Renner Ilona, Scharmanski Sara
Nationales Zentrum Frühe Hilfen, Bundeszentrale für gesundheitliche Aufklärung, Maarweg 149-161, 50825, Köln, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 Oct;59(10):1323-31. doi: 10.1007/s00103-016-2430-8.
The federal initiative promotes support offered by family midwives and nurses in early childhood intervention. So far, the initiative has contributed to the fact that many municipalities in Germany provide support to burdened families with young children in order to help them cope with everyday life and child-raising issues. This investigation aims to provide scientific insight into the question of if (and how) families benefit from the support of family midwives and nurses.
To answer this question, the National Centre on Early Prevention conducted an online survey. In a two-wave longitudinal study, 190 family midwives and nurses took part in the survey and reported data concerning resources, stresses, strains and improvements of 937 families.
Families with relatively higher resources and lower stresses benefit from the support of family midwives and nurses, whereas families under more extreme stresses and strains do not seem to benefit to the same extent. Nevertheless, for a majority of the latter families, midwife and nurse services were still beneficial, as the professionals were able to arrange more adequate, i. e. more intense, support offered by the child and youth welfare system in Germany.
Families in stressful living circumstances seem to benefit from family midwife and nurse services. However, further research proposals (i. e. CTs) are requested, whereby the appropriate outcome variables to measure the effect should be selected.
联邦倡议推动家庭助产士和护士在幼儿干预方面提供支持。到目前为止，该倡议促使德国许多城市为负担沉重的有幼儿家庭提供支持，以帮助他们应对日常生活和育儿问题。本调查旨在科学探究家庭是否（以及如何）从家庭助产士和护士的支持中受益。
为回答这个问题，国家早期预防中心开展了一项在线调查。在一项两阶段的纵向研究中，190名家庭助产士和护士参与了调查，并报告了937个家庭的资源、压力、负担和改善情况的数据。
资源相对较多且压力较小的家庭从家庭助产士和护士的支持中受益，而处于更极端压力和负担下的家庭似乎受益程度不同。然而，对于大多数后一类家庭来说，助产士和护士服务仍然是有益的，因为专业人员能够安排德国儿童和青年福利系统提供更充分、即更密集的支持。
生活环境压力大的家庭似乎从家庭助产士和护士服务中受益。然而，需要进一步的研究建议（即对照试验），从中应选择合适的结果变量来衡量效果。
