原发性遗尿症儿童情绪和行为异常的相关因素分析

Analysis of Factors Related to Emotional and Behavioral Abnormalities in Children with Primary Nocturnal Enuresis

目的分析原发性遗尿症(PNE)儿童情绪和行为异常的相关影响因素。方法收集2020年1月至2022年12月于郑州大学第一附属医院和新乡医学院第一附属医院儿童遗尿门诊就诊的251名PNE儿童的相关信息,包括一般资料、长处和困难问卷(SDQ)及儿童睡眠调查表。依SDQ得分分为得分异常组(ASG)(≥20分)和得分正常组(NSG)(<20分)。结果PNE患儿情绪和行为异常发生率为43.4%(109/251)。ASG女性和青春期(13~16岁)占比高于NSG(P<0.05)。两组患儿家庭照顾者受教育程度、学习成绩及睡眠呼吸紊乱得分比较差异有统计学意义(P<0.05)。ASG患儿大便异常、具有家族遗传史、严重遗尿症及膀胱功能障碍占比高于NSG(P<0.05)。ASG患儿情绪症状、品行问题、多动症状、同伴交往得分高于NSG(P<0.05)。多因素回归分析显示,性别、年龄、照顾者受教育程度、学习成绩、大便异常、家族史、儿童睡眠量表总分为PNE患儿情绪和行为异常的影响因素(P<0.05)。结论PNE患儿情绪和行为异常的发生率较高,女性、青春期、照顾者受教育程度、学习成绩和睡眠差、家族史和便秘等是其影响因素。

Objective To investigate the related factors of emotional and behavioral abnormalities in children with primary nocturnal enuresis(PNE).Methods The relevant information on 251 PNE children who visited the Children’s Enuresis Clinic of the First Affiliated Hospital of Zhengzhou University and the First Affiliated Hospital of Xinxiang Medical University from January 2020 to December 2022 were collected,including the general information,the strengths and difficulties questionnaire(SDQ)and the children’s sleep questionnaire.According to the SDQ scores,the cases were divided into the abnormal score group(ASG)(≥20 points)and the normal score group(NSG)(<20 points).Results The incidence of emotional and behavioral abnormalities in PNE children was 43.4%(109/251).The proportion of female and adolescents(13-16 years old)in the ASG were higher than those in the NSG(P<0.05).There were statistical differences between the two groups in education level of caregivers,school performance and sleep disordered breathing scores(P<0.05).The proportion of children with abnormal stool,family genetic history,severe enuresis and bladder dysfunction in the ASG were higher than those in the NSG(P<0.05).The scores of emotional symptoms,conduct problems,hyperactivity symptoms and peer interaction in the ASG were higher than those in the NSG(P<0.05).Multivariate regression analysis showed that gender,age,education level of caregivers,academic performance,abnormal stool,family history and total score of children’s sleep scale were the influencing factor of emotional and behavioral abnormalities in PNE children(P<0.05).Conclusion The incidence of emotional and behavioral abnormalities in children with PNE is high.Women,adolescence,education level of caregivers,poor academic performance and sleep,family history and constipation are the influencing factors.