Psychological Impact of Nocturnal Enuresis on Self-esteem of School Children

Hanan T. Elbahnasawy^1, and Mona A. Elnagar^2,

¹Pediatric Nursing, El-Menoufy University, Egypt, Currently in Jazan University, KSA

²Psychiatric Nursing, El-Menoufy University, Egypt

Cite this paper:
Hanan T. Elbahnasawy and Mona A. Elnagar. Psychological Impact of Nocturnal Enuresis on Self-esteem of School Children. American Journal of Nursing Research. 2015; 3(1):14-20. doi: 10.12691/ajnr-3-1-4

Abstract

Bedwetting is the cause of significant psychosocial stress especially in older children. Aim: The study aimed to assess the psychological impact of nocturnal enuresis on self-esteem of school children. Design: Descriptive research design was used in this study. Setting: The study was conducted in El-Menoufya University Hospital, in Egypt, which consisted of 18 outpatient clinics. The pediatric outpatient clinic of Shebin El-Kom, El-Menoufia University Hospital it is general pediatric outpatient clinic for all children disorders not just for enuresis. Sample: This is a convenient sample of 140 of children representing almost half of the total attendants with nocturnal enuresis during three months duration. The total number of the sample was 70 children of nocturnal enuresis. Tools: For data collection, an interview questionnaire was used to assess socio demographic data, children knowledge about enuresis, psychological impact of enuresis on the children regarding depression and social isolation, self-esteem inventory scale for the children. Finding: The results of the study showed there were no significant difference between gender and their positive self-esteem. In addition, there were no significant difference between psychological problems of the studied children and their positive self-esteem. Conclusion: This study concluded that children in this age have poor knowledge in relation to enuresis. In addition, most of studied children had law self-esteem. Recommendations: According to this study it is recommended that raise community awareness about nocturnal enuresis through educating adolescents in school and universities about nocturnal enuresis, development of health educational program for mothers of enuretic children. Also pediatric nurse, psychiatric nurse, community health nurse and school health nurse offer counseling services for the mothers and their children regarding nocturnal enuresis.

Keywords:
nocturnal enuresis psychological impact children self-esteem

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References:

