Impact of health management on medication adherence and blood pressure and blood glucose indices in elderly patients with hypertension and diabetes mellitus.

BACKGROUND

The occurrence of hypertension combined with diabetes can lead to a continuous deterioration in the physical condition of elderly patients. Health management, as an indispensable part of medical services, can achieve early prevention of diseases, early treatment of existing conditions, and the integration of prevention and treatment.

OBJECTIVE

We aimed to explore the impact of health management on blood pressure and blood glucose levels, health knowledge mastery, medication adherence, self-management abilities, and quality of life in elderly patients with hypertension (HTN) and diabetes mellitus (DM).

METHODS

One hundred and fifty elderly patients with HTN and DM who underwent physical examinations from January 2022 to December 2023 were enrolled. Those who received routine health management from January 2022 to December 2022 were assigned to the control group, while those who received comprehensive health management from January 2023 to December 2023 were assigned to the observation group, with 75 patients in each group. Key outcomes were compared, including lipid profiles, blood pressure, glycosylated hemoglobin, fasting plasma glucose, 2-hour postprandial blood glucose, the time taken for physical examinations, patient compliance rates, and physical examination accuracy rates, disease-related knowledge scores, self-management capacity through ESCA scale, quality of life through DSQL scale, and medication adherence through MMAS-8 scale.

RESULTS

The observation group demonstrated lower lipid levels, blood pressure, and glycemic indices, along with improved examination efficiency, higher disease knowledge scores, higher ESCA scale and MMAS-8 scale scores, and lower DSQL scale scores than the control group (P < 0.01).

CONCLUSION

Providing health management to elderly patients with HTN and DM significantly reduced blood lipid, blood pressure, and blood glucose levels, improve patients' self-management ability, quality of life, and medication adherence, thereby contributing to disease management.