基于Meleis过渡理论的移动健康管理方案在妊娠期糖尿病孕妇分娩准备中的应用OA

Objective To explore the effect of a mobile health management program based on Meleis transition theory on improving childbirth readiness among pregnant women with gestational diabetes mellitus.Methods The study selected pregnant women with gestational diabetes mellitus who were registered at a ter-tiary grade A hospital in Chongqing from December 2023 to December 2024 as the research subjects.Based on the registration time,they were divided into a control group and an observation group,with 50 cases in each group.The control group received management according to the routine care protocol for gestational diabetes mellitus.The preg-nant women in the observation group,on the basis of routine management,were incorporated into a mobile health management system and received mobile health management based on Meleis transition theory.Relevant indicators,including childbirth readiness,fasting blood glucose,glycated hemoglobin,anxiety and depression scores,and delivery outcomes,were compared between the two groups before and after the intervention.Results After intervention,the childbirth readiness score of pregnant women in the observation group was higher than that in the control group,while the fasting blood glucose,HbA1c,anxiety,and depression scores were lower than those in the control group,with the differences being statistically significant(P<0.05).The rate of vaginal delivery in the obser-vation group(91.4%)was higher than that in the control group(76.0%),and the difference was statistically significant(P<0.05).Conclusion Based on Meleis transition theory,the mobile health management program can enhance the delivery readiness of patients with gestational diabetes mellitus,alleviate their anxiety and de-pression,improve their blood glucose status,and contribute to safe delivery.