{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:09:12Z","timestamp":1774325352579,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To assess the impact of Roy Adaptation Model (RAM)\u2010based nursing on postpartum recovery in primiparous women after vaginal delivery.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n 258 primiparous women were randomly assigned using a computer\u2010generated random sequence to a control group (routine nursing,\n n<\/jats:italic>\n \u2009=\u2009133) or an intervention group (routine nursing plus RAM interventions,\n n<\/jats:italic>\n \u2009=\u2009125) for 8\u2009weeks. Outcomes included pelvic floor function (PFDI\u201020, 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.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 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\n p<\/jats:italic>\n \u2009<\u20090.05). They also showed significantly lower nocturia frequency, PFDI\u201020 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\n p<\/jats:italic>\n \u2009<\u20090.05). SAS, SDS, and EPDS scores were significantly lower (\n p<\/jats:italic>\n \u2009<\u20090.05), while QOL scores were significantly higher (\n p<\/jats:italic>\n \u2009<\u20090.05) in the intervention group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n RAM\u2010based nursing promotes postpartum physical recovery, alleviates psychological distress, and enhances quality of life in primiparous women after vaginal delivery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jog.70247","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T01:22:55Z","timestamp":1773883375000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact and Significance of the Roy Adaptation Model on Postpartum Recovery in Primiparous Women After Vaginal Delivery"],"prefix":"10.1111","volume":"52","author":[{"given":"Yi","family":"Zhang","sequence":"first","affiliation":[{"name":"Wushan County Maternal and Child Health Hospital Tianshui City Gansu Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6221-0801","authenticated-orcid":false,"given":"Huiling","family":"Huang","sequence":"additional","affiliation":[{"name":"Geriatrics Department Ganzhou People's Hospital Ganzhou City Jiangxi Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"issue":"6","key":"e_1_2_13_2_1","first-page":"7249","article-title":"The Effect of Continuous Midwifery Services on the Delivery Mode, Labor Progress, and Nursing Satisfaction of Primiparas During Natural Deliveries","volume":"13","author":"Zhang Y.","year":"2021","journal-title":"American Journal of Translational Research"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.05.011"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v13.i8.543"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06843-y"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57040387"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20210117"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02160-2"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-485"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1826"},{"issue":"1","key":"e_1_2_13_11_1","first-page":"e426","article-title":"Postpartum Mental Health in First\u2010Time Mothers: A Cohort Study","volume":"10","author":"Abdollahi F.","year":"2016","journal-title":"Iran Journal of Psychiatry and Behavioral Sciences"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2022.101665"},{"issue":"8","key":"e_1_2_13_13_1","first-page":"5520","article-title":"Roy Adaptation Model\u2010Based Nursing Diagnosis and Implementation Reduces the Sense of Shame and Enhances Nursing Outcomes in Female Patients With Breast Cancer","volume":"14","author":"Zheng L.","year":"2022","journal-title":"American Journal of Translational Research"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-2803"},{"issue":"1","key":"e_1_2_13_15_1","first-page":"1317","article-title":"Effect of Ratu Model\u2010Based Postpartum Blues Family Care on Primiparous Women's Postpartum Depression: A Quasi\u2010Experimental Design","volume":"15","author":"Mohamed T. 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