Lower urinary tract dysfunction in children: what do pre-school teachers know about it?

Lordêlo, Patrícia; Maron, Fabio; Barros, Daniela G.; Barroso, Danilo V.; Bessa, José de; Barroso, Ubirajara

doi:10.1590/s1677-55382007000300012

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…It is most interesting that only 18% of the respondents reported receiving information about abnormal voiding or stooling among children, and no more than 8% were aware of specialists trained to treat children with these conditions (Cooper et al , 2003). A lack of knowledge concerning bladder dysfunctions was evident among Brazilian preschool teachers, in that 33% considered it normal when a child did not ask to go to the toilet within a period of 4–5 h (Lordelo et al , 2007). Some studies suggest that children suffering from urinary tract or intestinal problems face particular difficulties in coping with these problems because of their negative perceptions of school toilets (Vernon, 2003).…”

Section: Discussion and Implications For Practicementioning

confidence: 99%

Voiding disorders among children and adolescents: surveillance after ‘voiding school’ treatment

Mohn

Bakke

Rokne

2010

Int J of Uro Nursing

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The purpose of this study was to evaluate children's lower urinary tract symptoms (LUTS) and health‐related quality of life (HR‐QoL) 1–6 years after treatment at voiding school. One to six years after the end of treatment for non‐neurogenic voiding disorders, 108 children were contacted (36% girls, current age 8–18 years). The study was conducted in two parts: data were retrospectively collected from the (i) children's medical records to determine their symptoms at the first consultation and (ii) children's current self‐report via two different questionnaires, a voiding‐related symptom questionnaire and a HR‐QoL questionnaire (KINDLN). Fifty‐two children agreed to take part in the study: 17 girls and 35 boys, mean age 12·8 years (SD ± 2·76), median age 13·0 years. At first consultation, 58% of the children suffered from day and night incontinence (DNI), 75% from urgency and 87% from infrequent voiding. Ultrasound showed that 73% had incomplete bladder emptying. No statistically significant sex‐based differences were observed, except that girls more often reported urinary tract infections (P = 0·011). After treatment, 47% of children reported resolution, 39% significant improvement, 12% no improvement and 2% ‘don't know’. DNI was reported by 14%, urgency by 18% and infrequent voiding by 45%. There were no statistically significant correlations between the children's degree of current symptoms and their perceived HR‐QoL. The children reported fewer symptoms after treatment, indicating that attendance at voiding school might be a successful treatment modality. However, the design of the present study does not allow any conclusion to be drawn regarding cause and effect.

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Section: Discussion and Implications For Practicementioning

confidence: 99%

Voiding disorders among children and adolescents: surveillance after ‘voiding school’ treatment

Mohn

Bakke

Rokne

2010

Int J of Uro Nursing

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“…A study carried out with a probabilistic sample in an urban center in southern Brazil (17) has revealed a 20.1% prevalence of nocturnal enuresis in boys and 15.1% in girls based on the criterion of one wetting episode per night. This lack of studies may lead to a low level of information about enuresis and other lower urinary tract diseases among professionals that deal with children, such as caregivers and school teachers (18).…”

Section: Introductionmentioning

confidence: 99%

Behavioral alarm treatment for nocturnal enuresis

2010

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Purposes:To investigate the efficacy of alarm treatment in a sample of Brazilian children and adolescents with nocturnal enuresis and relate treatment success to age and type of clinical support. Materials and Methods: During 32 weeks, 84 children and adolescents received alarm treatment together with weekly psychological support sessions for individual families or groups of 5 to 10 families. Results: 71% of the participants achieved success, defined as 14 consecutive dry nights. The result was similar for children and adolescents and for individual or group support. The time until success was shorter for participants missing fewer support sessions. Conclusions: Alarm treatment was effective for the present sample, regardless of age or type of support. Missing a higher number of support sessions, which may reflect low motivation for treatment, increased the risk of failure.

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“…Existing studies have shown that school systems do not promote LUT health, and teachers and school nurses need improved education regarding LUTD and first‐line treatment options 7–22 . Ko et al surveyed elementary school teachers about their understanding of LUT health, activities that promote LUT health, and classroom rules around toileting.…”

Section: Discussionmentioning

confidence: 99%

“…Existing studies have shown that school systems do not promote LUT health, and teachers and school nurses need improved education regarding LUTD and first-line treatment options. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Ko et al surveyed elementary school teachers about their understanding of LUT health, activities that promote LUT health, and classroom rules around toileting. The overwhelming majority of respondent teachers (82%) never had any professional development regarding bathroom regulations, had toileting rules that did not promote LUT health (76%), and encouraged students to hold their urine (88%).…”

Section: Researchmentioning

confidence: 99%

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

Leroy,

Hutchison,

Kern

2023

Int J of Uro Nursing

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We aimed to investigate how staying at home and stress from the pandemic shutdown impacts lower urinary tract symptoms in paediatric patients. The COVID‐19 pandemic shut down most of the world in March 2020. In the state of Virginia, a mandatory Stay‐at‐Home order was issued requiring students to participate in school from home. Paediatric patients often have difficulty complying with standard urotherapy while at school, with timed voiding being particularly hard to maintain. To our knowledge, only one other study investigated lower urinary tract dysfunction (LUTD) in children during the COVID‐19 shutdown. This study compared lower urinary tract symptoms (LUTS) in paediatric patients seen in their bladder dysfunction clinic for their initial 6 months of treatment during the shutdown to patients treated before the shutdown. Of the studies available that examine how the school environment effects lower urinary tract symptoms, all show a lack of education among teachers and school nurses, classroom rules that oppose adherence to standard urotherapy, and facilities that are often inadequate and unhygienic. Stress is known to have a bidirectional effect on LUTD, so we also investigated the effect of parental stress from the shutdown on LUTD. Parents of patients followed in our bladder dysfunction clinic were given a survey to evaluate the use of a timed voiding regimen, improvement in LUTS and perceived parental stress during the COVID shut down of 2020. Spearman's rank correlation coefficient (rho) was calculated to measure the correlation of the survey responses. We received 42 responses from 202 surveys administered (20.8%). Only 21.4% of respondents maintained timed voiding while at home, despite 78.6% indicating improved bathroom access. A small number (4.8%) indicated total resolution of voiding symptoms. Half of the respondents (50%) indicated some degree of improvement in LUTS, though almost the entire remaining population saw no change in their symptoms (42.9%). Only a very small number indicated slightly worse LUTS (7.1%) and none indicated that symptoms were much worse. There was no correlation between dysfunctional voiding scoring system (DVSS) scores and improvement in bathroom access. There was a moderate correlation between perceived parental stress and their child's DVSS score, Rho = 0.54 p = 0.0002. Additionally, DVSS scores were weakly, negatively correlated with improvement in LUTS, Rho = −0.3 p = 0.047. Despite the majority of parents perceiving increased access to bathrooms during the Stay‐at‐Home order, a minority of patients were maintained on timed voiding regimens while at home. About half of parents still indicated some degree of improvement in their child's LUTS. There was a correlation between parental stress and their child's dysfunctional voiding score. This survey highlights that the relationship between timed voiding, bathroom access, and severity of LUTS is complex and compliance with timed voiding remains a challenge to adhere to.

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Lower urinary tract dysfunction in children: what do pre-school teachers know about it?

Cited by 5 publications

References 10 publications

Voiding disorders among children and adolescents: surveillance after ‘voiding school’ treatment

Voiding disorders among children and adolescents: surveillance after ‘voiding school’ treatment

Behavioral alarm treatment for nocturnal enuresis

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

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