2~3岁幼儿日间尿失禁与其使用一次性尿布和排尿训练的相关性研究

doi:10.3761/j.issn.1672-9234.2020.12.013

中华护理教育 ›› 2020, Vol. 17 ›› Issue (12): 1119-1123.doi: 10.3761/j.issn.1672-9234.2020.12.013

2~3岁幼儿日间尿失禁与其使用一次性尿布和排尿训练的相关性研究

杨静(),邢栋,文建国,王一鹤,李一冬,王庆伟,王焱,胡绘杰,梁钰,宋翠萍,赵贝贝,娄小平()

453003 新乡市新乡医学院护理学院（胡绘杰）;新乡医学院第一附属医院（梁钰,宋翠萍）

收稿日期:2020-03-26 出版日期:2020-12-20 发布日期:2020-12-30
通讯作者: 娄小平
作者简介:杨静：女,本科,主管护师,E-mail：dyfyyangjing@163.com
基金资助:
国家自然科学基金(81670689);国家自然科学基金(U1904208);河南省科技厅国际合作重点项目(182102410002);国家自然科学基金(81670689);国家自然科学基金(U1904208);河南省科技厅国际合作重点项目(182102410002)

The effects of disposable diaper and elimination communication on daytime urination incontinence in children aged 2 to 3 years

YANG Jing(),XING Dong,WEN Jian-guo,WANG Yi-he,LI Yi-dong,WANG Qing-wei,WANG Yan,HU Hui-jie,LIANG Yu,SONG Cui-ping,ZHAO Bei-bei,LOU Xiao-ping()

Received:2020-03-26 Online:2020-12-20 Published:2020-12-30
Contact: Xiao-ping LOU

摘要/Abstract

摘要：

目的了解一次性尿布的使用和排尿训练（elimination communication,EC）对2~3岁幼儿日间尿失禁（daytime urinary incontinence,DUI）的影响。方法使用自制问卷对2 297名2~3岁幼儿的家长进行调查,内容包括一次性尿布的使用、EC开始时间和DUI情况等。结果 2~3岁幼儿总体DUI的发生率为8.45%（194/2 297）。一次性尿布使用时间越长,进行排尿训练的人数比例越低（ χ²=10.086,P=0.001）,DUI的发生率越高（ χ²=11.166,P<0.001）。随着EC开始时间的延迟,DUI的发生率逐渐增高（ χ²=13.760,P<0.001）。Logistics回归分析结果显示,一次性尿布使用时间延长是2~3岁幼儿DUI的危险因素,12个月龄之前开始排尿训练是2~3岁幼儿日间排尿控制的保护因素。结论一次性尿布使用时间延长和EC延迟是2~3岁幼儿日间排尿控制的危险因素,12个月龄以前开始排尿训练有助于降低幼儿DUI的发生率,并使其尽早获得日间排尿控制。

关键词: 尿失禁, 一次性尿布, 排尿训练, 幼儿, 尿失禁, 一次性尿布, 排尿训练, 幼儿

Abstract:

Objective To investigate the current situation of the usage of disposable diaper and elimination communication（EC）,as well as their effects on daytime urinaty incontinence（DUI） in children aged 2 to 3 years. Methods A cross-sectional study was performed by distributing 2 297 questionnaires to parents. The questionnaires included questions regarding disposable diaper usage,starting time of EC,and children’s DUI. Results The overall prevalence of DUI was 8.45%（194/2 297）in children aged 2 to 3 years old. With prolonged disposable diaper usage,the proportion of EC decreased（ χ²=10.086,P=0.001） and the DUI prevalence increased（ χ²=11.166,P<0.001） significantly. With the delay of EC,the DUI prevalence increased significantly（ χ²=13.760,P<0.001）. The results of logistic regression analysis showed that the prolonged disposable diaper usage was a risk factor of DUC. Starting EC before 1 year of age in children was a protective factor against DUI. Conclusion The prevalence of DUI in 2 to 3 years old child is high. The prolonged usage of disposable diaper and delayed EC might be risk factors for DUI in children aged 2 to 3 years. Early EC can help to reduce the prevalence of DUI and enable children to obtain DUC as early as possible.

Key words: Urinary Incontinence, Disposable diaper, Elimination communication, Children, Urinary Incontinence, Disposable diaper, Elimination communication, Children

杨静, 邢栋, 文建国, 王一鹤, 李一冬, 王庆伟, 王焱, 胡绘杰, 梁钰, 宋翠萍, 赵贝贝, 娄小平. 2~3岁幼儿日间尿失禁与其使用一次性尿布和排尿训练的相关性研究[J]. 中华护理教育, 2020, 17(12): 1119-1123.

