Impact and Significance of the Roy Adaptation Model on Postpartum Recovery in Primiparous Women After Vaginal Delivery.

OBJECTIVE

To assess the impact of Roy Adaptation Model (RAM)-based nursing on postpartum recovery in primiparous women after vaginal delivery.

METHODS

258 primiparous women were randomly assigned using a computer-generated random sequence to a control group (routine nursing, n = 133) or an intervention group (routine nursing plus RAM interventions, n = 125) for 8 weeks. Outcomes included pelvic floor function (PFDI-20, nocturia frequency, vaginal dynamic pressure), pelvic floor muscle strength (vaginal contraction duration, contraction/resting EMG values), psychological status (SAS, SDS, EPDS), quality of life (QOL), and complications.

RESULTS

Compared to the control group, the intervention group demonstrated significantly higher vaginal dynamic pressure, vaginal contraction duration, contraction EMG values, and resting EMG values (all p < 0.05). They also showed significantly lower nocturia frequency, PFDI-20 scores, breast swelling/pain scores, shorter lochia resolution and uterine involution times, and reduced incidences of stress urinary incontinence, pelvic organ prolapse, and sexual dysfunction (all p < 0.05). SAS, SDS, and EPDS scores were significantly lower (p < 0.05), while QOL scores were significantly higher (p < 0.05) in the intervention group.

CONCLUSION

RAM-based nursing promotes postpartum physical recovery, alleviates psychological distress, and enhances quality of life in primiparous women after vaginal delivery.