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| Effects of the special intervention based on Meleis transfer theory on the hospital discharge preparation of women with hypertensive diseases during pregnancy |
| Rugao People's Hospital, Rugao, Jiangsu Province, 226500 |
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Abstract To explore the effects of the special intervention based on Meleis transfer theory on the hospital discharge preparation of pregnant women with hypertensive diseases during pregnancy (HDP). Methods: By the random number table, 150 pregnant women with HDP admitted to the hospital were divided into control group (n=75) and experimental group (n=75) from October 2022 to October 2023. The women in the control group received the routine obstetric care, and the women in the experimental group received the special intervention based on Meleis transfer theory. The discharge readiness, the discharge guidance quality, the self-efficacy and the adverse maternal and infant outcomes of the women were compared between the two groups. Results: The scores of the all dimensionalities of the discharge readiness of the women in the experimental group after intervention, such as the self-condition (15.67±4.87 points), the coping ability (19.80±3.16 points), the disease cognition (19.80±3.16 points) and the social support (15.98±4.36 points), were significantly higher than those (7.10±2.33 points, 5.20± 1.85 points, 9.10±2.47 points and 7.26±3.08 points) of the women in the control group. The scores of the all dimensionalities of the discharge guidance quality of the women in the experimental group, such as the content needed (12.69±3.12 points), the content obtained (14.05±2.11 points) and the guidance effect (13.96±5.01 points), were significantly higher than those (5.10±1.69 points, 4.20±0.89 points and 7.26±2.28 points) of the women in the control group. The scores of the all dimensionalities of the self-efficacy of the women in the experimental group, such as stress resilience (21.88±2.36 points), positive attitude (23.41±4.05 points) and decision-making (18.71±4.01 points), were significantly higher than those (15.28±1.86 points, 12.98±3.87 points and 13.40±2.87 points) of the women in the control group. The incidence of the adverse maternal and infant outcomes (1.3%) in the experimental group was significantly lower than that (9.3%) in the control group (all P<0.05). Conclusion: The special intervention based on Meleis transfer theory for the pregnant women with HDP can effectively improve their hospital readiness and self-efficacy, and which also can improve the maternal and infant outcomes.
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