[1]	World Health Organization, Promoting Health through Schools. Rep.Ser, No 870, 2007.
[2]	Najeeb M., Effect of the Educational Program upon Parents’ Knowledge of Nocturnal Enuretic Children, World Journal of Medical Sciences 7 (3): 137-146, 2012.
[3]	Al-Ghamdy, Y., Qureshi, N.,, and Abdelgadir, M., Childhood enuresis Epidemiology, pathophysiology and management, Saudi Medical Journal 2000; Vol. 21 (2): 138-144.
[4]	Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, Jørgensen TM, Rittig S, Walle JV, Yeung C, Djurhuus JC. The standardization of terminology of lower urinary tract function in children and adolescents: Report from the standardisation committee of the International Children's Continence. Society J Urol. 2006;176: 314-324.
[5]	Senbanjo, I., Oshikoya, K., and Njokanma, O., Micturitional dryness and attitude of parents towards enuresis in children attending outpatient unit of a tertiary hospital in Abeokuta, Southwest Nigeria, Afr Health Sci. Jun 2011; 11(2): 244-251.
[6]	Feldman, M., Management of primary nocturnal enuresis, Canadian Paediatric Society, Community Paediatrics Committee, PediatricChild Health 2005;10(10):611-4 Posted: Dec 1 2005 Updated: Jan 30 2013 Reaffirmed: Feb 1 2014.
[7]	Caldwell, P., Edgar, D., Hodson, E., and Craig, J. Bedwetting and toileting problems in children, MJA Practice Essentials Paediatrics; (182) (4), 2005, 190-195.
[8]	Goin, R. P.: Nocturnal enuresis in children, childcare, Health and Development, Vol. 34(4), 1998, pp. 277-288.
[9]	Ricci, S, and, Kyle, T. Nursing care of the child with agenito-urinary disorder. In Maternity and pediatric nursing, 2009.
[10]	Blleck, J. and Edlund, P.Nursing Assessment and diagnosis. London: Jones and Bartlet, 1992, p115.
[11]	Coopersmith. Self- Esteem Inventory Scale for the children, 1967.
[12]	Youssef, Modified Self- Esteem Inventory Scale for the children, 1988.
[13]	Ahmed, A.A. Assessment of mothers knowledge, attitude and practice regarding their enuretic children, PhD Thesis in community, Ain Shams University, 2002.
[14]	Butler, R., and Heron, J. The prevalence of infrequent bedwetting and nocturnal enuresis in childhood: A large British cohort Scandinavian Journal of Urology and Nephrology; 42 (3), 2008; 257-64.
[15]	Wolfish, N. Management of nocturnal enuresis in children. Clinical Review; 142(2), 2009: 76-80.
[16]	Aljenaei, A. Prevalence of Nocturnal Enuresis among Qatari Students aged 6 to 12 years, 2009, Doha, Qatar 7-8
[17]	Wen, J.G., Wang, W., Chen, y., Wen, J.J., and Liu, K.An Epidemiological Study of Primary Nocturnal Enuresis in Chinese Children and Adolescents. EurUrol:(49), 2006, 1107: 13.
[18]	Ahmed, M.M. Mothers Care for their children regarding enuresis in Rural Areas, PhD Thesis in community, Benha University, 2010.
[19]	Safarinejad, M. Prevalence of nocturnal enuresis, risk factors, associated familial factors and urinary pathology among school children in Iran. Pediatric Urology; 2007, 3:443-452.
[20]	Joinson, C., Heron, J., Emond, A., and Butler, R. Psychological problems in children with bed-wetting and combined (day and night) wetting. Journal of Paediatric Psychology; 32(5), 2007, 605-16.
[21]	Ismail, S.A. Ultrasonographic evaluation in children with nocturnal enuresis. PhDThesis of pediatrics, Faculty of Medicine, Ain Shams University, 2007.
[22]	El-Nagar,S. Identification of needs as perceived by school age children and their mothers and it's effect on their adjustment with enuresis.(Thesis) Faculty of Nursing, Menoufia University, 2003.
[23]	Elsaid, S.M.Impact of Educational Programme on Self Esteem of Children with Nocturnal Enuresis and Their Mother's Anxiety and Depression, PhD Thesis in Psychiatric Nursing, El Menoufya University, 2013.
[24]	Warzak, W.J. Pschosocial Implications of Nocturnal Enuresis, Clinical Pediatrics, Sepc 32(1), 2006, 38: 40.
[25]	Van Hoecke E, Hoebeke P, Braet C, Walle JV. An assessment of internalizing problems in children with enuresis. J Urol;171( 2), 2004, 2580-2583.
[26]	Chang, S., Ng, S and Wong, S. Behavioral problems in children and parenting stress associated with primary nocturnal enuresis in Hong Kong. ActaPaediatr.; 2002, 91:475-479.
[27]	Butler R.,&Swithinbank L. Nocturnal Enuresis and Daytime Wetting: A Handbook for Professionals. Bristol: Education and Resources for Improving Childhood Continence, 2007.
[28]	Landgraf, J., Abidari, J., Cilento, B., Cooper, C., Schulman, S&Ortenberg,J. Coping, commitment, and attitude: quantifying the everyday burden of enuresis on children and their families. Pediatrics; 2004, 113:334 -344.
[29]	Theunis, M., Van Hoecke, E., Paesbrugge, S., Hoebeke, P., VandeWalle, J. Self-image and performance in children with nocturnal enuresis. EurUrol; 2002, 41:660-667
[30]	Robson, L. Current management of nocturnal enuresis. Wolters Kluwer Health, Lippincott Williams & Wilkins; 2011, 18:425–430
[31]	McKillop A., Mackay B.,andScobie N. A programme for children with nocturnal enuresis, Nurse Stand; 17(43), 2003, 33-8.
[32]	Ozkan, K., Garipardic, M., Toktamis, A., Karabiber, H., Sahinkanat, T. Enuresis prevalence and accompanying factors in school children: a questionnaire study from southeast Anatolia. UrolInt ; 2004, 73:149–55.
[33]	Robinson,J., Butler,R., Holland, P & Doherty-Williams, D.(2003). Self-Construing in children with primary mono-symptomatic nocturnal enuresis: An investigation of three measures. Scandinavian Journal of Urology and Nephrology; 37: 2003, 124-128.
[34]	Fergusson, J. and Horwood, L. Nocturnal enuresis and behavioural problems in adoscence: A 15-year longitudinal study. Paediatrics. 1994;94(5):662-668.