Psychological Screening and Nursing of Twin Pregnancy

Not Applicable

Recruiting

• Conditions: Twin; Complicating Pregnancy; Psychology
• Interventions: Other: Guided self help; Other: Problem solving therapy; Other: Professional psychological intervention; Other: Face to face PST course

• Registration Number: NCT05182541
• Lead Sponsor: Shengjing Hospital

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.

Study Timeline

• Study Start: 2021-03-01
• Study First Submitted: 2021-06-27
• Study First Submitted QC: 2021-12-20
• Status Verified: 2022-01
• Study First Posted: 2022-01-10
• Last Update Submitted: 2022-01-17
• Last Update Posted: 2022-01-19
• Primary Completion: 2026-07-01
• Study Completion: 2026-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 100

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)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Face to face PST course	Face to face PST course	Problem cognition and emotional response guidance
Guided self help	Guided self help	Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.
Face to face PST course	Problem solving therapy	Problem cognition and emotional response guidance
Professional psychological intervention	Professional psychological intervention	Give the pregnancy woman the professional psychological intervention
Guided self help	Problem solving therapy	Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.

Primary Outcome Measures

Name	Time	Method
Self-rating Anxiety Scale (SAS)	pregnancy 6-14 week	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 stress scale Self rating Anxiety Scale Depression self rating scale（PPS/SAS/SDS）	pregnancy 6-14 week	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
Self-rating Depression Scale (SDS)	pregnancy 6-14 week	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

Secondary Outcome Measures

Name	Time	Method
Gestational age and prolongation of gestational age at delivery	28-37 weeks; after delivery 1 month	Gestational age at which symptoms of preterm birth occur and gestational age at delivery after treatment
Self-rating Anxiety Scale (SAS)	28-37 weeks; after delivery 1 month	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.
Self-rating Depression Scale (SDS)	28-37 weeks; after delivery 1 month	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 stress scale	28-37 weeks; after delivery 1 month	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
Weight in kilogram of neonate	At birth of neonate	measured by nurses

Trial Locations

Locations (1)

Shengjing Hospital Affiliated to China Medical University; 🇨🇳 Shenyang, Liaoning, China