International Medical Research Frontier

Objective To explore the application value of community care led by family doctor contracting in elderly patients with hypertension. Methods A total of 92 elderly patients with hypertension admitted to the community health service center from January 2024 to August 2025 were selected and randomly grouped. 46 patients in the control group received routine care, while 46 patients in the observation group received community care dominated by family doctor contract. The intervention results of the two groups were compared. Results Before the intervention, there was no significant difference in the levels of DBP and SBP between the two groups (P>0.05). After the intervention, the blood pressure levels of each group in the observation group were lower (P<0.05). Before the intervention, there was no significant difference in the ESCA and MMAS-8 scores between the two groups (P>0.05). After the intervention, the scores of each group in the observation group were higher (P<0.05). The comparison of nursing satisfaction between the two groups showed that 95.65% was higher in the observation group (P<0.05). Conclusion For elderly patients with hypertension, implementing community care dominated by family doctor contracting can not only improve the patients' blood pressure levels, but also enhance their self-care ability and medication compliance, and increase patients' satisfaction with care. It has high application value.

Old age; Hypertension; Family doctor contract; Community nursing