YANG Jing, XING Dong, WEN Jian-guo, WANG Yi-he, LI Yi-dong, WANG Qing-wei, WANG Yan, HU Hui-jie, LIANG Yu, SONG Cui-ping, ZHAO Bei-bei, LOU Xiao-ping. The effects of disposable diaper and elimination communication on daytime urination incontinence in children aged 2 to 3 years[J]. Chinese Journal of Nursing Education, 2020, 17(12): 1119-1123.

图/表 3

参考文献 19

[1]	Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents:update report from the Standardization Committee of the International Children’s Continence Society[J]. J Urol, 2014,191(6):1863-1865. doi: 10.1016/j.juro.2014.01.110 pmid: 24508614
[2]	Wang XZ, Wen YB, Shang XP, et al. The influence of delay elimination communication on the prevalence of primary noc-turnal enuresis-a survey from Mainland China[J]. Neurourol Urodyn, 2019,38(5):1423-1429. doi: 10.1002/nau.24002 pmid: 30998267
[3]	Nevéus T, Sillén U. Lower urinary tract function in childhood;normal development and common functional disturbances[J]. Acta Physiol(Oxf), 2013,207(1):85-92.
[4]	尚小平, 杨静, 汪玺正, 等. 儿童日间尿失禁流行病学调查及尿不湿的应用对其影响分析[J]. 中华医学杂志, 2018,98(18):1434-1438.
[5]	Bower WF. Self-reported effect of childhood incontinence on quality of life[J]. J Wound Ostomy Continence Nurs, 2008,35(6):617-621. doi: 10.1097/01.WON.0000341476.71685.78 pmid: 19018203
[6]	Smith KH. American Acadaemy of Pediatrics Guide to Toilet Training(Book)[J]. Library Journal, 2003,80(4):1020-1024.
[7]	Dey S, Kenneally D, Odio M, et al. Modern diaper performance:construction,materials,and safety review[J]. Int J Dermatol, 2016,55(Suppl 1):18-20. doi: 10.1111/ijd.13333
[8]	Thaman LA, Eichenfield LF. Diapering habits:a global perspective[J]. Pediatr Dermatol, 2014,31(Suppl 1):15-18. doi: 10.1111/pde.12468
[9]	赵永霞. 一次性婴儿纸尿裤的最新发展与趋势[J]. 纺织导报, 2015(9):17.
[10]	Bakker E, Wyndaele JJ. Changes in the toilet training of children during the last 60 years:the cause of an increase in lower urinary tract dysfunction?[J]. BJU Int, 2000,86(3):248-252. doi: 10.1046/j.1464-410x.2000.00737.x pmid: 10930924
[11]	Li CH, Zhu ZH, Dai YH. Diaper dermatitis:a survey of risk factors for children aged 1-24 months in China[J]. J Int Med Res, 2012,40(5):1752-1760. doi: 10.1177/030006051204000514 pmid: 23206457
[12]	Joinson C, Heron J, Von Gontard A, et al. A prospective study of age at initiation of toilet training and subsequent daytime bladder control in school-age children[J]. J Dev Behav Pediatr, 2009,30:385-393. pmid: 19827219
[13]	Bender JM, She RC. Elimination communication:diaper-free in America[J]. Pediatrics, 2017,140(1):e20170398. pmid: 28637655
[14]	Wen JG, Lu YT, Cui LG, et al. Bladder function development and its urodynamic evaluation in neonates and infants less than 2 years old[J]. Neurourol Urodyn, 2015,34(6):554-560. doi: 10.1002/nau.22626 pmid: 24788785
[15]	Chen Y, Wen JG, Li Y, et al. Twelve-hour daytime observation of voiding pattern in newborns <4 weeks of age[J]. Acta Paediatr, 2012,101(6):583-586. doi: 10.1111/j.1651-2227.2012.02592.x pmid: 22226238
[16]	Zhang YS, Huang CX, Wen JG, et al. Relationship between brain activity and voiding patterns in healthy preterm neonates[J]. J Pediatr Urol, 2016, 12(2):113.e1-113.e6. doi: 10.1016/j.jpurol.2015.10.004
[17]	文建国, 晋朝娜, 杨黎, 等. 新生儿缺血缺氧性脑病对早产儿排尿方式的影响[J]. 中华小儿外科杂志, 2012,33(1):35-37.
[18]	文建国, 李燕, 张茜, 等. 不同程度高胆红素血症对新生儿排尿方式影响的初步研究[J]. 中华小儿外科杂志, 2012,33(2):105-108.
[19]	马源, 文一博, 汪玺正, 等. 河南地区婴幼儿把尿训练开始时间与排尿控制发育关系研究[J]. 现代泌尿外科杂志, 2018,23(9):655-658,713.

2~3岁幼儿日间尿失禁与其使用一次性尿布和排尿训练的相关性研究

The effects of disposable diaper and elimination communication on daytime urination incontinence in children aged 2 to 3 years

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