12May 2020

PATTERN OF BEHAVIOURAL RESPONSES TO ENURESIS AMONG CHILDREN IN A SELECTED COMMUNITY, IBADAN, NIGERIA

  • Department of Nursing, University of Ibadan, Nigeria.
  • Center for Global Health, Northwestern University, Chicago.
  • Abstract
  • Keywords
  • References
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  • Corresponding Author

In recent times, one of the most common distressful disorders among children is enuresis. It makes them highly vulnerable to the development of behavioural and mental health disorders, such as attention deficit disorder, conduct disorders, oppositional defiant disorders among others. This study aimed to determine the pattern of behavioural disorder in children with enuresis in a rural community in South -West, Nigeria.Descriptive research design using an interviewer-administered questionnaire to elicit information on the perceived pattern of behavioural disorder in children with enuresis. Mothers of children with enuresis (198) in a rural community were selected using accidental sampling method.Both descriptive and inferential statistical tests were employed in analyzing data collected for this study. One hundred and ninety-eight (198) questionnaires were retrieved and analyzed using tables, percentages and Pearson correlation. Ethical clearance was secured from the ethics committee of the University of Ibadan/University College Hospital community.The mean age of respondents was 7.00 ?1, with moremale children with enuresis than females. The findings from the study revealed that the majority bedwets at least twice a week in the past six months, with 83.3% bedwetting at night only. The result showed that parents punished their children on wet days, but only a few encouraged on dry days. The pattern of behavioural response revealed significant internalized and externalized behavioural problems among children with enuresis. It is recommended that comprehensive enuresis awareness and management options be included in family health programs.


