Continuous care in hypertension management: Effects on blood pressure control, quality of life, and nursing satisfaction

高血压管理中的持续护理:对血压控制、生活质量和护理满意度的影响

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Abstract

This study aimed to investigate the impact of continuous care on blood pressure control, quality of life (QOL), and patient satisfaction among individuals with hypertension. We retrospectively reviewed the medical records of 120 patients diagnosed with hypertension who were treated at our hospital between June 2021 and June 2022. According to the nursing model documented in their charts, patients were classified into an experimental group (n = 60), who had received continuous care (CC), and a control group (n = 60), who had received routine nursing care. The observation period for both groups was 6 months. Clinical data, including blood pressure measurements, QOL scores, nursing satisfaction, and adverse reactions, were collected from follow-up records and patient questionnaires. All enrolled patients met WHO diagnostic criteria for hypertension. Compared with baseline, both systolic and diastolic blood pressure showed significant reductions at 3 and 6 months, though no obvious changes were observed after 1 month. QOL scores improved progressively at 1, 3, and 6 months (P < .05). The experimental group achieved superior improvements in daily living ability, cognitive function, and clinical indicators (P < .05). Nursing satisfaction was markedly higher in the experimental group, with differences becoming more pronounced over time (P < .05). While conventional care yielded certain benefits for hypertensive patients, continuous care produced greater overall advantages, including better blood pressure regulation, enhanced QOL, and higher patient satisfaction. Moreover, continuous care effectively alleviated negative emotions, particularly among patients with moderate to severe hypertension, thereby improving treatment adherence and outcomes.

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