Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.
Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.
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DOI：
10.1136/bmjopen-2017-016749
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发表时间：
2017-07-13
期刊：
影响因子：
2.9
通讯作者：
Joinson C
中科院分区：
文献类型：
--
作者：
Grzeda MT;Heron J;Tilling K;Wright A;Joinson C
检查父母用于克服7岁半儿童尿床的一系列常见策略（包括举重，睡前限制饮酒，定期日间厕所旅行，奖励，表现出不高兴和使用保护裤）是否有效降低9岁半尿床的风险。前瞻性队列研究。一般社区。初始样本包括1258名儿童（66.7%的男孩和33.2%的女孩），他们在7岁半时仍然尿床。9岁半时尿床的风险。使用基于倾向评分的方法，我们发现，在调整儿童和家庭变量以及其他父母策略的模型后，7岁半时使用的两种父母策略与9岁半时尿床的风险增加相关：升降（风险差异=0.106（95% CI 0.009至0.202），即，有10.6%（与父母不使用此策略的儿童相比，父母使用举重的儿童9岁半时尿床风险增加0.9%至20.2%）睡前限制饮酒（0.123（0.021 ~ 0.226））。使用其他父母策略的影响是双向的（9岁半时尿床风险增加或减少），例如，表现出不高兴（-0.052（-0.214至0.110））。当我们使用多变量回归分析重新分析数据时，结果与基于倾向评分的方法基本一致。这些发现提供了证据，证明用于克服7岁半儿童尿床的常见策略在降低9岁半儿童尿床风险方面无效。应该鼓励父母为孩子的尿床寻求专业建议，而不是坚持可能无效的策略。
To examine whether a range of common strategies used by parents to overcome bedwetting in 7½-year-old children (including lifting, restricting drinks before bedtime, regular daytime toilet trips, rewards, showing displeasure and using protection pants) are effective in reducing the risk of bedwetting at 9½ years. Prospective cohort study. General community. The starting sample included 1258 children (66.7% boys and 33.2% girls) who were still bedwetting at 7½ years. Risk of bedwetting at 9½ years. Using propensity score-based methods, we found that two of the parental strategies used at 7½ years were associated with an increased risk of bedwetting at 9½ years, after adjusting the model for child and family variables and other parental strategies: lifting (risk difference=0.106 (95% CI 0.009 to 0.202), ie, there is a 10.6% (0.9% to 20.2%) increase in risk of bedwetting at 9½ years among children whose parents used lifting compared with children whose parents did not use this strategy) and restricting drinks before bedtime (0.123 (0.021 to 0.226)). The effect of using the other parental strategies was in either direction (an increase or decrease in the risk of bedwetting at 9½ years), for example, showing displeasure (−0.052 (−0.214 to 0.110)). When we re-analysed the data using multivariable regression analysis, the results were mostly consistent with the propensity score-based methods. These findings provide evidence that common strategies used to overcome bedwetting in 7½-year-olds are not effective in reducing the risk of bedwetting at 9½ years. Parents should be encouraged to seek professional advice for their child’s bedwetting rather than persisting with strategies that may be ineffective.
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