Enüreziste Yönetim

Yıl 2024, Cilt: 5 Sayı: 2, 48 - 58, 30.09.2024

Mehmet Can Sezişli , Evrim Kızıler

Öz

Enürezis, genellikle ebeveynler tarafından önemsenmeyen ancak tedavi edilmediği takdirde uzun vadede çocuk ve ailesi için sosyal, duygusal, psikolojik riskler oluşturan yaygın bir çocukluk çağı hastalığıdır. Günümüzde hala bu hastalığın yönetilmesi ile ilgili birçok yanlış anlamalar mevcuttur. PubMed, Google Scholar, Scopus veri tabanlarından ilgili anahtar kelimeleri kullanılarak yapılan literatür taraması sonucunda erişilen makalelerin derlendiği bu çalışmanın amacı enürezisin etiyolojisi, prevelansı, tanı ve tedavisi hakkında bilgi vermek, aile-çocuk üzerine etkisini incelemek, hastalığın yönetimi ve hemşirelik bakımı ile ilgili kapsamlı bir genel bakış sağlamaktır. Her yaş grubunda görülebilen enürezisin genel prevalansı %2,3 ile %25 arasında değişmekle beraber yapılan çalışmalarda enürezisli çocukların yaşam kalitesinde, benlik saygısında düşüşler olduğu; sosyal yaşamlarının kısıtlandığı ve ruh sağlığı sorunlarının diğer çocuklara oranla 2-6 kat daha sık görüldüğü bildirilmektedir. Ayrıca ebeveynlerde ciddi strese sebep olduğu, genellikle endişeli ve kızgın hissettikleri, çocuklarını suçlayabildikleri, cezalandırabildikleri ve dolayısıyla çocuklarda ruhsal travmalara sebep oldukları vurgulanmıştır. Ayrıca yapılan diğer çalışmalar, hemşireler ve diğer sağlık personelleri ile birlik içerisinde uygulanacak başarılı tedavi yöntemlerinin bu olumsuzlukları giderilebileceğini göstermektedir. Özellikle okul çağı çocuğu olan ailelerin hemşireler ve diğer sağlık personelleri aracılığıyla bilgi eksiklikleri giderilmeli ve farkındalıkları artırılmalı, onlara enürezisin tedavi edilebilir olduğu ve bu durumun çocuğun özsaygısını zedeleyebileceği anlatılmalıdır.

Anahtar Kelimeler

Enürezis, Enüreziste Yönetim, Hemşirelik, Çocuk, Ergen, Yatak Islatma

Management of Enuresis

Öz

Enuresis is a common childhood disease that is often ignored by parents, but poses social, emotional and psychological risks to the child and family in the long term if left untreated. There are still many misconceptions about the management of this disease today. The aim of this study, in which the articles accessed as a result of the literature review using the relevant keywords from PubMed, Google Scholar, and Scopus databases, were compiled, to provide information about the etiology, prevalence, diagnosis and treatment of enuresis, to examine the effect on the family-child, to provide a comprehensive study of the management of the disease and nursing care to provide an overview. Although the general prevalence of enuresis, which can be seen in all age groups, varies between %2.3 and %25, studies have shown that there is a decrease in the quality of life and self-esteem of children with enuresis; It is reported that their social life is restricted and mental health problems are seen 2-6 times more frequently than other children. In addition, it was emphasized that it causes serious stress in parents, they often feel anxious and angry, they can blame and punish their children, and thus cause mental traumas in children. In addition, other studies show that successful treatment methods to be applied in cooperation with nurses and other health personnel can eliminate these negativities. In particular, families with school-age children should be provided with information through nurses and other health personnel, and their awareness should be increased, and they should be told that enuresis is treatable and that this situation can harm the child's self-esteem.

Anahtar Kelimeler

Enuresis, Management of Enuresis, Nursing, Child, Adolescent, Bedwetting

Kaynakça

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