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The study will be conducted to determine the effect of showing fetal images to high-risk pregnant women on pregnancy stress and sleep quality.
The study was conducted at Adana City Training and Research Hospital between November 2024 and May 2025 using a randomized controlled, interventional design. The sample of the study consisted of 35 intervention and 35 control group participants, totaling 70 individuals. Data were collected using the Personal Information Form, the Pregnancy Stress Rating Scale (PSRS-36) and the Richard-Campbell Sleep Scale. The intervention group was shown fetal images three times a day for two days; the control group received no intervention. The collected data were analyzed by comparing the pre-test and post-test scores. The data obtained from the study will be evaluated using SPSS IBM 24.0 package program in computer environment.
Research Hypotheses:
In the intervention and control groups; H0-1: Showing fetal images to high-risk pregnant women has no effect on pregnancy stress.
H0-2: Showing fetal images to high-risk pregnant women has no effect on sleep quality.
H1-1: Showing fetal images to high-risk pregnant women has an effect on pregnancy stress.
H1-2: Showing fetal images to high-risk pregnant women has an effect on sleep quality.
This study was supported by the Scientific Research Projects Coordination Unit (BAP) of Çukurova University, Project Code: [TYL-2025-17328].
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group (Fetal images were shown.) | Experimental | The video containing fetal images will be shown to participants in the intervention group. Support will be obtained from the clinical doctor in preparing this video. At the clinic, each pregnant woman will have a video of her own fetus recorded using an ultrasound device in the examination room, and each pregnant woman will watch the video containing her own fetal images. |
|
| Control Group | No Intervention | The researcher will not intervene with the pregnant women in the control group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Showing fetal images | Other | High-risk pregnant women in the intervention group were shown fetal images three times a day for two days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The effect of showing fetal images to high-risk pregnant women on pregnancy stress | Pregnancy Stress Rating Scale; The scale is a 5-Likert type. The degree of anxiety, distress, and worry experienced by pregnant women is rated as "definitely no," "mild," "moderate," "severe," or "very severe," and scores range from 0 to 4. Perceived stress levels during pregnancy range from a minimum of 0 to a maximum of 144 points. Higher scores on the scale indicate increased stress. | Three times a day for two days |
| The effect of showing fetal images to high-risk pregnant women on sleep quality | Richard-Campbell Sleep Scale; The scale consists of 6 items. Each item is rated on a visual analog scale ranging from 0 to 100. A score between "0-25" on the scale indicates very poor sleep, while a score between "76-100" indicates very good sleep. The total scale score is evaluated based on 5 items; the 6th item, which assesses the noise level in the environment, is excluded from the total score evaluation. As the scale score increases, patients' sleep quality improves. | Three times a day for two days |
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Inclusion Criteria:
Exclusion Criteria:
This study only covers women with high-risk pregnancies.
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| Name | Affiliation | Role |
|---|---|---|
| EVŞEN NAZİK, Professor | Çukurova University Faculty of Health Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Adana City Training and Research Hospital | Adana | Turkey (Türkiye) |
To protect participant confidentiality and ensure ethical compliance, individual participant data will not be shared.
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| D001523 |
| Mental Disorders |