Analysis of current situation and risk factors of primary nocturnal enuresis in adolescents
10.3969/j.issn.1009-8291.2023.04.005
- VernacularTitle:青少年原发性遗尿现况及相关因素分析
- Author:
Guangrun TIAN
1
;
Ke ZHANG
1
;
Huijie HU
2
;
Yu LIANG
1
;
Qifeng DOU
1
;
Huiqing ZHANG
1
;
Jianguo WEN
1
,
3
Author Information
1. First Affiliated Hospital, Xinxiang Medical University, Xinxiang 453000
2. School of Nursing, Sanquan College of Xinxiang Medical University, Xinxiang 453000
3. Department of Urology, Pediatric Urodynamic Center and the International Key Pediatric Urodynamic Laboratory of Henan Province, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
primary nocturnal enuresis;
prevalence;
adolescents;
risk factors;
sleep quality
- From:
Journal of Modern Urology
2023;28(4):292-296
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the prevalence and risk factors of primary nocturnal enuresis (PNE) in adolescents, and to explore its psychological effects. 【Methods】 During Sep.2020 and Dec.2020, an epidemiological survey was conducted among 6 408 junior and senior high school students in a region of Henan Province by stratified and cluster random sampling. The survey included general information questionnaire, urinary frequency, urgency, incontinence, recurrent urinary tract infection (RUTI), Enuresis Questionnaire, Self-esteem Scale (SES) and the Pittsburgh Sleep Quality Index (PSQI). 【Results】 A total of 7, 000 questionnaires were distributed and 6 408 (91.54%) were valid. The survey showed that the total prevalence of PNE among adolescents was 2.98%. The prevalence was 4.67% in those aged 12 years and 1.37% in those aged 18 years. The results of Logistic regression analysis showed that male (OR=1.677, P<0.05), overweight (OR=1.842, P<0.05), urgency (OR=1.676, P<0.05), frequency (OR=1.919, P<0.05), incontinence (OR=3.493, P<0.001), RUTI (OR=2.535, P<0.001) and family history (OR=3.005, P<0.001) were related to the risk of PNE. The SES score of PNE patients was lower than that of non-PNE group (z=-3.097, P<0.05), and the PSQI was higher (z=-5.456, P<0.05). 【Conclusion】 The prevalence of PNE is high in adolescents and decreases gradually with age. Male, overweight, frequency, urgency, incontinence, RUTI and family history are risk factors. PNE has a negative impact on self-esteem and sleep quality in adolescents.
