DOI: 10.4103/enj.enj_22_25 ISSN: 2090-6021

Impact of using alfarm intervention on monosymptomatic nocturnal enuresis outcomes among children

Gehan M. Amin, Manal Y. Ibrahiem, Samar M. Mohamed ElHadary
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Background

Monosymptomatic nocturnal enuresis (MNE) is a prevalent pediatric condition with significant negative psychosocial consequences for children and their families. Alarm therapy is widely recommended as a first-line treatment, but evidence of its effectiveness and impact on quality of life (QoL) in the Egyptian context is limited.

Aim

This study aimed to evaluate the impact of alarm intervention on the occurrence of MNE and on QoL among children.

Design

A quasi-experimental, multiple time-series research design was utilized.

Sample

A purposive sample of 60 children with MNE, aged 6–15 years, was recruited from a continence clinic in Cairo, Egypt. Data were collected using a structured interview questionnaire, the Pediatric Urinary Incontinence Quality of Life questionnaire, and a nocturnal enuresis follow-up sheet.

Results

The groups were homogeneous at baseline. A highly statistically significant difference ( P <0.001) in enuresis improvement was found between the groups at all postintervention assessments. The rate of complete improvement in the intervention group increased from 30% immediately postintervention to 50% at the 2-month follow-up, compared to 0 and 6.7% in the control group, respectively. Furthermore, children in the intervention group showed significantly greater improvement in all QoL domains compared to controls ( P ≤0.003).

Conclusion

Alarm intervention is effective in reducing wet nights and significantly improving QoL among children with MNE.

Recommendations

Alarm intervention should be adopted as a first-line management strategy for children with MNE, particularly when supported by structured parental education.

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