Hai Ou Yang,1 Aiping Wang,2 Haihua Hu,3 Yue Li4 

1Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Internal Medicine Department 100730, Beijing, People’s Republic of China; 2Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Emergency Department 100730, Beijing, People’s Republic of China; 3Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Dialysis Room 100730, Beijing, People’s Republic of China; 4Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Nursing Department 100730, Beijing, People’s Republic of China

Correspondence: Yue Li, Email 161843063@masu.edu.cn

Background: Hypertension (HTN) is a chronic condition that requires ongoing management to maintain health and prevent organ damage. Skilled nurses are essential in promoting lifestyle changes and personalizing medications, especially for patients in cardiac rehabilitation, which can lead to better cardiac function and manageable blood pressure.
Purpose: To examine the effects of a continuous nursing model merged with homemade dialogue tools on cardiac function and blood pressure control in patients with HTN and heart disease.
Methodology: From March 2019 to June 2021, a compelling study involved 82 patients randomly assigned to either a control or experiment group. The control group received routine health education and follow-up calls as standard care. However, the experiment group benefited from an innovative pictorial dialogue tool designed under the Cardiac Rehabilitation and Secondary Prevention Chinese guidelines to enhance understanding and adherence to crucial health practices, potentially leading to better cardiac function and boosting blood pressure control in patients.
Results: Considering the designed nursing model, satisfaction with care increased from 48 to 63%. The systolic and diastolic blood pressures were also reduced from 144.45 ± 3.27 to 129.63 ± 3.06 mmHg and 89.46 ± 4.57 to 79.51 ± 3.53 mmHg, respectively. Furthermore, an appropriate cardiac function was approached in the research category by inclining the left ventricular ejection fraction and cardiac index up to 77.43 ± 4.17% and 19.25 ± 1.56 L/min/m2, respectively.
Conclusion: The simultaneous nursing model combined with a self-developed picture-viewing tool effectively improved cardiac rehabilitation, blood pressure control, patient satisfaction, care coordination, treatment compliance, and quality of life in patients with hypertension and heart disease.
Implications: The combined continuous nursing model and homemade dialogue tools led to higher patient satisfaction and lower blood pressure compared to standard nursing care after three months. This approach improved cardiac rehabilitation and overall patient satisfaction.

Keywords: self-made picture-reading dialogue tool, continuous nursing, HTN, heart disease, cardiac function, blood pressure control