Objective: To study the application effect of comprehensive geriatric assessment tool-oriented chronic disease trajectory nursing in community elderly hypertension. Methods: Sixty nine elderly hypertensive patients admitted to the hospital from April 2022 to April 2024 were randomly assigned to the intervention group (n=35) and the control group (n=34). The control group received routine community hypertension health management, while the intervention group underwent comprehensive geriatric assessment for comprehensive screening of elderly health issues based on routine management, and implemented targeted nursing interventions based on the characteristics of the chronic disease trajectory. After three months of intervention, the blood pressure, medication compliance, self-efficacy, and quality of life of the two groups were evaluated and analyzed. Results: After the intervention, the intervention group showed significant improvement in blood pressure control, medication compliance, self-management efficacy scores, and quality of life scores compared to the control group (P < 0.05). Conclusion: Combining comprehensive geriatric assessment with the concept of chronic disease trajectory nursing in the management of community elderly hypertension can effectively optimize the effect of chronic disease management, which has important practical value.
Zhang M, Wu J, Zhang X, et al., 2021, Study on the Prevalence and Control of Hypertension Among Adult Residents in China in 2018. Chinese Journal of Epidemiology, 42(10): 1780–1789.
Qiaolifanayi N, Luo Q, 2025, Research Progress on Comorbidities of Elderly Hypertensive Patients. International Journal of Geriatric Medicine, 46(3): 356–359.
Shen C, Wei X, Ma S, et al., 2024, Application Status and Reflection on Comprehensive Geriatric Assessment in Foreign Long-Term Care Systems. Nursing Research, 38(1): 75–81.
Yang X, He C, Yang H, et al., 2021, Research Progress on the Application of Chronic Disease Trajectory Framework in Chronic Disease Management. Practical Journal of Clinical Medicine, 18(3): 198–201.
Chinese Medical Association, Chinese Journal of Medicine, Chinese Medical Association General Practice Branch, et al., 2019, Guidelines for Primary Diagnosis and Treatment of Hypertension (2019). Chinese Journal of General Practitioners, 18(4): 301–313.
Xu W, Wang Q, Liang W, 2007, Evaluation of the Reliability and Validity of the Morisky Questionnaire for Measuring Medication Compliance Among Hypertensive Patients. Prevention and Control of Chronic Diseases in China, 15(5): 424–426.
Hu X, Tian C, Sun F, 2014, Reliability and Validity Test of the Chinese Version of the General Self-Efficacy Scale. Psychological Exploration, 34(1): 53–56.
Liu J, Ma C, Tu L, et al., 2012, “Chinese Cardiovascular Patient Quality of Life Assessment Questionnaire” and Its Norm Measurement. Chinese Journal of Cardiovascular Rehabilitation Medicine, 21(2): 105–112.
Yang X, 2025, Analysis of the Application of Chronic Disease Trajectory Nursing Oriented by Comprehensive Geriatric Assessment Tools in Diabetes Care. Chinese Health Care, 43(6): 119–122.
Liu M, Weng Y, Wu J, et al., 2024, The Impact of a Comprehensive Intervention Model Based on Comprehensive Geriatric Assessment on Blood Pressure Management and Physical Frailty in Elderly Hypertensive Patients. Cardiovascular Disease Prevention and Control Knowledge (Academic Edition), 14(20): 78–80, 84.
Li Y, 2025, Application of Chronic Disease Trajectory-Oriented Nursing in Patients With Primary Hypertension. Primary Medical Forum, 29(2): 110–113.