Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis

Abstract

Objective: In the treatment of monosymptomatic nocturnal enuresis (MNE), enuretic alarm devices (EADs) are the first recommended treatment option. This study aimed to evaluate parental and child compliance with EAD treatment. Material and methods:Fifty patients for whom EAD therapy was recommended were included in this study. The mean age of the patients was 10.4 years (5-16). All the patients were nursery or school children. Patients who did not return for their follow-up visits were called by phone, and verbal information were gathered about the use and performance success of the device. We documented the patients who used, and did not use the EAD with their reasons.Results: Nineteen (36%) patients were able to use the EAD without any problems. Eight of the remaining 31 patients didn't return for control, and they could not be get in touch with, either. Of the 23 (46%) families whom we could get a contact, 4 families did not purchase EAD due to a decrease in the number of wet nights, 4 families due to compensatory payment,and 3 families due to reluctance of one of the parents. One family reported that they gave up the EAD treatment because of the disturbing loud volume of the device. Four families reported that their children refused to use the EAD. Four families said that they could not use the EAD regularly because the device frequently did not work properly. In this study, we could not keep in touch with 16% of the patients, and 46% of the patients stopped using or did not receive this therapy. Conclusion:Although EAD has been the priorly recommended alternative with its relatively higher success, and lower recurrence rates, our study demonstrated that the compliance of families with this treatment is below the expected level.

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

“…So the prevalence of the disease is 15% in 5 years and 1% in 14 years. Nevertheless, 7% of 7-year-old children wetting the bed grew-up with the condition into adulthood [1,2,3]. …”

“…International literature have mainly focused on the efficacy and safety of the treatment alternatives [11,12,13,14], and some have revealed the association between self limitation and age [2,3]. But there is not an article that investigates what is associated with the spontaneous resolution of the MNE.…”

“…But once the children begin their school life, they build their social environment and this condition can cause a dip in their self-esteem with intense feelings of embarrassment. So they should be treated with the appropriate treatment option [2]. In addition, this condition is also related with the negative quality of life of their mothers [17].…”

Boxer Underwear Incorporating Textile Moisture Sensor to Prevent Nocturnal Enuresis

“…Furthermore, wires are located near the child’s neck that can cause safety risks if they get entangled during a troubled sleep. Therefore, this treatment can be rejected by them [ 22 ] or dropped before any improvement in their condition. Hence, there is a need to design more convenient device with better acceptability.…”

Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresisRe: Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis

“…[3] However, family compliance problems were suggested to be the most important issue and a limitation of this modality. [3] In this article, Oğuz et al, [4] pointed to an important aspect of alarm treatment in monosymptomatic nocturnal enuresis. This effort should be congragulated since they examined the family compliance with alarm device in the treatment of this condition.…”