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Abstract：
OBJECTIVE: To understand the remission rates, shifts in treatment methods used by parents, and parents\' attitudes towards their children with primary nocturnal enuresis (NE).
METHODS: A total of 408 children aged 6-12 years and diagnosed with primary nocturnal enuresis from a 2004 epidemiological study in Taiwan were enrolled. After a 5.5-year follow-up period, the remission rates of the children of each age group were evaluated, and the corresponding treatment methods were employed daily. Furthermore, the major risk factors that influenced the remission rates in these children were investigated.
RESULTS: The overall remission rate was 93.1% among all age groups, and the median age of remission was 9.9 years (95% CI 9.5-10.2 years). Comparing the previous and after results of this study, the treatment methods utilized by the parents in response to enuresis were significantly different. More parents chose combination therapy and sought medical attention as the children grew older, particularly the parents of children with severe NE. Few parents still continued to use punishment method. A Cox proportional hazards regression model revealed that girls, young children, those with low enuresis frequency, and light sleepers had higher remission rates than did their counterparts.
CONCLUSIONS: Parents\' attitudes towards enuresis influence their choice of therapy for their children. In most cases, parents chose a combination of therapies, particularly combining limited fluid intake and regular voiding. Only 37 (9.1%) children received medicine. The older the enuretic child, the more likely the parents were to seek medical treatment for their children. Enuresis might disappear spontaneously but not always. A small proportion of children will continue to wet till adulthood. The treatment of NE at this age would be challenging. Children who were deep sleepers or affected by severe enuresis had a low probability of achieving dryness. However, girls and young children had a higher probability of achieving remission than did their counterparts.
METHODS: A total of 408 children aged 6-12 years and diagnosed with primary nocturnal enuresis from a 2004 epidemiological study in Taiwan were enrolled. After a 5.5-year follow-up period, the remission rates of the children of each age group were evaluated, and the corresponding treatment methods were employed daily. Furthermore, the major risk factors that influenced the remission rates in these children were investigated.
RESULTS: The overall remission rate was 93.1% among all age groups, and the median age of remission was 9.9 years (95% CI 9.5-10.2 years). Comparing the previous and after results of this study, the treatment methods utilized by the parents in response to enuresis were significantly different. More parents chose combination therapy and sought medical attention as the children grew older, particularly the parents of children with severe NE. Few parents still continued to use punishment method. A Cox proportional hazards regression model revealed that girls, young children, those with low enuresis frequency, and light sleepers had higher remission rates than did their counterparts.
CONCLUSIONS: Parents\' attitudes towards enuresis influence their choice of therapy for their children. In most cases, parents chose a combination of therapies, particularly combining limited fluid intake and regular voiding. Only 37 (9.1%) children received medicine. The older the enuretic child, the more likely the parents were to seek medical treatment for their children. Enuresis might disappear spontaneously but not always. A small proportion of children will continue to wet till adulthood. The treatment of NE at this age would be challenging. Children who were deep sleepers or affected by severe enuresis had a low probability of achieving dryness. However, girls and young children had a higher probability of achieving remission than did their counterparts.
摘要：
目的：了解缓解率，父母使用的治疗方法的转变，以及父母对患有原发性夜间遗尿症(NE)的孩子的态度。
方法：在2004年的一项流行病学研究中，共有408名6-12岁的儿童被诊断为原发性夜间遗尿症。经过5.5年的随访，评估各年龄组儿童的缓解率，每天采用相应的治疗方法。此外，研究了影响这些儿童缓解率的主要危险因素.
结果：所有年龄组的总缓解率为93.1％，中位缓解年龄为9.9岁(95%CI9.5-10.2岁).比较本研究的前后结果，父母对遗尿症的治疗方法存在显着差异。随着孩子年龄的增长，更多的父母选择了联合疗法并寻求医疗护理，特别是患有严重NE的儿童的父母。很少有家长仍然继续使用惩罚方法。Cox比例风险回归模型显示，女孩，年幼的孩子,那些遗尿频率低的人，轻度睡眠者的缓解率高于同龄者。
结论：父母对遗尿症的态度影响他们对子女治疗的选择。在大多数情况下,父母选择了多种疗法，特别是结合有限的液体摄入量和定期排尿。只有37名（9.1％）儿童接受了药物治疗。排尿的孩子年龄越大，父母为孩子寻求治疗的可能性就越大。遗尿症可能会自发消失，但并非总是如此。一小部分儿童将继续湿到成年。在这个年龄治疗NE将是具有挑战性的。深度睡眠者或受严重遗尿症影响的儿童达到干燥的可能性很低。然而,女孩和幼儿获得缓解的概率高于其同龄人.
方法：在2004年的一项流行病学研究中，共有408名6-12岁的儿童被诊断为原发性夜间遗尿症。经过5.5年的随访，评估各年龄组儿童的缓解率，每天采用相应的治疗方法。此外，研究了影响这些儿童缓解率的主要危险因素.
结果：所有年龄组的总缓解率为93.1％，中位缓解年龄为9.9岁(95%CI9.5-10.2岁).比较本研究的前后结果，父母对遗尿症的治疗方法存在显着差异。随着孩子年龄的增长，更多的父母选择了联合疗法并寻求医疗护理，特别是患有严重NE的儿童的父母。很少有家长仍然继续使用惩罚方法。Cox比例风险回归模型显示，女孩，年幼的孩子,那些遗尿频率低的人，轻度睡眠者的缓解率高于同龄者。
结论：父母对遗尿症的态度影响他们对子女治疗的选择。在大多数情况下,父母选择了多种疗法，特别是结合有限的液体摄入量和定期排尿。只有37名（9.1％）儿童接受了药物治疗。排尿的孩子年龄越大，父母为孩子寻求治疗的可能性就越大。遗尿症可能会自发消失，但并非总是如此。一小部分儿童将继续湿到成年。在这个年龄治疗NE将是具有挑战性的。深度睡眠者或受严重遗尿症影响的儿童达到干燥的可能性很低。然而,女孩和幼儿获得缓解的概率高于其同龄人.
