Screen Exposure in Paediatric Patients with Nocturnal Enuresis

Öz

Aim: Nowadays, screen exposure can cause delays in the development of physical and cognitive skills in children. This study aims to investigate the duration and severity of screen exposure in paediatric patients with enuresis nocturna. Material and Method: A descriptive study was conducted with the parents of children diagnosed with enuresis nocturna who were followed up in the Akdeniz University Child Nephrology Clinic and who agreed to participate in the study. During a three month period, data were collected from the participants using standard questionnaire questions examining screen exposure simultaneously with behavioural treatment in the Department of Paediatric Nephrology, Akdeniz University Hospital. Results: A total of 28 patients diagnosed with enuresis, 60.7% of whom were girls with a mean age of 8.5±3.1 years, were included in the study. A family history of enuresis was present in 75.0% of the children. The mean age of toilet training was 2.4±0.7 years, and 23 (82.1%) children exhibited a dry period of more than six months. The symptoms associated with enuresis included pollacuria, urgency, urge incontinence, urinary delay habits and recurrent urinary tract infections. The mean screen exposure time for the children was found to be 4.7±2.3 hours/day, with 75% of the children having screen exposure just before sleep. Following behavioural treatment, a reduction in the frequency of enuresis was observed, with a mean of 20.00 (interquartile range (IQR) 23.2) days/month reported prior to treatment, compared to a mean of 7.0 days/month (IQR 14.2) after treatment (p < 0.001). Conclusion: The findings of our study indicate that children diagnosed with enuresis nocturna exhibit a screen exposure of approximately 4.7 hours per day. It is therefore recommended that screen exposure be addressed during family interviews, with suggestions made to the patient and their family about this issue.

Anahtar Kelimeler

• Behavioral Therapy
• Screen Exposure
• Nocturnal Enuresis

Enürezis Nokturna Tanılı Çocuk Hastalarda Ekran Maruziyeti/ Screen Exposure in Paediatric Patients with Nocturnal Enuresis

Öz

Amaç: Günümüzde, ekran maruziyeti çocuklarda fiziksel ve bilişsel becerilerin gelişiminde gecikmelere neden olabilmektedir. Bu çalışma, enürezis nokturna tanılı çocuk hastalarda ekran kullanımının varlığını ve şiddetini irdelemeyi amaçlamaktadır. Gereç ve Yöntem: Akdeniz Üniversitesi Çocuk Nefroloji kliniğinde takip edilen enürezis nokturna tanılı çocukların ebeveynlerinden çalışmaya katılmayı kabul edilenlerle tanımlayıcı türde bir araştırma yapılmıştır. Üç aylık süre zarfında Akdeniz Üniversitesi Hastanesi Çocuk Nefroloji Bilim Dalında davranış tedavisi ile eş zamanlı ekran maruziyetini irdeleyen standart anket soruları ile çalışma verileri toplanmıştır. Bulgular: Araştırmaya, ortalama yaşı 8,5±3,1 olan %60,7'si kız toplam 28 enürezis tanılı hasta dahil edilmiştir. Ailede enürezis öyküsü bulunan çocukların oranı %75,0’dır. Tuvalet eğitim yaşı 2,4±0,7 yıl iken, 23'ünün (%82,1) altı aydan uzun süre kuru kaldığı dönemin olmadığı ifade edilmiştir. Enürezise eşlik eden semptomlar arasında çok sık idrara gitme, aciliyet hissi, aciliyet hissi ile beraber kaçırma, idrar erteleme alışkanlığı ve tekrarlayan idrar yolu enfeksiyonu bulunmuştur. Çocukların ekran maruziyet süresi ortalama 4,7±2,3 saat/gün tespit edilmiş, %75'inde ise uykudan hemen önce ekran maruziyeti olduğu ifade edilmiştir. Davranış tedavisi sonrasında yapılan değerlendirmede, tedavi öncesi enürezis sıklığının ortanca 20.00 (IQR 23,2) gün/ay iken, tedavi sonrasında sıklığının 7,0 gün/ay (IQR 14,2) güne düştüğü belirtilmiştir (p<0,001). Sonuç: Çalışmamızda enürezis nokturna tanılı çocukların günde yaklaşık 4,7 saat ekran maruziyetinin olduğunu saptadık. Bu nedenle, aile görüşmeleri sırasında mutlaka ekran maruziyeti sorgulanmalı, hastaya ve aileye bu konu hakkında da önerilerde bulunulmalıdır.

Anahtar Kelimeler

• Davranış Tedavisi
• Ekran Maruziyeti
• Enürezis Nokturna

Kaynakça

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