Psychological Screening and Nursing of Twin Pregnancy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-50
SponsorShengjing Hospital
About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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).
Disqualifiers
Pregnancy complicated with severe physical diseases;
Drop out of this study due to various reasons (including abortion, unwilling to participate in this study)
Trial design
Design model
Parallel
Treatments tested in this trial
Guided self help
Other interventionIntroduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.
Problem solving therapy
Other interventionBased 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
Other interventionFace 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
Other interventionThe mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing
Treatment groups
100 Participants
are divided into 3 treatment groupsGroup A: Guided self helpExperimental treatment 2 interventions
Group B: Face to face PST courseExperimental treatment 2 interventions
Group C: Professional psychological interventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
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
Time frame
pregnancy 6-14 week2
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.
Time frame
pregnancy 6-14 week3
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
Time frame
pregnancy 6-14 weekSecondary outcomes
1
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.
Time frame
28-37 weeks; after delivery 1 month2
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
Time frame
28-37 weeks; after delivery 1 month3
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
Time frame
28-37 weeks; after delivery 1 month4
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
Time frame
28-37 weeks; after delivery 1 monthSponsors and contacts
Click on the lead sponsor to view all of their trials.
Shengjing Hospital
Lead sponsor
China Medical University, China
Collaborator
Source ClinicalTrials.gov