Exploring the Application Effect of Comprehensive Geriatric Assessment Tool-Oriented Chronic Disease Trajectory Nursing in Community Elderly Hypertension

Xiaocui Wang, Qiuchen Wang, Wenwen Zhao, Lu Chen, Xiaosu Ni

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¹ Department of Cardiovascular Medicine, The Affiliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou 225300, Jiangsu, China,

JCNR 2025 , 9(8), 126–132; https://doi.org/10.26689/jcnr.v9i8.11781

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

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.

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