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This randomized controlled trial evaluated the effects of a nurse\u2010led smartphone application\u2010based lifestyle intervention on blood pressure, body weight, and pregnancy outcomes in pregnant women with gestational hypertension between August and December 2023. Pregnant women, between 20 and 28 weeks of gestation, were allocated to the intervention or control group. Control group (<jats:italic>n<\/jats:italic>\u2009=\u200999) received standard high\u2010risk pregnancy management, while intervention group (<jats:italic>n<\/jats:italic>\u2009=\u200996) also received lifestyle guidance via a nurse\u2010led smartphone application. Intervention group experienced longer gestations (<jats:italic>p<\/jats:italic>\u2009=\u20090.007), higher neonatal weights (<jats:italic>p<\/jats:italic>\u2009=\u20090.028), and lower incidences of pre\u2010eclampsia (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), small for gestational age infants (<jats:italic>p<\/jats:italic>\u2009=\u20090.003), and preterm births (<jats:italic>p<\/jats:italic>\u2009=\u20090.023) compared to control group. The mixed\u2010effect models for repeated measures showed that the nurse\u2010led smartphone application intervention had no impact on body mass index, while significantly reducing systolic and diastolic blood pressure measurements (\u03b2\u2009=\u2009\u22121.666, 95% confidence interval, CI: \u22122.814 to \u22120.519, <jats:italic>p<\/jats:italic>\u2009=\u20090.005 and \u03b2\u2009=\u2009\u22122.247, 95% CI: \u22123.349 to \u22121.145, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, respectively). Both systolic and diastolic blood pressures showed a downward trend from 28 weeks (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The nurse\u2010led smartphone application\u2010based lifestyle intervention significantly reduced adverse pregnancy outcomes and positively influenced blood pressure management in pregnant women with gestational hypertension.<\/jats:p>","DOI":"10.1002\/nur.22439","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T13:39:40Z","timestamp":1736775580000},"page":"146-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impacts of Lifestyle Intervention by a Nurse\u2010Led Smartphone Application on Blood Pressure, Weight, and Pregnancy Outcomes in Pregnant Women With Gestational Hypertension: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9542-8537","authenticated-orcid":false,"given":"Jingjing","family":"Guo","sequence":"first","affiliation":[{"name":"School of Nursing, Southern Medical University Guangzhou 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