Psychological Screening and Nursing of Twin Pregnancy

Study Overview
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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 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 The evaluation indexes included PPS / SAS / SDS, incidence of preterm birth, premature rupture of membranes and blood pressure.

Official Title
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Psychological Screening and Nursing of Twin Pregnancy

Conditions
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Twin; Complicating Pregnancy, Psychology

Intervention / Treatment
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* Other: Guided self help
* Other: Problem solving therapy
* Other: Face to face PST course
* Other: Professional psychological intervention


Participation Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Guided self help<br>Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor. | Other: Guided self help<br>* Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.<br>Other: Problem solving therapy<br>* 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<br>|
| Experimental: Face to face PST course<br>Problem cognition and emotional response guidance | Other: Problem solving therapy<br>* 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<br>Other: Face to face PST course<br>* 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.<br>|
| Experimental: Professional psychological intervention<br>Give the pregnancy woman the professional psychological intervention | Other: Professional psychological intervention<br>* The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancy stress scale Self rating Anxiety Scale Depression self rating scale（PPS/SAS/SDS） | If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild pregnancy stress; If scores are 60-69, it is defined as moderate pressure; If scores are ≥70, it is defined as severe pregnancy stress | pregnancy 6-14 week | 
| Self-rating Anxiety Scale (SAS) | If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild anxiety; If scores are 60-69, it is defined as moderate anxiety; If scores are ≥70, it is defined as severe anxiety. | pregnancy 6-14 week | 
| Self-rating Depression Scale (SDS) | If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild depression; If scores are 60-69, it is defined as moderate depression; If scores are ≥70, it is defined as severe depression | pregnancy 6-14 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-rating Anxiety Scale (SAS) | If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild anxiety; If scores are 60-69, it is defined as moderate anxiety; If scores are ≥70, it is defined as severe anxiety. | 28-37 weeks; after delivery 1 month | 
| Self-rating Depression Scale (SDS) | If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild depression; If scores are 60-69, it is defined as moderate depression; If scores are ≥70, it is defined as severe depression | 28-37 weeks; after delivery 1 month | 
| Pregnancy stress scale | If scores are less than 50, it is defined as normal; If scores are50-59, it is defined as mild pregnancy stress; If scores are 60-69, it is defined as moderate pressure; If scores are ≥70, it is defined as severe pregnancy stress | 28-37 weeks; after delivery 1 month | 
| Gestational age and prolongation of gestational age at delivery | Gestational age at which symptoms of preterm birth occur and gestational age at delivery after treatment | 28-37 weeks; after delivery 1 month | 
| Weight in kilogram of neonate | measured by nurses | At birth of neonate | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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nursing, Twin pregnancy, Psychological screening