável: BR442.1 - Biblioteca Setorial de Pós-Graduação


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Id: biblio-1118519
Autor: Arita Santos, Diego; Bennett, Gabriel; Casco, Elizabeth.
Título: Perfil clínico-epidemiológico, pacientes pediátricos con enuresis nocturna. Centros escolares, San Pedro Sula / Clinical-epidemiological profile, pediatric patients with nocturnal enuresis. schools, San Pedro Sula
Fonte: Acta pediátr. hondu;10(2):1057-1062, oct. 2019-mar. 2020. tab, graf.
Idioma: es.
Resumo: Antecedentes: La Enuresis nocturna, es una enfermedad prevalente aproximadamente en 18% de los pacientes pediátricos, se ha asociado a diferentes patologías, como el transtorno por déficit de atención e hiperactividad (TDAH), la constipación y trastornos del sueño, el diagnóstico oportuno es importante. Objetivo: Describir el perfil clínico, epidemiológico y sociocultural de los niños que presentan enuresis nocturna, evaluados en centros educativos Fidelina Cerros en Barrio Chamelecón y Miguel Paz Barahona en Cofradía Departamento de Cortés. Pacientes y métodos: Estudio no experimental, Cuantitativo, Descriptivo, de agosto 2018 a mayo 2019, con una muestra de 200 niños, Resultados: La prevalencia encontrada fue de 16.7% y la edad promedio de 7.72 años, 61% hombres, 100% residentes del casco urbano. El 80% presento buena adaptación escolar, 33% no tenían fácil acceso a servicios de salud y solo el 47.5% llevaba controles periódicos de salud, 67% presento enuresis diurna y 45% pesadillas. Conclusiones: Los pacientes con enuresis nocturna de escuelas metropolitanas de san pedro sula se caracterizan así: edad 7 u 8 años, sexo masculino, viven en casas con servicios básicos sin patio, pero con adecuado material de construcción, que comparten habitación e inclusive viven en hacinamiento, con pocos controles de salud periódicos y con acceso a centros de atención de salud del área metropolitana...(AU)
Descritores: Transtorno do Deficit de Atenção com Hiperatividade/complicações
Enurese Noturna/complicações
-Transtornos do Sono-Vigília/complicações
Saneamento de Escolas
Limites: Humanos
Masculino
Feminino
Criança
Responsável: HN1.1 - Biblioteca Médica Nacional


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Id: biblio-1002467
Autor: Silva, Guilherme Jorge Sousa e; Sammour, Simone Nascimento Fagundes; Ferraro, Alexandre Archanjo; Koch, Vera Hermina Kalika.
Título: Study of the profile of behavioral problems and quality of life indexes in a pediatric cohort of monosymptomatic enuresis / Estudo do perfil dos problemas de comportamento e dos índices de qualidade de vida numa coorte pediátrica de enurese monossintomática
Fonte: J. pediatr. (Rio J.);95(2):188-193, Mar.-Apr. 2019. tab.
Idioma: en.
Projeto: FAPESP.
Resumo: Abstract Objective: To evaluate and correlate, before and after the therapeutic intervention, the behavioral problem scores evaluated by the CBCL/6-18 questionnaire and the quality of life indexes evaluated by the PedsQL™ 4.0 in patients with monosymptomatic nocturnal enuresis. Method: After the initial evaluation and completion of the CBCL/6-18 questionnaire, a multidisciplinary evaluation and completion of the PedsQL™ 4.0 questionnaire was performed. Of the initially evaluated 140 children and adolescents aged 6-16 years, 58 were excluded due to non-monosymptomatic enuresis or associated comorbidities. Of the initially included 82 patients, who were randomized to three treatment groups, 59 completed the CBCL/6-18 and PedsQL™ 4.0 questionnaires at the end of the treatment and were included in this study. The α error was set at 5% for ruling out the null hypothesis. Results: Of the total of 59 participants, 45.8% responded with total success, 23.7% were partially successful, 23.7% did not reach the improvement criteria, and 6.8% gave up the treatment. There was a significant increase in quality of life indexes and a reduction of post-intervention behavioral problem scores, in the three proposed modalities, in patients who had a total or partial response to treatment. There was no correlation between higher scores of pre-treatment behavior problems and therapeutic failure. Conclusions: Only the participants who successfully responded to interventions showed improvement in quality of life and behavioral problems, which indicates that enuresis is a primary problem that has a negative impact on these parameters. The authors suggest that it is possible to achieve success in the treatment of monosymptomatic enuresis, even in patients with high pre-intervention behavioral problem scores.

Resumo Objetivo: Avaliar e relacionar, pré e pós-intervenção terapêutica, em pacientes com enurese noturna monossintomática, os escores de problemas de comportamento, avaliados pelo questionário CBCL/6-18, e os índices de qualidade de vida, avaliados pelo PedsQL™ 4.0. Método: Após avaliação inicial e preenchimento CBCL6/18, procedeu-se avaliação multidisciplinar e preenchimento do PedsQL™ 4.0. Das 140 crianças e adolescentes de 6 a 16 anos inicialmente avaliados, 58 foram excluídos por enurese não monossintomática ou comorbidades associadas. Dos 82 pacientes inicialmente incluídos e randomizados em três grupos de tratamento, 59 preencheram o CBCL/6-18 e PedsQL™ 4.0 no fim do tratamento e puderam ser incluídos neste trabalho. O erro alfa foi estabelecido em 5% para descarte da hipótese de nulidade. Resultados: Dos 59 participantes 45,8% responderam com sucesso total, 23,7% tiveram sucesso parcial, 23,7% não atingiram critério de melhoria e 6,8% desistiram do tratamento. Verificou-se aumento significativo dos índices de qualidade de vida e redução dos escores de problemas de comportamento pós-intervenção, nas três modalidades propostas, nos pacientes que obtiveram resposta total ou parcial ao tratamento. Não se demonstrou correlação entre maiores escores de problemas de comportamento pré-tratamento e insucesso terapêutico. Conclusões: Apenas os participantes que responderam com sucesso às intervenções melhoraram em sua qualidade de vida e problemas comportamentais, o que indica que a enurese é um problema primário que impacta negativamente esses parâmetros. Sugere-se que é viável obter sucesso no tratamento da enurese monossintomática, mesmo em pacientes com altos escores de problemas de comportamento pré-intervenção.
Descritores:
Qualidade de Vida/psicologia
Desamino Arginina Vasopressina/administração & dosagem
Antidiuréticos/administração & dosagem
Enurese Noturna/terapia
Alarmes Clínicos
Comportamento Problema/psicologia
-Equipe de Assistência ao Paciente
Estudos de Coortes
Terapia Combinada
Enurese Noturna/psicologia
Limites: Humanos
Masculino
Feminino
Criança
Adolescente
Responsável: BR1.1 - BIREME



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