The Impact of Interaction Standard Theory-Based Multi-Care on Postpartum Recovery, Coping Styles, Psychological Distress, and Quality of Life in Women with Postpartum Hemorrhage

Feifei Meng,1,* Yufan Yuan,2,* Xingxing Lv3 1Department of Public Health, Shijiazhuang Obstetrics and Gynecology Hospital, Shijiazhuang, Hebei, People’s Republic of China; 2Department of Nursing, Shijiazhuang Obstetrics and Gynecology Hospital, Shijiazhuang, Hebei, People’s Republic of China; 3Department of Obstetrics, Shijiazhuang Obstetrics and Gynecology Hospital, Shijiazhuang, Hebei, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xingxing Lv, Department of Obstetrics, Shijiazhuang Obstetrics and Gynecology Hospital, No. 16 Tangu North Street, Changan District, Shijiazhuang, Hebei, 050000, People’s Republic of China, Tel +86-0311-89927507, Email [email protected]:  This study explores the impact of an interaction standard theory-based multi-care program on postpartum recovery, coping styles, psychological distress, and quality of life in women experiencing postpartum hemorrhage (PPH).Methods:  A total of 110 women with PPH admitted to our hospital from October 2023 to October 2024 were analyzed. They were divided into a study group (n = 55, receiving the interaction standard theory-based multi-care program, integrating structured nurse-patient communication (based on King’s and Satir’s models) for collaborative planning of cognitive, psychological, behavioral, and dietary support) and a control group (n = 55, receiving conventional nursing intervention). Coping styles (Simplified Coping Style Questionnaire), psychological distress (Hamilton Depression/Anxiety Rating Scales - HAMD/HAMA), and quality of life (WHOQOL-BREF) were compared pre-intervention (1 day) and post-intervention (2 weeks). Postpartum recovery indicators (lochia duration, lactation onset, uterine involution, hospital stay) and nursing satisfaction were also analyzed.Results:  Pre-intervention, no significant group differences existed in coping or psychological scores (P > 0.05). Post-intervention (2 weeks), the study group showed significantly lower negative coping, higher positive coping, and lower HAMD/HAMA scores compared to controls (P < 0.05). The study group also had significantly shorter lochia duration, earlier lactation onset, quicker uterine involution, shorter hospital stays (P < 0.05), and higher quality of life scores (P < 0.05). Nursing satisfaction was significantly higher in the study group (P < 0.05).Conclusion:  The interaction standard theory-based multi-care program effectively promotes postpartum recovery, enhances adaptive coping, reduces psychological distress, and improves quality of life in women with PPH. This intervention demonstrates considerable clinical value.Keywords: interaction standard theory-based multi-care, postpartum hemorrhage, postpartum recovery, quality of life, coping styles, psychological distress