Renner Ilona, van Staa Juliane, Neumann Anna, Sinß Frank, Paul Mechthild
Nationales Zentrum Frühe Hilfen, Bundeszentrale für gesundheitliche Aufklärung, Maarweg 149-161, 50825, Köln, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Dec;64(12):1603-1610. doi: 10.1007/s00103-021-03450-6. Epub 2021 Nov 3.
As of spring 2020, contact-restricting measures were necessary to contain the incidence of infection with the SARS-CoV‑2 virus in Germany. However, these restrictions posed particular challenges to families, especially families in high-stress situations. This paper examines how the COVID-19 pandemic affected the life of families and if long-term support in the context of early childhood intervention could be continued. The following analyses are based on qualitative research with psychosocially stressed mothers of young children, two surveys of health professionals who provide long-term support to families in early childhood intervention, and a survey of municipal actors who are responsible for the management and implementation of early childhood intervention in German communities.During the pandemic, families in high-stress conditions report existential fears and general overstrain. Intrafamilial conflicts seem to increase. Home visits in the context of long-term psychosocial support were initially primarily replaced by phone calls, video calls or other forms of "support from a distance." During the course of the pandemic, many professionals have begun conducting home visiting again, but several elements of support from a distance continue to be used as a supplement.Due to the pandemic-related additional burdens on the families who were accompanied by early childhood intervention, the continuation of support was even more important than it already was. Having been tested by necessity during the pandemic, several formats of support from a distance may have the potential to complement the usual assistance provided by health professionals in early childhood intervention and thus contribute to its quality development push.
截至2020年春季,德国有必要采取限制接触措施以控制严重急性呼吸综合征冠状病毒2(SARS-CoV‑2)病毒的感染发生率。然而,这些限制给家庭带来了特殊挑战,尤其是处于高压力状况下的家庭。本文探讨了新冠疫情如何影响家庭生活,以及幼儿期干预背景下的长期支持能否持续。以下分析基于对有心理社会压力的幼儿母亲的定性研究、对在幼儿期干预中为家庭提供长期支持的卫生专业人员的两项调查,以及对负责德国社区幼儿期干预管理和实施的市政工作人员的一项调查。在疫情期间,处于高压力状况下的家庭报告了生存恐惧和普遍的过度劳累。家庭内部冲突似乎有所增加。长期心理社会支持背景下的家访最初主要被电话、视频通话或其他形式的“远程支持”所取代。在疫情期间,许多专业人员又开始进行家访,但远程支持的几个要素仍被用作补充。由于疫情给接受幼儿期干预的家庭带来了额外负担,支持的持续甚至比以往更加重要。在疫情期间经过必要性检验,几种远程支持形式可能有潜力补充卫生专业人员在幼儿期干预中提供的常规援助,从而推动其质量发展。