Yuan Rui-Fang, Jiang Mei-Qin, Li Juan, Zhang Jing-Jing
Department of Gynecology and Obstetrics, Jiangyin People's Hospital, Jiangyin 214400, Jiangsu Province, China.
Department of Gynecology, The Fifth People's Hospital of Wuxi, Wuxi 214000, Jiangsu Province, China.
World J Psychiatry. 2024 Jun 19;14(6):945-953. doi: 10.5498/wjp.v14.i6.945.
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.
To explore the state of mind and coping style of women with depression after cesarean delivery guided by SOR theory.
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.
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 ( < 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 ( < 0.05).
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.
采用以刺激-机体-反应（SOR）理论为指导的问题解决模式，对剖宫产术后产后抑郁的女性进行护理，可能会为产后抑郁女性的护理干预提供参考。
探讨以SOR理论为指导的剖宫产术后抑郁女性的心理状态及应对方式。
选取2022年1月至2023年10月入院的80例剖宫产术后抑郁女性，按照随机数字表法分为两组，每组40例。对照组采用常规护理，观察组采用SOR理论下的问题解决护理模式。两组连续干预12周，干预结束后分析心理状态、应对方式及产后抑郁程度。
护理后观察组爱丁堡产后抑郁量表及汉密尔顿抑郁量表24项评分低于对照组，心理状态改善水平高于对照组（P<0.05）。护理后观察组应对疾病水平（26.48±3.35）高于对照组（21.73±3.20），回避水平（12.04±2.68）及屈服水平（8.14±1.15）低于对照组（15.75±2.69和9.95±1.20），差异有统计学意义（P<0.05）。
对剖宫产术后产后抑郁的母亲采用SOR理论下的问题解决护理模式，可降低产妇抑郁程度，改善其心理状态及应对疾病水平。
