Majallah-i Bālīnī-i Parastārī va Māmāyī (Oct 2017)
Comparison of the effectiveness of medicinal and non-medicinal therapy on the control of primary nocturnal enuresis of school-age children
Abstract
Background and aims: Enuresis is one of the most common disorders and problematic. Diagnosis of enuresis occurs when the urine is given 2 times in a week, for at least 3 consecutive months. This study was performed to compare the effectiveness of medicinal and non-medicinal therapy to control primary nocturnal enuresis of school-age children. Methods: This study is the one blind clinical trial which has been done on 64 children suffering from enuresis in the 6-12-year-old children in school-age reffered to the Urology Specialized Clinic in Golestan hospital, Ahvaz Jundishapur University of Medical Sciences. Children were divided parochial randomized in two groups of medicinal therapy (n=32) and non-medicinal therapy (n=32). Data collection tools include demographic questionnaire, diary note and check list. The data analysis was used from descriptive and inferential statistical tests(T-test and K2) and SPSS software. Results: The results of the present study showed that the level of improvement during intervention (one and two months) had a statistically significant difference between two groups, pharmacological and non-medicinal treatment groups (P=0.001, P=0.005), respectively. Recovery level in the group of medicinal therapy was higher than the non-medicinal treatment one. After three months from the start intervention stage, statistically significant difference was not observed between two groups (P=0.112); But in the stage of one month after the end of intervention, statistically significant difference was observed between the two groups of medicinal and non-medicinal treatment and the rate of improvement was higher in the non-medicinal al therapy (P=0.009). Conclusion: Due to the effect of duration on the results of the present study, effectiveness of non-medicinal therapy has been more than medicinal therapy. So, it is recommended, non-medicinal therapy in order to effect on the enuresis control of children to be performed in the longer term and continuous follow-up.