Section A examines the association between nocturnal enuresis (NE) and Quality of Life (QoL) in children and young people. This paper systematically reviews the research literature in this area considering relationships between NE and QoL across demographic variables such as gender and age. Future research avenues and implications for clinical practise are discussed.\udSection B reports on a tailored hypnosis treatment for children and young people with NE. This used a prospective case series with multiple-case AB design with follow-up, and tested the hypothesis that this approach would increase number of dry nights. Changes in child and parent psychosocial variables were also examined. Results indicated that participants improved in nighttime dryness as predicted, and that improvements were sustained at follow up. Self-reported continence specific QoL showed improvement approaching significance from baseline to follow up. Mixed Results were found as to changes in other psychosocial variables as a result of treatment. Limitations of the research and its implications are discussed.\udSection C is a critical appraisal of the research process as a whole, covering issues such as choice of research and how this developed through clinical practice, training and previous research experiences. It explores issues across the research process at individual, team, systems and organisational levels. It provides a critique of the design and methodology, as well a reflection on personal and professional development.\udSection D reports on the results of a local questionnaire based service evaluation examining young people’s views of their paediatric diabetes clinics; including examples of good practice valued by young people. It also reports young people’s opinions and ideas about possible future service provision. It makes clear recommendations as to the ways forward in service user led service development.
展开▼
