以計畫理論為基礎的孕期體重管理行動健康應用程式之發展

Development of Theory-Based Mobile Health Application Planning in Weight Management during Pregnancy

10.29494/LN.202303_24(1).0003

胡雅玲(Ya-Ling Hu)；簡莉盈(Li-Yin Chien)；周承珍(Cheng-Chen Chou)；劉影梅(Yiing-Mei Liou)

孕期體重增加 ； 體重管理 ； 行動健康應用程式 ； pregnancy weight gain ； weight management ； mobile health app

領導護理

24卷1期（2023 / 03 / 01）

22 - 34

繁體中文;英文

適當增重是孕期重要的健康議題，孕期體重過輕或過重都會直接影響母體及胎兒健康。從懷孕初期就應做好體重管理，達成合宜的孕期體重增加量。運用計畫行為理論，透過行為態度、主觀規範及知覺行為控制，提高孕婦於孕期健康增重之行為意圖，促進執行體重管理的行為，以達成合宜的孕期體重增加量。資訊科技能讓孕婦的體重管理不受時空的限制，提供即時性及可近性的服務，掌握即時健康資訊，促進孕期健康增重效能與管理成效，因此，本文收集台灣婦女孕期體重建議量；運用計畫行為理論發展出孕期體重管理之應用；建置電子健康與行動健康應用程式，包含：測量體重提醒、孕期體重曲線圖、孕期體重週報表警示、衛教諮詢、體重異常警示、孕期問題資料庫、家庭成員共享、獎勵區、意見交流區。以增進母嬰健康，達成個人化精準照護。

Appropriate weight gain is a significant health issue during pregnancy, being underweight or overweight during pregnancy will affect the health of both the mother and fetus directly. Weight management from the early stages of pregnancy should be organized in order to achieve an appropriate weight gain during pregnancy, using planned action theory through behavioral attitude, subjective norms, and perceived behavioral control to improve pregnant women's behavioral intention of healthy weight gain during pregnancy. Hence promote weight management habits and achieve appropriate weight gain during pregnancy. Information technology enables pregnant women's weight management without the constraints of time and space. It provides instant and accessible services; grasps real-time health information as well as promotes both healthy weight gain and management effectiveness during pregnancy. Therefore, this article collects recommended weights of Taiwanese women during pregnancy and uses the theory of planned action to develop applications of weight management during pregnancy. These include building electronic health and mobile health applications, including weight measurement reminder, pregnancy weight charts, pregnancy weight weekly report alert, health education consultation, abnormal weight warning, pregnancy issues database, family member sharing, reward section, and opinion exchange area. All these applications were developed for the purpose of improving maternal health service for both mothers and babies in order to achieve personalized and precise care.

