JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i6.11103ArticleThe Impact of Comprehensive Nursing Based on Protection Motivation Theory on Treatment Compliance and Quality of Life in Elderly Patients with Hypertension https://artdesignp.com/journal/JCNR/9/6/10.26689/jcnr.v9i6.11103XuLinlin,LiuRong2025962025-07-08Objective: To explore the effect of comprehensive nursing based on protection motivation theory in elderly patients with hypertension. Methods: The study period was from August 2023 to May 2025. During this period, 40 elderly patients with hypertension who visited the hospital were selected and divided into an observation group (comprehensive nursing based on protection motivation theory, n=20) and a control group (routine nursing, n=20) based on a random number table method. Nursing indicators were compared between the two groups. Results: After nursing, the diastolic blood pressure (80.12 ± 2.31 mmHg) and systolic blood pressure (136.05 ± 3.47 mmHg) in the observation group were significantly different from those in the control group (P < 0.05). The scores of health behaviors (nutrition, exercise, health responsibility, and psychological comfort) in the observation group were higher than those in the control group (P < 0.05). After nursing, the scores of compliance and negative emotional indicators in the observation group were better than those in the control group (P < 0.05). The scores of psychological function (66.31 ± 5.84), physical function (66.57 ± 6.28), material function (61.85 ± 6.21), and social function (69.51 ± 7.25) in the observation group were higher than those in the control group (P < 0.05). Conclusion: During the treatment of elderly patients with hypertension, the application of a comprehensive nursing program based on protection motivation theory is beneficial for regulating blood pressure levels, significantly improving health behaviors and quality of life, alleviating negative emotions, and improving treatment compliance to some extent. This approach is feasible for promotion.

Zheng L, Zhou M, Zhou H, et al., 2020, Application of Risk Nursing in the Treatment of Hypertensive Disorder Complicating Pregnancy With Nifedipine. Chongqing Medicine, 49(S02): 393–394.

Zhang P, Wang L, Fu Q, et al. 2020, Study on the Optimized Effect of Rapid Rehabilitation Nursing on Neurological Recovery After Hypertensive Cerebral Hemorrhage Surgery. Chinese General Practice, 2020(S01): 3.

Wu Q, Hu T, Jiang Y, 2020, Application of Dual-Heart Intervention Based on Remote Information Platform in Women With Climacteric Syndrome Complicated With Hypertension. Chinese Journal of Geriatrics, 2020(021): 040.

Li Q, Chen X, Zou Y, 2023, The Effect of Predictive Nursing Intervention Under the Guidance of "5S" Management Mode on the Rehabilitation and Pulmonary Infection of Patients With Hypertensive Cerebral Hemorrhage. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care, 30(5): 597–600.

Ya L, Shu L, Li Z, et al., 2021, Research on the Effect of Remote Monitoring Mode on Nursing Intervention for Abnormal Blood Pressure Fluctuations in Elderly Hypertensive Patients in the Community. Chongqing Medicine, 50(S01): 404–405.

Li T, Bian Y, 2021, The Influence of Nursing Intervention Based on KABP Model on Medication Compliance and Blood Pressure Control Level of Patients With Hypertension Treated With Levamlodipine Besylate Tablets. Journal of Shenyang Pharmaceutical University, 38(S01): 1.

Yang X, 2022, Discussion on the Application of Family Doctor Signing Service in the Comprehensive Management Mode of Elderly Hypertensive Patients in the Community. Chongqing Medicine, 51(S01): 425–426.

Liu C, Liu X, Zhang A, 2024, The Influence of Comprehensive Nursing Based on Health Literacy and Stages of Behavior Change on the Prognosis of Patients With Hypertensive Cerebral Hemorrhage. International Journal of Nursing, 43(21): 3869–3873.

Du X, 2024, Evaluation of the Effect of Comprehensive Nursing on Nursing Outcomes and Sleep Quality in Patients With Hypertension and Coronary Heart Disease. 2024(24): 121–123.

Yan X, 2020, The Application Effect of Comprehensive Nursing Intervention Mode in Patients With Hypertensive Ischemic Stroke and Improvement of Blood Pressure. Chinese Remedies & Clinics, 20(04): 663–665. DOI:10.11655/zgywylc2020.04.082.

Li M, 2023, The Role of Comprehensive Nursing in Improving Psychological Resilience, Psychological Compliance, and Self-Care Ability of Hypertensive Patients. Prevention and Treatment of Cardiovascular Diseases (Academic Edition), 13(14): 84–86.

Lin Y, 2024, The Influence of Comprehensive Nursing Based on the Psychological Resilience Dynamic Model on Psychological Stress in Patients With Hypertension Complicated With Hepatitis B. Tibet Medicine, 45(5): 113–115.

Zhong X, 2024, Observation on the Effect of Comprehensive Nursing Intervention on Blood Pressure Control and Fall Incidence in Elderly Hypertensive Patients in the Community, 17(9): 164–166.

Su Y, Lin B, 2023, The Influence of Comprehensive Nursing on Blood Pressure Level, Liver Function, and Quality of Life in Patients With Hypertension Complicated With Liver Cirrhosis. Prevention and Treatment of Cardiovascular Diseases (Academic Edition), 13(16): 52–54.