Inanspruchnahme medizinischer und paramedizinischer Versorgung bei Säuglingen mit exzessivem Schreien: Querschnittsanalyse und Eltern-Survey

Zusammenfassung

Hintergrund Bei Säuglingen kann es zu exzessiven Schreiphasen kommen, welche diese, deren Familien und das Gesundheitssystem erheblich belasten.

Ziel der Arbeit Ziel war zu untersuchen, wie häufig Eltern von Säuglingen mit exzessivem Schreien Hilfe im medizinischen und/oder paramedizinischen Versorgungssystem suchen und welche Maßnahmen verordnet werden.

Material und Methoden Die KUNO-Kids Studie bildete die Grundlage. Familien erhielten 4-Wochen nach Geburt ihres Kindes einen Fragebogen, mit dem exzessives Schreien (nach modifizierten Wessel-Kriterien) gescreent wurde. Familien, die für ihr Kind exzessives Schreien angaben, bearbeiteten einen zusätzlichen Bogen zur Symptomatik/ Umgang mit dem exzessiven Schreien sowie zur Inanspruchnahme verschiedener Leistungen. Die Daten wurden mittels deskriptiver Statistik ausgewertet.

Ergebnisse Für 238 Säuglinge lagen Fragebögen zum exzessiven Schreien vor, 105 hiervon erfüllten die modifizierten Wessel-Kriterien. 37 Kinder (36%) wurden wegen Weinens bzw. Quengelns Kinderärzten/-innen vorgestellt. 57 (55%) bekamen daraufhin Medikamente empfohlen. 51 (49%) der Eltern gaben an, alternative Therapien in Anspruch genommen zu haben, am häufigsten Osteopathie. 45 (43%) Eltern reagierten mit der Umstellung der Ernährung des Kindes bzw. der Eigenen.

Diskussion Unsere Ergebnisse zeigen u. a. Probleme der Eltern im Umgang mit dem exzessiven Schreien der Kinder auf. Es entsteht ein erhöhter Betreuungsbedarf, der sich z. B. in häufiger Inanspruchnahme von Kinderärzten/-innen und alternativen Therapien zeigt. Es werden verschiedene Diagnosen für das Schreien genannt, verfügbare Optionen wie simeticonhaltige Arzneimittel, homöopathische und manuelle Therapien werden trotz fehlender Evidenz verordnet.

Abstract

Background Infants can present in the first year of life with excessive, recurrent crying without an apparent illness or failure to thrive. The excessive crying results in a wide variety of problems for infants, parents and health care service.

Objectives This study aimed at evaluating how often parents of children with excessive crying seek help in the medical and paramedical health care system and which therapies are prescribed.

Materials and methods This study uses data collected within KUNO Kids health study. Families who participated completed questionnaires 4 weeks after birth and answered questions which screened for excessive crying. Families whose child was screened positive completed an additional questionnaire on symptoms, parental management and health care utilization. Data were analysed using descriptive statistics.

Results We received 238 questionnaires from children with excessive crying, 105 fulfilled the modified Wessel criteria. Of these 37 children (36%) were seen by a pediatrician because of crying. 57 (55%) received medications by the pediatrician. 51 (49%) of the parents specified that they also used paramedical therapies due to crying or whining, most often osteopathy. 45 (43%) adapted their own nutrition or their child’s nutrition.

Conclusions Our study shows that parents experience problems in dealing excessive crying. Frequent consultations with pediatricians or use of paramedical therapies are common, demanding additional resources. The parents received different diagnoses for excessive crying. Available drugs like Simeticon, homeopathy or manual therapy are recommended and applied despite largely missing evidence.

Schlüsselwörter

Exzessives Schreien - Koliken - Inanspruchnahme Gesundheitssystem - Säuglinge

Key words

excessive crying - colic - infants - help in medical and paramedical system

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