Psychological Screening and Nursing of Twin Pregnancy

China Medical University

Status: Enrolling

Conditions: Twin; Complicating Pregnancy; Psychology

Treatments: Other: Problem solving therapy; Other: Guided self help; Other: Professional psychological intervention; Other: Face to face PST course

Study type: Interventional

Funder types: Other

Identifiers

NCT05182541

PST in TP

Details and patient eligibility

About

Objectives This research will screen the psychological problems of twin pregnant women step by step and detect early and treat early in order to reduce the incidence of mental diseases and promote the health of mother and baby.

Full description

Method Twin pregnant women recruited for the study.The two groups were given routine treatment and nursing measures. The trained group members were given routine psychological care to the control group, while the intervention group was given step-by-step psychological care at the same time.

Evaluate the effect

1. Evaluation methods include process evaluation and result evaluation. Process assessment means that the researchers use the pregnancy stress scale, self rating depression scale and self rating anxiety scale to assess the stress, anxiety and depression of patients at different stages, and make intervention decisions according to the score results; Results evaluation means that if the intervention is effective at a certain stage, the researcher can use it again
2. The evaluation indexes included PPS / SAS / SDS, incidence of preterm birth, premature rupture of membranes and blood pressure.

Enrollment: 100 estimated patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of intrauterine twin pregnancy.
• The patients whose psychological screening scale score reached the critical value (pregnancy stress scale >50 and/or Self rating depression scale ≥ 40 and/or The self rating Anxiety Scale (SAS) was more than 50.
• The outpatient department of the research hospital was established and antenatal examination was carried out regularly.
• No mental and communication disorders (including depression and other mental diseases).
• Voluntary participation in this study

Exclusion criteria

• Pregnancy complicated with severe physical diseases;
• Drop out of this study due to various reasons (including abortion, unwilling to participate in this study)

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 3 patient groups

Guided self help

Experimental group

Description:

Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.

Treatment:

Other: Problem solving therapy

Other: Guided self help

Face to face PST course

Experimental group

Description:

Problem cognition and emotional response guidance

Treatment:

Other: Problem solving therapy

Other: Face to face PST course

Professional psychological intervention

Experimental group

Description:

Give the pregnancy woman the professional psychological intervention

Treatment:

Other: Professional psychological intervention