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Yıl:2005; Cilt: 43; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2005;43(3):97-100
Enürezisli Çocukların Sosyodemografik Özellikleri ve Tedavi Yaklaşımları
MK Bahalı, AY Tahiroğlu, E Güzel, A Avcı
Çukurova Üniversitesi Tıp Fakültesi Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı
Amaç: Enürezis Noktürna (EN) tanısı alan olguların sosyodemografik özellikleri, eşlik
eden bozuklukları ve tedavi yaklaşımlarının sonuçlarının araştırılması amaçlanmıştır.
Yöntem: Haziran-Aralık 2003 tarihleri ararında polikliniğimize başvuran ve EN tanısı alan
60 olguya âit bilgilere yer verilmiştir.
Bulgular: Olguların en sık başvuru yaşı (%35) 7-10 yaşları arasındaydı. %60’ı erkek,
%40’ı kız hastalardan oluşuyordu. Olguların %75’inde EN’ye eşlik eden başka bir psikiyatrik
rahatsızlık vardı; en sık eşlik eden durum Dikkat Eksikliği Hiperaktivite Bozukluğu’ydu.
Tedavi olarak %2.4 olguda ilâç (desmopressin) kullanılırken, ve 58 (%97.6) olguda davranışçı terapi kullanıldığı belirlendi.
Tartışma: EN tedavi edilmediği takdirde başka sosyal ve psikolojik sorunlara neden olabilmektedir.
Tedavi sırasında eşlik eden bozuklukların dikkatle araştırılması önerilmektedir.
Sonuç: Tedavide en sık kullanılan ve etkili bulunan yöntem davranışçı yaklaşımdır.
Socio-Demographic Characteristics And Treatment Approach In Children With Enuresis
Purpose: We aimed to investigate the socio-demographic characteristics, concomitant
disorders and the results of treatment approach in cases with diagnosis of Enuresis Nocturna
(EN).
Method: Data of 60 patients, who admitted to our policlinic and had EN diagnosis between
June and December of 2003, were screened.
Findings: The most frequent age of cases on admission was between 7 and 10 [year]s
old (35%). 60% were boys and 40% were girls. There was another accompanying
psychiatric disorder in 75% of EN cases; the most common concomitant one was Attention
Deficit Hyperactivity Disorder (ADHD). It was determined that behavioral treatment
had been used in 58 (97.6%) of cases while drug (desmopressine) treatment had been
used in 2.4% of cases.
Discussion and Conclusion: EN may lead to other social and psychological problems,
if it is not treated. It has been suggested that concomitant disorders should be carefully
investigated during the treatment. The most commonly used and effective treatment modality
is the behavioral approach.

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