Psychological Screening and Nursing of Twin Pregnancy

NCT ID: NCT05182541

Last Updated: 2022-01-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2026-12-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Twin; Complicating Pregnancy Psychology

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Guided self help

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

Group Type EXPERIMENTAL

Guided self help

Intervention Type OTHER

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

Problem solving therapy

Intervention Type OTHER

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

Face to face PST course

Problem cognition and emotional response guidance

Group Type EXPERIMENTAL

Problem solving therapy

Intervention Type OTHER

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

Face to face PST course

Intervention Type OTHER

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.

Professional psychological intervention

Give the pregnancy woman the professional psychological intervention

Group Type EXPERIMENTAL

Professional psychological intervention

Intervention Type OTHER

The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing

Interventions

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Guided self help

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

Intervention Type OTHER

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

Intervention Type OTHER

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.

Intervention Type OTHER

Professional psychological intervention

The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing

Intervention Type OTHER

Eligibility Criteria

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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)
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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China Medical University, China

OTHER

Sponsor Role collaborator

Shengjing Hospital

OTHER

Sponsor Role lead

Responsible Party

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Caixia Liu

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shengjing Hospital Affiliated to China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Cunling Xia, Master

Role: CONTACT

18940251368

Caixia Liu, Master

Role: CONTACT

18940251716

Facility Contacts

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Tong Jing, undergraduate

Role: primary

18940259117

Other Identifiers

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PST in TP

Identifier Type: -

Identifier Source: org_study_id

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