야뇨증 환아에서 설문조사에 근거한 야뇨경보기 적용현황과 치료성적
Application and Treatment Result of an Enuresis Alarm Based on a Questionnaire in Children with Enuresis
장원석, 조진선, 김준모, 홍창희,
소속 상세정보
장원석 ( Jang Won-Seok )
한림대학교 의과대학 비뇨기과학교실
조진선 ( Cho Jin-Seon )
한림대학교 의과대학 비뇨기과학교실
김준모 ( Kim Jun-Mo )
순천향대학교 의과대학 비뇨기과학교실
홍창희 ( Hong Chang-Hee )
연세대학교 의과대학 세브란스병원 비뇨기과학교실
KMID : 0358320080490080745
Abstract
Purpose: Alarm interventions are effective and safe treatments for nocturnal enuresis when compared with the other treatments. However, the rate of doctors prescribing enuresis alarms is quite low in Korea. This study evaluated the application conditions and treatment results of an enuresis alarm in children with enuresis in Korea. Materials and
Methods: 147 out of 316 patients who purchased an enuresis alarm through a alarm sales agency in Korea were evaluated retrospectively. The questionnaire had two main categories: items of enuresis(number of episodes during the night, enuresis frequency during a week, etc.) and the items of the enuresis alarm(previous treatment history, a motivation of using enuresis alarm treatment, the period of using the enuresis alarm, initial success, continued success, dropout of using enuresis alarm, nocturia after treatment, etc.).
Results: A total 147 children participated in this study. The initial success rate was 30.6% whereas the continued success rate was 34.0%. In addition, the dropout rate was 27.2%. 46.2% of patients purchased the enuresis alarm with a doctor’s prescription and 53.8% purchased the alarm without a prescription. Among the factors, the success and dropout rate were affected by only whether the patient visited the hospital. Thirty five patients who took combination therapy with medicine had a significantly lower initial success rate.
Conclusions: In Korea, without a doctor’s prescription, 53.7% patients attempt to treat enuresis alarm directly. The initial and continued success rate with the enuresis alarm was approximately 30% and the dropout rate was approximately 30%. (Korean J Urol 2008;49:745-752)
키워드
Enuresis;Alarm;Treatment
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