Med J Bakirkoy. 2020; 16(4): 324-329 | DOI: 10.5222/BMJ.2020.05025

Evaluation of Health-Related Quality of Life and Its Influencing Factors in Pediatric Patients with Voiding Dysfunction

Emine Gozde Ozdrama Yýldýz¹, Gül Özçelik^2
1SBU Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
²SBU Sisli Hamidiye Etfal Training and ResearchHospital, Department of Pediatric Nephrology, Istanbul, Turkey

Objective: Health-related quality of life and its influencing factors in pediatric patients with voiding dysfunction and their parents was assessed.
Method: The patients who were admitted with urinary incontinence for at least 6 months to the clinics of pediatrics and pediatric nephrology were enrolled in the study. The patients were divided into three group as daytime urinary incontinence (DUI), enuresis and both DUI and enuresis. The Pediatric Quality of Life InventoryTM (PedsQLTM) was administered to patients and mothers.
Results: A total of 100 patients with voiding dysfunction aged from 5 years to 18 years (mean age: 8.8±2.6) were included in the study. The mean dysfunctional voiding symptom score was 15.5±6.6 in all groups and significantly higher in the group who experienced both DUI and NE (p<0.001). No significant difference was observed in terms of mean PedsQL scores of the children and their parents between groups with urinary incontinence (65.5±16 and 58.4±13.5, respectively), but strong positive correlation was obtained (p<0.001). The mean PedsQL score for the children aged from 8 years to 12 years was significantly lower than the scores for the children aged from 5 years to 7 years old (p<0.05). The mean PedsQL score for the children aged from 13 years to 18 years was not different from the other age groups.
Conclusions: The early diagnosis and treatment of patients aged from 8 years to 12 years who had the lowest PedsQL score is important. Additionally, the success in improvement of the quality of life of children with voiding dysfunction require cooperation with parents.

Keywords: Enuresis, incontinence, quality of life, voiding dysfunction

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Ýþeme Bozukluðu Olan Çocuk Hastalarda Yaþam Kalitesi ve Etkileyen Faktörlerin Deðerlendirilmesi

Emine Gozde Ozdrama Yýldýz¹, Gül Özçelik^2
1SBU Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Ýstanbul, Türkiye
²SBU Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Çocuk Nefroloji Bölümü, Ýstanbul, Türkiye

Amaç: Ýþeme bozukluðu olan çocuklarda ve ailelerinde yaþam kalitesinin ve etkileyen faktörlerin incelenmesi
Yöntem: Pediatri ve pediatrik nefroloji polikliniklerine iþeme bozukluðu nedeniyle baþvuran ve þikayetleri en az 6 aydýr devam eden çocuk hastalar çalýþmaya alýndý. Hastalar gündüz idrar kaçýranlar, gece idrar kaçýranlar ve hem gündüz hem gece idrar kaçýranlar olmak üzere üç gruba ayrýldý. Çocuklar için Yaþam Kalitesi Ölçeði (ÇÝYKÖ) çalýþmaya katýlan tüm çocuklara ve annelerine uygulandý.
Bulgular: 5-18 yaþ arasý (ortalama yaþ: 8.8±2.6, E: K=0.31) iþeme disfonksiyonu olan 100 çocuk hasta çalýþmaya alýndý. Ortalama disfonksiyonel iþeme semptom skorlamasý (DÝSS) 15.5±6.6 saptandý. DÝSS hem gece hem gündüz kaçýran grupta istatistiksel olarak anlamlý daha yüksek saptandý (p<0.001). Anne ve çocuklarýn yaþam kalitesi skorlarýnda iþeme bozukluðu gruplarý arasýnda anlamlý farklýlýk saptanmadý (58.4±13.5; 65.5±16) fakat kuvvetli pozitif yönde baðýntý saptandý (p<0.001). 8-12 yaþ grubunda ortalama ÇÝYKÖ skoru 5-7 yaþ grubuna oranla istatistiksel olarak anlamlý düþük bulundu (p<0.05). 13-18 yaþ grubunun ÇÝYKÖ skoru diðer gruplardan farklý deðildi.
Sonuç: En düþük ÇÝYKÖ skoru saptanan 8-12 yaþ grubu çocuk hastalarýn erken taný ve tedavisi önem taþýmaktadýr. Ayrýca iþeme bozukluðu olan çocuklarýn yaþam kalitelerinin iyileþtirilmesindeki baþarý ailelerle yapýlacak iþbirliðini gerektirmektedir.

Anahtar Kelimeler: Enürezis, idrar kaçýrma, yaþam kalitesi, iþeme disfonksiyonu

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