Application of health education and chronic disease management nursing in community elderly hypertension and its effect on emotion
健康教育与慢性病管理护理在社区老年高血压中的应用及对其情绪的影响

摘要

目的 为提升社区老年高血压患者依从性，控制血压稳定，缓解负性情绪，对健康教育与慢性病管理护理的应用效果进行探究。方法 采用前瞻性干预研究设计，以2023年1月至2024年12月建档的200例社区老年高血压患者为研究对象，依据入组顺序随机分为观察组与对照组各100例，对照组实施常规护理，观察组采用健康教育与慢性病管理护理，从血压指标、焦虑、抑郁评分、患者依从性展开数据研究。结果 观察组血压指标、SAS评分、SDS评分明显优于对照组，患者依从性更高，数据差异明显，P＜0.05，具有统计学意义。结论 健康教育与慢性病管理护理相结合的护理模式在社区老年高血压患者中效果显著，有效帮助患者稳定情绪，控制血压水平，建议推广该护理模式。

Abstract

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.