Psychological Screening and Nursing of Twin Pregnancy

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Guided self help
  Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.
• Другое Problem solving therapy
  Based on the steps of problem-solving therapy, nurses guide mothers with mild psychological problems to solve the existing problems through wechat and telephone, 10-15 min each time for 4 weeks
• Другое Face to face PST course
  Face to face interviews with nurses with psychological counselors, combined with auxiliary tools, identify patients' problems, set goals for patients, provide different solutions, and let patients choose appropriate ways according to their preferences. Once a week, 1 hour for the first time and 45 min for the rest for 5 weeks.
• Другое Professional psychological intervention
  The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing

Первичные конечные точки

• Pregnancy stress scale Self rating Anxiety Scale Depression self rating scale（PPS/SAS/SDS） [Срок оценки: pregnancy 6-14 week]
• Self-rating Anxiety Scale (SAS) [Срок оценки: pregnancy 6-14 week]
• Self-rating Depression Scale (SDS) [Срок оценки: pregnancy 6-14 week]

Вторичные конечные точки (5)

• Self-rating Anxiety Scale (SAS) [Срок оценки: 28-37 weeks; after delivery 1 month]
• Self-rating Depression Scale (SDS) [Срок оценки: 28-37 weeks; after delivery 1 month]
• Pregnancy stress scale [Срок оценки: 28-37 weeks; after delivery 1 month]
• Gestational age and prolongation of gestational age at delivery [Срок оценки: 28-37 weeks; after delivery 1 month]
• Weight in kilogram of neonate [Срок оценки: At birth of neonate]

Критерии участия

Критерии включения

• 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

Критерии исключения

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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Китай · 1 центр

• Shengjing Hospital Affiliated to China Medical University — Шэньян

Идентификаторы

NCT: NCT05182541 · PST in TP

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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