  1. Abou-Khadra, M. K., Amin, O. R. and Ahmed, D. (2013)Association between sleep and behavioural problems among children with enuresis, Journal of Paediatrics and Child Health, 49(2). DOI: 10.1111/jpc.12017.
  2. Abrams, P. et al. (2012) Incontinence: 5th International Consultation on Incontinence., Epidemiology of urinary (UI) and faecal (FI) and pelvic organ prolapsed (POP). doi: 978-9953-493-21-3.
  3. Aky?z, M. et al. (2016) Evaluation of behavioral problems in patients with monosymptomatic nocturnal enuresis: A prospective controlled trial, Turkish Journal of Medical Sciences, 46(3), pp. 807?811. doi: 10.3906/sag-1502-90.
  4. Alshahrani, A., Selim, M. and Abbas, M. (2018) Prevalence of nocturnal enuresis among children in Primary Health Care Centers of Family and Community Medicine, PSMMC, Riyadh City, KSA., Journal of family medicine and primary care, 7(5), pp. 937?941. doi: 10.4103/jfmpc.jfmpc_32_18.
  5. Anyanwu, O. U., Ibekwe, R. C. and Orji, M. L. (2015) Nocturnal enuresis among Nigerian children and its association with sleep, behavior and school performance, Indian Pediatrics, 52(7), pp. 587?589. doi: 10.1007/s13312-015-0680-4.
  6. Baird, D. C., Seehusen, D. A. and Bode, D. V. (2014) Enuresis in children: A case-based approach, American Family Physician, 90(8), pp. 560?568.
  7. Defenderfer, E. K. et al. (2017) Childhood toilet fears as an early behavioral indicator of anxiety, Childrens Health Care, 46(4), pp. 366?378. doi: 10.1080/02739615.2016.1193808.
  8. ELsayed, M., Hassan, H. and Ibraheem, O. (2018) Assessment of anxiety and depression risks among mothers having children with nocturnal enuresis disorder, Egyptian Journal of Psychiatry, 39(3), p. 115. doi: 10.4103/ejpsy.ejpsy_47_17.
  9. Eneh, C. I. et al. (2015) Nocturnal enuresis: Prevalence and risk factors among school-aged children with sickle-cell anaemia in a South-east Nigerian city, Italian Journal of Pediatrics, 41(1), pp. 4?9. doi: 10.1186/s13052-015-0176-9.
  10. Ferrara, P. et al. (2019) Medical comorbidity of nocturnal enuresis in children, Indian Journal of Nephrology, 29(5), pp. 345?352. doi: 10.4103/ijn.IJN_319_18.
  11. Gaonkar, N. V et al. (2018) Prevalence of Nocturnal Enuresis in 6?15 Years School Children and its Awareness among Parents in Dharwad, Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 12(3), p. 11. doi: 10.5958/0973-5674.2018.00048.5.
  12. Hamed, A., Yousf, F. and Hussein, M. M. (2017) Prevalence of nocturnal enuresis and related risk factors in school-age children in Egypt: an epidemiological study, World Journal of Urology, 35(3), pp. 459?465. doi: 10.1007/s00345-016-1879-2.
  13. Hashim, H. et al. (2019) International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function, Neurourology and Urodynamics, 38(2), pp. 499?508. doi: 10.1002/nau.23917.
  14. Imoudu, I., Bugaje, M. and Aikhionbare, H. (2014) Childhood Enuresis: A Study of Dogarawa Community of North Western Nigeria., IOSR Journal of Dental and Medical Sciences, 13(4), pp. 06?10. doi: 10.9790/0853-13420610.
  15. IS, E. and O, I. (2012) Nocturnal Enuresis and its Treatment among Primary School Children in Calabar-Nigeria, Journal of Nephrology & Therapeutics, 02(02), pp. 2?4. doi: 10.4172/2161-0959.1000115.
  16. Kiddoo, D. A. (University of A. (2012) Practice Nocturnal enuresis, Canadian Medical Association Journal (CMAJ), 184(8), pp. 908?910. doi: 10.1503.
  17. Koca, O. et al. (2014) Evaluation of depression and self-esteem in children with monosymptomatic nocturnal enuresis: A controlled trial, Archivio Italiano di Urologia e Andrologia, 86(3), pp. 212?214. doi: 10.4081/aiua.2014.3.212.
  18. Li, A. T. W. et al. (2018) Effects Of HIV stigma reduction interventions in diasporic communities: insights from the CHAMP study, AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. Taylor & Francis, 30(6), pp. 739?745. doi: 10.1080/09540121.2017.1391982.
  19. Liu, J. (2004) Childhood externalizing behavior: Theory and implications, Journal of Child and Adolescent Psychiatric Nursing, 17(3), pp. 93?103. doi: 10.1111/j.1744-6171.2004.tb00003.x.
  20. Mahmoodzadeh, H. et al. (2013) Prevalence of nocturnal enuresis in school aged children the role of personal and parents related socio-economic and educational factors, Iranian Journal of Pediatrics, 23(1), pp. 59?64.
  21. Mubarak, A. et al. (2016) Self-concept and psychiatric comorbidity in a sample of Egyptian adolescents with secondary nocturnal enuresis, Egyptian Journal of Psychiatry, 37(1), p. 17. doi: 10.4103/1110-1105.180264.
  22. Niemczyk, J. et al. (2019) Detailed Assessment of Incontinence, Psychological Problems and Parental Stress in Children with Autism Spectrum Disorder, Journal of Autism and Developmental Disorders, 49(5), pp. 1966?1975. doi: 10.1007/s10803-019-03885-6.
  23. Niemczyk, J., Wagner, C. and von Gontard, A. (2018) Incontinence in autism spectrum disorder: a systematic review, European Child and Adolescent Psychiatry. Springer Berlin Heidelberg, 27(12), pp. 1523?1537. doi: 10.1007/s00787-017-1062-3.
  24. Osungbade, K. O. and Oshiname, F. O. (2003) Prevalence and perception of nocturnal enuresis in children of a rural community in southwestern Nigeria, Tropical Doctor, pp. 234?236. doi: 10.1177/004947550303300416.
  25. ?zkan, S. et al. (2010) Prevalence and risk factors of monosymptomatic nocturnal enuresis in Turkish children, Indian Journal of Urology, pp. 200?205. doi: 10.4103/0970-1591.65387.
  26. Salem, M. E. A., El-Shazly, H. M. and Hassan, A.-Z. A. (2016) Nocturnal enuresis among primary school children in Zarka district, Damietta governorate, Egypt, Menoufia Medical Journal, 29(4), p. 1025.
  27. Sarici, H. et al. (2016) Prevalence of nocturnal enuresis and its influence on quality of life in school-aged children, Journal of Pediatric Urology. Elsevier Ltd, 12(3), pp. 159.e1-159.e6. doi: 10.1016/j.jpurol.2015.11.011.
  28. Senbanjo, I. O., Oshikoya, K. A. and Njokanma, O. F. (2011) Micturitional dryness and attitude of parents towards enuresis in children attending outpatient unit of a tertiary hospital in Abeokuta, Southwest Nigeria, African Health Sciences, 11(2), pp. 244?251.

[Adeyinka Ganiyat Ishola (RN, Ph.D) and Awosanya Bolaji Oluwayemisi (RN, B.Sc) (2020); PATTERN OF BEHAVIOURAL RESPONSES TO ENURESIS AMONG CHILDREN IN A SELECTED COMMUNITY, IBADAN, NIGERIA Int. J. of Adv. Res. 8 (May). 489-495] (ISSN 2320-5407). www.journalijar.com


DR ADEYINKA G. ISHOLA
DEPARTMENT OF NURSING, UNIVERSITY OF IBADAN

DOI:


Article DOI: 10.21474/IJAR01/10953      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10953