1. 朱冠郁,康嵐英,郭淑柳,李垣樟,魏柏立,陳瑞杰,蕭淑代(2020)。資訊科技輔助新冠肺炎防疫經驗—以某一區域教學醫院為例。新臺北護理期刊，22(2)，1-7。
   連結：
2. 李佳勳,邱創鈞,葉彥伯(2019)。2019）．在偏鄉衛生所使用手機應用程式及雲端管理輔助糖尿病照護。台灣家庭醫學雜誌，29(1)，43-50。
   連結：
3. 林靜蘭,曾鈺晴,陳柏熹,吳宗憲(2020)。智慧科技於精神醫療照護之跨域應用。護理雜誌，67(5)，1-7。
   連結：
4. 陳嘉慧,曾雅玲,應宗和,郭碧照(2017)。第三孕期身體活動、懷孕前身體質量指數和孕期體重增加量對生產結果之影響。護理雜誌，64(1)，80-89。
   連結：
5. 劉浩彥,陳曾基(2017)。行動健康應用程式（m-Health app） 使用之現況與發展。臨床醫學月刊，80(3)，507-510。
   連結：
6. Ajzen, I. (2019). The theory of planned behavior. https://people.umass.edu/~aizen/tpb.html
7. Ajzen, I.(1991).The theory of planned behavior.Organizational Behavior and Human Decision Processes,50(2),179-211.
8. Ajzen, I.(1988).Attitude, personality, and behavior.Open University.
9. American College of Obstetricians and Gynecologists(2015).Physical activity and exercise during pregnancy and the postpartum period. Committee Opinion No. 650.Obstetrics and Gynecology,126(6),e135-e142.
10. Chan, K. L.,Chen, M.(2019).Effects of social media and mobile health apps on pregnancy care: Meta-analysis.JMIR mHealth and uHealth,7(1),e11836.
11. Chen, H.,Chai, Y.,Dong, L.,Niu, W.,Zhang, P.(2018).Effectiveness and appropriateness of mHealth interventions for maternal and child health: Systematic review.JMIR mHealth and uHealth,6(1),e7.
12. Dolin, C. D.,Gross, R. S.,Deierlein, A. L.,Berube, L. T.,Katzow, M.,Yaghoubian, Y.,Brubaker, S. G.,Messito, M. J.(2020).Predictors of gestational weight gain in a low-income hispanic population: Sociodemographic characteristics, health behaviors, and psychosocial stressors.International Journal of Environmental Research and Public Health,17(1),352-363.
13. Goldstein, R. F.,Abell, S. K.,Ranasinha, S.,Misso, M.,Boyle, J. A.,Black, M. H.,Gang, N. L.,Corrado, F.,Rode, L.,Kim, Y. J.,Haugen, M.,Song, W. O.,Kim, M. H.,Bogaerts, A.,Devlieger, R.,Chung, J. H.,Teede, H.(2017).Association of gestational weight gain with maternal and infant outcomes: A systematic review and meta-analysis.Journal of the American Medical Association,317(21),2207-2225.
14. Hung, T. H.,Hsieh, T. T.(2016).Pregestational body mass index, gestational weight gain, and risk for adverse pregnancy outcomes among Taiwanese women: A retrospective cohort study.Taiwanese Journal of Obstetrics & Gynecology,55,575-581.
15. Knight, E.,Stuckey, M. I.,Prapavessis, H.,Petrella, R. J.(2015).Public health guidelines for physical activity: Is there an app for that? A review of android and apple app stores.JMIR mHealth and uHealth,3(2),e43.
16. Lau, Y.,Cheng, L. J.,Chi, C.,Tsai, C.,Ong, K. W.,Ho-Lim, S.,Wang, W.,Tan, K. L.(2018).Development of a healthy lifestyle mobile App for overweight pregnant women: Qualitative study.JMIR mHealth and uHealth,6(4),e91.
17. World Health Organization. (2021, September 16). eHealth at WHO. https://www.who.int/ehealth/about/en/
18. Zhou, M.,Peng, X.,Yi, H.,Tang, S.,You, H.(2022).Determinants of excessive gestational weight gain: A systematic review and meta-analysis.Archives of Public Health,80(1),129-132.
19. 王本正,許富榕(2016)。以延伸型整合性科技接受模式探討行動醫療 App 協助照護任務之接受度。福祉科技與服務管理學刊，4(4)，483-494。
20. 胡文郁,詹靜媛,姜遠萍,陳姝年,陳瑞儀,李芳珊,趙育齡,尤翠棉,張榮珍(2021)。新智慧/資訊科技在台大醫療體系護理實務之應用。台灣醫學，25(5)，621-633。
21. 國家發展委員會（2019）．108年持有手機民眾數位機會調查報告．https://www.ndc.gov.tw/cp.aspx?n=55c8164714dfd9e9
22. 梁瑋倫,林昌賜(2020)。智慧醫療的應用趨勢與商業模式．電機工程會 刊。創刊號，1，60-67。
23. 陳淑梅,郭倩琳(2014)。以網路提供不孕患者健康照護資訊與心理社會支持。領導護理，15(3)，88-95。
24. 衛生福利部國民健康署（2020）．控制孕期體重 － 把握 5 守則．https://www.hpa.gov.tw/Pages/Detai
25. 魏于翔(2019)。智慧醫療發展趨勢研究及案例分析。臺灣經濟研究月刊，42(3)，64-72。