Volume 23 Issue 2
Feb.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(2): 198-202
WANG Fengying, ZHANG Chong, YIN Zongzhi, JIANG Nan, QIAN Yue, ZHAO Baojing, SI Fangyuan. Application of interprofessional shared decision-making model for twin pregnancy[J]. Chinese Journal of General Practice, 2025, 23(2): 198-202. doi: 10.16766/j.cnki.issn.1674-4152.003866
Citation: WANG Fengying, ZHANG Chong, YIN Zongzhi, JIANG Nan, QIAN Yue, ZHAO Baojing, SI Fangyuan. Application of interprofessional shared decision-making model for twin pregnancy[J]. Chinese Journal of General Practice, 2025, 23(2): 198-202. doi: 10.16766/j.cnki.issn.1674-4152.003866
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Application of interprofessional shared decision-making model for twin pregnancy

doi: 10.16766/j.cnki.issn.1674-4152.003866

  • The Second Ward of Obstetrics, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 2023YFC2705904

 2021xkj281

  • Received Date: 2024-05-31
    Available Online: 2025-03-27
    Abstract
  •   Objective  To explore the effectiveness of interprofessional shared decision-making model for pregnant women with twins and to provide reference for promoting shared decision-making in clinical practice.  Methods  A total of 108 cases of pregnant women with twins in the Second Ward of Obstetrics, the First Affiliated Hospital of Anhui Medical University were selected as research objects and divided into a control group and an observation group randomly, with 54 cases in each group. The control group was guided by conventional intervention methods during pregnancy, while the observation group participated in the interprofessional shared decision-making model in addition to the standard care. The adverse outcomes of perinatal infants, level of participation in clinical decision-making, satisfaction with medical decisionmaking, and hospital anxiety and depression were compared between the two groups.  Results  After the intervention, the incidence of inconsistent twin growth, low birth weight, and hypoglycemia showed significant differences between the two groups (P < 0. 05). The SDM-Q-9 scores were significantly higher in the observation group (40. 50±6. 25) than in the group (25. 24±4. 18, P < 0. 001). The satisfaction score of medical decision-making participation in the observation group was also significantly higher, with a score of 68. 17±9. 50 compared to 45. 83±11. 38 in the control group (P < 0. 001). The hospital anxiety and depression scores were significantly lower in the observation group [3. 00(2. 00, 4. 00)] compared to the control group [7. 00(6. 00, 8. 00), P < 0. 001].  Conclusion  Participation in the interprofessional shared decision-making model can improve perinatal adverse outcomes, increase participation in clinical decision-making and satisfaction in medical decisions, and reduce anxiety and depression in pregnant women.

     

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