Randomized Clinical Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jun 19, 2024; 14(6): 945-953
Published online Jun 19, 2024. doi: 10.5498/wjp.v14.i6.945
Problem-solving model guided by stimulus-organism-response theory: State of mind and coping styles of depressed mothers after cesarean delivery
Rui-Fang Yuan, Mei-Qin Jiang, Juan Li, Jing-Jing Zhang
Rui-Fang Yuan, Mei-Qin Jiang, Department of Gynecology and Obstetrics, Jiangyin People's Hospital, Jiangyin 214400, Jiangsu Province, China
Juan Li, Department of Gynecology, The Fifth People's Hospital of Wuxi, Wuxi 214000, Jiangsu Province, China
Jing-Jing Zhang, Obstetrics and Gynecology Ward II, Jiangnan University Affiliated Hospital, Wuxi 214131, Jiangsu Province, China
Co-first authors: Rui-Fang Yuan and Mei-Qin Jiang.
Co-corresponding authors: Juan Li and Jing-Jing Zhang.
Author contributions: Yuan RF and Jiang MQ designed the research study; Yuan RF, Jiang MQ, Li J, Zhang JJ performed the research; Yuan RF, Jiang MQ, Li J, Zhang JJ contributed new reagents and analytical tools; Yuan RF and Jiang MQ analyzed the data and wrote the manuscript. All authors have read and approved the final version of the manuscript. Two co-first authors (Yuan RF, and Jiang MQ) and two co-correspondents (Li J and Zhang JJ) made equal contributions for several reasons: Equal research work: Yuan RF, and Jiang MQ undertake the work of equal importance and workload in the research project. Similar professional knowledge contribution: They each relied on their professional knowledge and contributed the same amount of strength to the success of the research; Cooperation and collaboration: In the entire research process, Yuan RF, and Jiang MQ presented close cooperation and collaboration, and jointly promoted the progress of the research; In the dimension of research design and planning, Li J and Zhang JJ jointly participated in the formulation of the research plan, including the clarification of research objectives, the selection of methods, and the design of the experimental process. They jointly discussed and determined the most suitable research plan. As for data collection and analysis, the two equally undertake the task of collecting data to ensure the accuracy and integrity of the data. During the data analysis, they jointly interpreted the data to ensure the reliability of the results; In the stage of result interpretation and discussion, Yuan RF and Jiang MQ participated in the interpretation and discussion of the results together, and deeply explored the meaning and impact of the research findings. In the process of writing and revising the paper, they worked together and carefully wrote each section of the paper. Li J and Zhang JJ also participated in it, providing valuable opinions and suggestions, and jointly improved the content and structure of the paper.
Institutional review board statement: The study was reviewed and approved by the (Jiangyin People's Hospital) Institutional Review Board.
Clinical trial registration statement: The study was registered at the Clinical Trial Center with registration number: researchregistry10266.
Informed consent statement: All study participants and their legal guardians provide informed written consent before the study recruitment.
Conflict-of-interest statement: Dr. Li has nothing to disclose.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Juan Li, MNurs, Nurse, Department of Gynecology, The Fifth People's Hospital of Wuxi, No. 1215 Guangrui Road, Wuxi 214000, Jiangsu Province, China.ljhyhb@163.com
Received: April 10, 2024
Revised: May 6, 2024
Accepted: May 24, 2024
Published online: June 19, 2024
Processing time: 70 Days and 0.8 Hours
Abstract
BACKGROUND

The use of a problem-solving model guided by stimulus-organism-response (SOR) theory for women with postpartum depression after cesarean delivery may inform nursing interventions for women with postpartum depression.

AIM

To explore the state of mind and coping style of women with depression after cesarean delivery guided by SOR theory.

METHODS

Eighty postpartum depressed women with cesarean delivery admitted to the hospital between January 2022 and October 2023 were selected and divided into two groups of 40 cases each, according to the random number table method. In the control group, the observation group adopted the problem-solving nursing model under SOR theory. The two groups were consecutively intervened for 12 weeks, and the state of mind, coping styles, and degree of post-partum depression were analyzed at the end of the intervention.

RESULTS

The Edinburgh Postnatal Depression Scale and Hamilton Depression Scale-24-item scores of the observation group were lower than in the control group after care, and the level of improvement in the state of mind was higher than that of the control group (P < 0.05). The level of coping with illness in the observation group after care (26.48 ± 3.35) was higher than that in the control group (21.73 ± 3.20), and the level of avoidance (12.04 ± 2.68) and submission (8.14 ± 1.15) was lower than that in the control group (15.75 ± 2.69 and 9.95 ± 1.20), with significant differences (P < 0.05).

CONCLUSION

Adopting the problem-solving nursing model using SOR theory for postpartum depressed mothers after cesarean delivery reduced maternal depression, improved their state of mind, and coping level with illness.

Keywords: Stimulus-organism-response theory; Problem solving model; Cesarean section; Postpartum depression

Core Tip: Reasonable and effective nursing interventions play a pivotal role in alleviating an individual's psychological burden and elevating their overall state of mind. This is particularly crucial for postpartum mothers who are suffering from depression after undergoing a cesarean delivery, as it can significantly contribute to their emotional recovery and well-being.