RESULTS
The study was completed with 6957 people. The ages of the children included in the study are between 10-15 and the average age is 11,9. It was found that 215 of the children (3.1%) had urinary incontinence problems. 33 of these children (0.5%) leak urine only during the day, 61 (0.9%) both during the day and at night, and 121 (1.7%) only at night. Table 1 shows the relationship between the descriptive characteristics of the child and the problem of urinary incontinence. There is a relationship between age, school success, the age of starting toilet training and urinary incontinence problem (p<0.001).
The relationship between the child’s health history and urinary incontinence problem is evaluated in Table 2. The problem of urinary incontinence was found at a significantly higher rate in children with a history of urinary tract infection or constipation, surgery, chronic disease or psychological disorders (p<0.001).
In our study, 1621 of the children have a history of surgery. 489 of these are adenoid vegetation surgery. 586 of the children have a diagnosed chronic disease and the most common diagnosis is asthma (n=117). The number of children with diagnosed psychological diseases is 104 and the most common diagnosis is attention deficit-hyperactivity disorder (n=57).
The relationship between some characteristics of the family of the child and the urinary incontinence problem in the child is given in Table 3. A relationship was found between income level and urinary incontinence problem (p<0.001). It was determined that there was no relationship between the number of children and urinary incontinence problem (p>0.05).
In Table 4, the relationship between the history of urinary incontinence of other family members and the presence of urinary incontinence in the child is given and it was determined that there is a significant relationship between them (p<0.001).
In our study, it was determined that 120 (56%) of the children with urinary incontinence problem had not been taken to any health institution before due to this problem. 13.9% of the children who applied to health institution but still have urinary incontinence problem did not continue the recommended treatment, 11.6% continued to have urinary incontinence despite treatment, in 6.9% the severity of urinary incontinence decreased with treatment, in 7.4% urinary incontinence stopped with treatment but started again after a while.
Families were asked if there was any significant change in their lives that could effect the child before their children started to have urinary incontinence. 7.9% of the families stated that the sibling of the child was born, 2.7% stated that they moved to a new house, 3.7% stated that the parents divorced, 1.8% stated that the child was hospitalized, 2.3% stated that one of the family members got sick or was hospitalized and 1.3% stated that the child was effected by war.
In our study it was observed that some families blamed or punished their children who had urinary incontinence problem. 8.8% of the families stated the punishment they gave as ”I am angry with my child, I scream”, 5.1% ”I state that I am angry with my body language”, 6% ”I say that it upsets me”, 4.1% ”I compare them with other children”.