Voiding school as a treatment of daytime incontinence or enuresis : Children's experiences of the intervention
| Autor: | Sanna Salanterä, Anna Axelin, Seppo Taskinen, A. Saarikoski, R. Koppeli |
|---|---|
| Přispěvatelé: | Lastenkirurgian yksikkö, Children's Hospital, Clinicum, HUS Children and Adolescents |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
030232 urology & nephrology Urinary incontinence Peer support Children's experiences 0302 clinical medicine PARENTS Behavior Therapy Enuresis QUALITY-OF-LIFE 3123 Gynaecology and paediatrics Absenteeism ADOLESCENTS Cluster Analysis Medicine Outpatient clinic Social isolation Child 10. No inequality Qualitative Research UROTHERAPY Schools 030504 nursing 4. Education Focus Groups Daytime incontinence Female URINARY-INCONTINENCE medicine.symptom 0305 other medical science medicine.medical_specialty Urology education Risk Assessment Sampling Studies Interviews as Topic 03 medical and health sciences Quality of life (healthcare) Intervention (counseling) MANAGEMENT Humans Interpersonal Relations business.industry 3126 Surgery anesthesiology intensive care radiology ta3123 Self Concept Voiding school Family medicine Pediatrics Perinatology and Child Health Diurnal Enuresis business FOLLOW-UP Stress Psychological Follow-Up Studies Patient education |
| Popis: | Summary Background Daytime incontinence and enuresis are common problems in otherwise healthy children, and negatively influence their social lives and self-esteem. Motivation for treatment is often a real clinical problem. Children's experiences of their incontinence treatments have not been previously described. Objective The aim of this study was to describe children's experiences of the Voiding School intervention as a treatment for their incontinence. Study design A qualitative, descriptive focus-group study with a purposive sample was conducted at a Finish university hospital in 2014. Children aged 6–12 years participated in the Voiding School at an outpatient clinic. The intervention included two 1-day group visits 2 months apart. The educational content was based on the International Children Continence Society's standards for urotherapy. The education was delivered with child-oriented teaching methods. At the end of the second visit, 19 children were interviewed in five groups. Data were analysed with inductive content analysis. Results The children described incontinence as an embarrassing problem, which they had to hide at any cost. They had experienced bullying and social isolation because of it. Normal outpatient visits emphasized adult-to-adult communication, which made the children feel like outsiders. The children perceived the Voiding School as a nice and child-oriented experience. Making new friends was especially important to younger boys who felt that the Voiding School day was too long and issue-oriented. In the Voiding School, videos and ‘learning by doing’ helped the children to understand the basis of given advice, and they were able to learn new habits, which gave them control over the incontinence; this helped them to become ‘the boss of the bladder’. Sharing experiences and improvements in their incontinence with their peers supported the children's self-esteem and encouraged them to do new things, such as staying overnight with friends. These experiences helped them to acquire control over the problem (Summary Figure). Discussion According to the children's experiences, normal outpatient visits were only appointments for adults, and not very useful for children. In the Voiding School, they were respected as being the main person, and their views were listened to. The results underlined the importance of a child-oriented approach to patient education with regard to children, and provided encouragement to further develop the intervention. Conclusion Child orientation, peer support, learning by doing, and understanding the cause and effect helped children to gain control over their bladders. Based on the children's experiences, this could be achieved by a voiding school. Download : Download high-res image (255KB) Download : Download full-size image Summary Figure . The themes arising from the children's expressions during the interviews. |
| Databáze: | OpenAIRE |
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