Contemporary Nursing

Objective To improve medication adherence among elderly hypertensive patients in communities, stabilize blood pressure levels, and alleviate negative emotions, this study investigated the effectiveness of health education combined with chronic disease management nursing. Methods A prospective intervention study was conducted with 200 elderly hypertensive patients registered between January 2023 and December 2024. Participants were randomly assigned into observation and control groups (100 each) based on enrollment order. The control group received standard care while the observation group underwent health education and chronic disease management nursing. Data analysis focused on blood pressure metrics, anxiety/depression scores, and patient compliance. Results The observation group demonstrated significantly better blood pressure control, reduced SAS scores, and lower SDS scores compared to the control group. Patient compliance showed a statistically significant difference (P <0.05). Conclusion The integrated health education and chronic disease management nursing model proved effective in stabilizing emotional states and controlling blood pressure levels among elderly hypertensive patients in communities. This approach is recommended for broader implementation.

Health education; Chronic disease management nursing; Community; Elderly hypertension; Emotion; Application effect