Clinical trial NCT05182541: Psychological Screening and Nursing of Twin Pregnancy
Official title: Psychological Screening and Nursing of Twin Pregnancy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Twin; Complicating Pregnancy
Psychology
Keywords: Twin pregnancy
Psychological screening
nursing
Lead sponsor: Shengjing Hospital
Sponsor class: OTHER
Collaborators: name: China Medical University, China
First posted: 2022-01-10
Enrollment: 100
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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)

Primary outcomes:
measure: Pregnancy stress scale Self rating Anxiety Scale Depression self rating scale（PPS/SAS/SDS）
timeFrame: pregnancy 6-14 week
measure: Self-rating Anxiety Scale (SAS)
timeFrame: pregnancy 6-14 week
measure: Self-rating Depression Scale (SDS)
timeFrame: pregnancy 6-14 week
Secondary outcomes:
measure: Self-rating Anxiety Scale (SAS)
timeFrame: 28-37 weeks; after delivery 1 month
measure: Self-rating Depression Scale (SDS)
timeFrame: 28-37 weeks; after delivery 1 month
measure: Pregnancy stress scale
timeFrame: 28-37 weeks; after delivery 1 month
measure: Gestational age and prolongation of gestational age at delivery
timeFrame: 28-37 weeks; after delivery 1 month
measure: Weight in kilogram of neonate
timeFrame: At birth of neonate
Other outcomes:
Locations:
city: Shenyang
country: China
facility: Shengjing Hospital Affiliated to China Medical University
state: Liaoning
Study officials:
References: