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首页> 外文期刊>Urology >Psychosocial Difficulties in Children Referred to Pediatric Urology: A Closer Look
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Psychosocial Difficulties in Children Referred to Pediatric Urology: A Closer Look

机译：小儿泌尿科的儿童心理社会困难：近距离观察

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To assess rates of psychosocial difficulties in children seen in a pediatric urology clinic to determine whether all patients should be screened for psychosocial problems, and to use standardized measures to determine whether the severity of voiding dysfunction and/or enuresis in children is related to their degree of psychosocial difficulties.A retrospective chart review was conducted to collect the Pediatric Symptom Checklist from all children referred to an outpatient urology clinic over a 6-month period. In addition, scores from the child's Dysfunctional Voiding Scoring System were collected for patients referred for voiding dysfunction and/or enuresis.Caregivers of 600 children completed the Pediatric Symptom Checklist as part of their child's outpatient clinic paperwork. Overall, 15.2% of the patients met the clinical cut-off for significant psychosocial difficulties. However, children with voiding dysfunction and/or enuresis were at increased risk for these problems, with the severity of their psychosocial difficulties being related to the severity of their urologic condition.It is unnecessary to screen all pediatric urology patients, although those referred for voiding dysfunction and/or enuresis should be screened for psychosocial difficulties. Children at greatest risk for psychosocial problems were those who were male, had a high body mass index, had nocturnal enuresis, had an elevated Dysfunctional Voiding Scoring System score, and/or reported frequent episodes of wetting or soaking their underwear when they wet. Importantly, children appear to be most concerned with "wetness."
机译：评估在儿科泌尿科门诊就诊的儿童的社会心理障碍发生率，以确定是否应该对所有患者进行心理社会问题筛查，并使用标准化措施确定儿童排尿障碍和/或遗尿的严重程度是否与其程度有关进行了回顾性图表审查，以收集6个月内转诊至门诊泌尿科门诊的所有儿童的小儿症状清单。此外，还针对因排尿障碍和/或遗尿症而被转诊的患者收集了儿童机能障碍评分系统的评分.600名儿童的护理人员完成了儿童症状检查表，这是其儿童门诊诊所文书的一部分。总体而言，有15.2％的患者因严重的社会心理困难而达到了临床临界值。然而，排尿功能障碍和/或遗尿症的儿童发生这些问题的风险增加，他们的社会心理困难的严重程度与他们的泌尿科疾病的严重程度有关，尽管所有这些儿科泌尿科患者都因排尿而被提及，但没有必要对其进行筛查。应筛查功能障碍和/或遗尿的心理社会障碍。有心理社会问题风险最大的孩子是男性，体重指数高，夜间遗尿症，功能障碍排尿评分系统得分高和/或据报告经常在潮湿时弄湿或浸湿内衣的孩子。重要的是，儿童似乎最关心“湿润”。

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