Key result
Continuous nursing plus chronic disease management improves health scores, satisfaction, and medication compliance versus routine nursing.
Why the study?
The effect of continuing nursing combined with chronic disease management center interventions in patients with severe hypertension remained unclear.
Does continuous nursing combined with a chronic disease management center improve clinical and psychological outcomes in patients with severe hypertension?
RCT (n=240)
randomly divided
Does continuous nursing combined with a chronic disease management center improve clinical and psychological outcomes in patients with severe hypertension?
p-value: p=<.001
Continuous nursing combined with a chronic disease management center effectively reduces blood pressure and improves quality of life, medication compliance, and psychological well-being in patients with severe hypertension.
Supports combined continuous nursing and chronic disease management for severe hypertension; extends RCT evidence for integrated care models.
The construction and application of chronic disease management centers are increasing. However, the effect of continuing nursing combined with intervention measures provided by chronic disease management centers in patients with severe hypertension is still unclear. To analyze the application effect of continuous nursing intervention combined with chronic disease management center in patients with severe hypertension. 240 patients with severe hypertension were randomly divided into control group (N = 120) and study group (N = 120). The study group adopted the intervention measures of continuous nursing combined with chronic disease management center, while the control group adopted routine nursing. The nursing effects of the 2 groups were compared. After nursing, the short form 36-item health survey, total satisfaction rate and medication compliance rate of the study group were higher than those of the control group (P < .001). Blood pressure, self-rating anxiety scale, and self-rating depression scale scores were lower than those of the control group (P < .05). Continuing nursing combined with the intervention of chronic disease management center can effectively reduce the blood pressure of patients with severe hypertension, and the overall nursing effect is remarkable.
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Zhang et al. (2025) conducted an RCT in severe hypertension (n=240). Continuous nursing combined with chronic disease management center vs. Routine nursing was evaluated on Short form 36-item health survey, total satisfaction rate, and medication compliance rate (p=<.001). Continuous nursing combined with a chronic disease management center improved health survey scores, satisfaction, and medication compliance (P<.001) compared to routine nursing.
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