ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
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中华护理教育

中华护理教育 >

2020 , Vol. 17 >Issue 12: 1119 - 1123

DOI: https://doi.org/10.3761/j.issn.1672-9234.2020.12.013

临床实践

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
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  • 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）
杨静：女,本科,主管护师,E-mail：dyfyyangjing@163.com

收稿日期: 2020-03-26

  网络出版日期: 2020-12-30

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)

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

  • Jing YANG ,
  • Dong XING ,
  • Jian-guo WEN ,
  • Yi-he WANG ,
  • Yi-dong LI ,
  • Qing-wei WANG ,
  • Yan WANG ,
  • Hui-jie HU ,
  • Yu LIANG ,
  • Cui-ping SONG ,
  • Bei-bei ZHAO ,
  • Xiao-ping LOU
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Received date: 2020-03-26

  Online published: 2020-12-30

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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

本文引用格式

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 . DOI: 10.3761/j.issn.1672-9234.2020.12.013

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

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