The impact of motivational therapy in the management of enuretic children

Özet

Objective: The aim of this study is to determine the impact of a motivational therapy (MT) on the outcomesfor individuals diagnosed with nocturnal enuresis (NE).Material and methods: We enrolled 158 patients with NE referred to the Service of Pediatrics, CampusBio-Medico University Hospital of Rome, from January 2013 to September 2017. Of these, 21 were excludedbecause they didn’t meet the inclusion criteria. The study was carried out in compliance with the HelsinkiDeclaration.Results: A hundred and thirty seven enuretic patients [100 (72.9%) male and 37 (27.1%)] female patientswith a median age of 8.8 years were included in the study. The patients were assigned to receive pharmacologicaltherapy with desmopressin (dDAVP) (G1) (n=51), MT (G2) (n=33) and both of them (G3) (n=53). Thethree groups were homogeneous, with no significant differences in gender, age and family history of NE. InG1, 30/51 (58.82%) children achieved response vs. 1/33 (3.0%) children in G2 vs. 35/53 (66.04%) children inG3. About these results, The differences between G2 vs. G1 (p<0.01) and vs. G3 (p<0.01) were statisticallysignificant while the difference between G1 vs G3 was not statistically significant (p=0.45).Conclusion: Our study underlines the importance of MT in the management of NE and highlights the safetyof treatment and the positive effect of MT on the compliance and the adherence to pharmacological therapy.Considering the importance of the impact of such evidence on children’s lifestyle, we expect that furtherstudy with a larger sample size may confirm our hypothesis.