Axelrod, Tornehl, & Fontanini ‐ Axelrod (2014) carried out a research investigating impacts of applying the use of both urine alarms in combination with a simple reward system in treating nocturnal enuresis (NE). Participants were 3 young ones who did not respond completely to only the alarm system for detecting urine. The study used a withdrawal approach combined with a reduced multiple baseline method, which was applied in evaluating the impacts of the urine alarm, and including a reward system and the urine system. Visual and descriptive approaches were applied in analyzing the results. The results of the study indicated that when the urine system was combined with the reward system, it was effective for the three participants. The urine alarm test resulted in partly dry and other wet nights. An indication that the reward system was a motivation factor, which prompted the three children respond to the alarm system and get up to urinate as they expected a reward for a dry night.
Bed wetting is a persistent problem in childhood as presented in primary care. Some children urinate on purpose, while in others is accidental. Nocturnal enuresis can persist to adolescent, to avoid the issue, primary care givers came up with the study to establish the frequency of urinating per night, thus establishing how the intervals of setting the alarm can be achieved. NE can be treated effectively through both behavioral and pharmacological interventions ( Axelrod, Tornehl, & Fontanini ‐ Axelrod, 2014) . The urine alarm operates by triggering when a switch that is moisture sensitive closes an electric circuit system with a small voltage. The device sets off and the signal is strong enough to wake up the child and helps avoid urinating on the bed. The alarm is a way for the child to show responsibility as they have to wake up and urinate then get back to sleep. The results of the study can be applied by nursing professionals as evidence in recommending treatment for parents with children struggling with NE. The reward system can be implemented to increase effectiveness of the program.
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Reference
Axelrod, M. I., Tornehl, C., & Fontanini ‐ Axelrod, A. (2014). Enhanced response using a multicomponent urine alarm treatment for nocturnal enuresis. Journal for Specialists in Pediatric Nursing , 19 (2), 172-182.