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| Name | Class |
|---|---|
| China Medical University, China | OTHER |
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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Guided self help | Experimental | Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor. |
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| Face to face PST course | Experimental | Problem cognition and emotional response guidance |
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| Professional psychological intervention | Experimental | Give the pregnancy woman the professional psychological intervention |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Guided self help | Other | Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor. |
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| 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 |
| 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cunling Xia, Master | Contact | 18940251368 | 18940251368@163.com | |
| Caixia Liu, Master | Contact | 18940251716 | Liucx1716@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shengjing Hospital Affiliated to China Medical University | Recruiting | Shenyang | Liaoning | 110004 | China |
Research results and conclusions
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| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| ID | Term |
|---|---|
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Problem solving therapy | 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 |
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| Face to face PST course | 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. |
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| Professional psychological intervention | Other | The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing |
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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 |