Parent and Physician Perspectives on the Treatment of Primary Nocturnal Enuresis in Korea
주현택, 우승효, 강주형, 이상돈, 오미미, 문두건, 김선옥, 이정원, 김준모,
소속 상세정보
주현택 ( Ju Hyun-Taek )
Eulji University Hospital Department of Urology
우승효 ( Woo Seung-Hyo )
Eulji University Hospital Department of Urology
강주형 ( Kang Ju-Hyung )
Eulji University Hospital Department of Pediatrics
이상돈 ( Lee Sang-Don )
Pusan National University Children Hospital Department of Urology
오미미 ( Oh Mi-Mi )
Korea University Guro Hospital Department of Urology
문두건 ( Moon Du-Geon )
Korea University Guro Hospital Department of Urology
김선옥 ( Kim Sun-Ouck )
Chonnam National University Medical School Department of Urology
이정원 ( Lee Jung-Won )
Hallym University Kangnam Sacred Heart Hospital Department of Pediatrics
김준모 ( Kim Jun-Mo )
Soonchunhyang University School of Medicine Department of Urology
KMID : 0358320130540020127
Abstract
Purpose: Parental decisions about the treatment of nocturnal enuresis (NE) are generally based on silent agreement with a physician’s recommendation. However, physicians may have an insufficient understanding about parents’ concerns and expectations regarding treatment. The aim of this study was to clarify the discrepancies between the perceptions of parents and physicians and to better understand the attitudes related to NE treatment.
Materials and Methods: A survey was conducted in six centers and included 105 parents and 102 physicians. Two questionnaires, one for parents and another for physicians, were prepared. Each contained items on demographic characteristics, concerns, and NE treatment preferences. The parents completed the questionnaire during their child’s first clinical visit, and the physicians completed the questionnaire via e-mail or individual interviews.
Results: Low self-esteem was the most common concern among both parents and physicians. Parents showed a more serious concern regarding disease progression and sequelae than did physicians. In the parent group, parents of younger children were mainly concerned about growth, whereas parents of children with daytime symptoms were mainly concerned about disease progression and relationships. Treatment outcome preferences differed significantly between the two groups. Physicians preferred treatments yielding immediate results, whereas parents preferred long-term treatments that would result in low recurrence.
Conclusions: This survey presents the differences between parents and physicians regarding NE concerns and therapeutic preferences. Our study may provide valuable insight for physicians regarding parental attitudes toward NE treatment.
키워드
Attitudes;Health knowledge;Nocturnal enuresis;Practice
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