CHILDREN WITH BLADDER AND BOWEL DYSFUNCTION TREATED IN A SPECIALIZED NURSING OUTPATIENT SERVICE

Miranda, Karine Suellen Prado; Salviano, Cristiane Feitosa; Fernandes, Andreia Guedes Oliva; Martins, Gisele

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ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.74374 copy

CHILDREN WITH BLADDER AND BOWEL DYSFUNCTION TREATED IN A SPECIALIZED NURSING OUTPATIENT SERVICE

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe the clinical-epidemiological characteristics of schoolchildren with bladder and bowel dysfunction treated in a specialized Nursing outpatient service.

Method:

a retrospective study with a quantitative, descriptive and documentary approach, conducted from April to May 2019 with medical records of children treated in an advanced Nursing practice service specialized in Uropediatrics and located in a university hospital from Distrito Federal, Brazil. The data were analyzed both in a descriptive manner and through Pearson’s chi-square test for associations.

Results:

All the children presented functional intestinal constipation associated with urinary symptoms, with prevalence of voiding urgency (80%) and retention maneuvers (70%). A statistically significant difference was identified between gender and voiding urgency symptoms, as well as with increased and reduced urinary frequency. The main comorbidity was Urinary Tract Infection (33%).

Conclusion:

this study contributed to planning and implementing more sensitive and specific interventions regarding the care process in Uropediatrics.

DESCRIPTORS
Lower Urinary Tract Symptoms; Intestinal Constipation; Child; Pediatric Nursing; Epidemiology

Signs and symptoms	n	%
Functional Intestinal Constipation	40	100
Voiding urgency	32	80
Retention maneuvers	28	70
Daytime incontinence	24	60
Nighttime incontinence	19	47,5
Increased urinary frequency	15	37,5
Reduced urinary frequency	7	17,5
Dysuria	4	10
Fecal soiling	4	10
Urinary retention	3	7,5
Nocturia	1	2,5

LUTS symptoms		Female		Male		n	%	p-value^* * Chi-square test (Pearson); significance at the p≤0.05 level
LUTS symptoms		n	%	n	%	n	%
Daytime UI								0,069
	Yes	14	58,33	10	62,5	24	60
	No	10	41,67	6	37,5	16	40
Subtotal		24	100	16	100	40	100
Nighttime UI								5,414
	Yes	15	62,5	4	25	19	47,5
	No	9	37,5	12	75	21	52,5
Subtotal		24	100	16	100	40	100
Voiding urgency								0,026^* * Chi-square test (Pearson); significance at the p≤0.05 level
	Yes	19	79,1	13	81,25	32	80
	No	5	20,9	3	18,75	8	20
Subtotal		24	100	16	100	40	100
Retention maneuvers								0,317
	Yes	16	66,7	12	75	28	70
	No	8	33,3	4	25	12	30
Subtotal		24	100	16	100	40	100
Reduced urinary frequency								0,000^* * Chi-square test (Pearson); significance at the p≤0.05 level
	Yes	9	37,5	6	37,5	15	37,5
	No	15	62,5	10	62,5	25	62,5
Subtotal		24	100	16	100	40	100
Increased urinary frequency								0,029^* * Chi-square test (Pearson); significance at the p≤0.05 level
	Yes	4	16,7	3	18,75	7	17,5
	No	20	83,3	13	81,25	33	82,5
Subtotal		24	100	16	100	40	100

Gender	Number of LUTS symptoms presented by the child				Total		Valor de p^* * Chi-square test (Pearson); significance at the p≤0.05 level
	<3 symptoms		>3 symptoms		Total
	n	%	n	%	n	%
Male	11	68,7	5	31,3	16	40	2,824
Female	10	41,7	14	58,3	24	60	2,824

Comorbidities associated with BBD	n	%
Recurrent UTI	12	33
Malformation of the genitourinary tract	7	17,5
Anxiety/Phobias	3	7,5
Attention/Hyperactivity deficit	2	5
Delay in development	1	2,5

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: Cristiane Feitosa Salviano Hospital da Criança de Brasília José Alencar - Brasília, DF, Brasil E-mail: crisenf.salviano@gmail.com