This study illustrated the effectiveness of the knowledge, attitude, practice (KAP) intervention model for community hypertension in the elderly by the community physician‐led, describing the study design and baseline data. The aim of the study was to compare the changes in the elderly hypertensive population before and after the KAP intervention model by managing the elderly hypertensive patients for a period of 1 year. Basic information and risk factors affecting blood pressure control based on baseline data of recruited elderly hypertensive patients. The management approach consists of two parts: (1) the unified management of the community physician to whom the patient belongs; and (2) the management of the contracted patient by the community physician. The aim was to demonstrate the anti‐hypertensive effectiveness (control rate, blood pressure reduction, and pulse pressure), the distribution of blood pressure types, and the change of the KAP in elderly hypertensive patients before and after the intervention. The KAP intervention model was administered to 2660 elderly hypertensive patients in a 1‐year period. The blood pressure control rate improved by 54.03%. Mean values of overall systolic and diastolic blood pressure decreased by 16.00 and 5.31 mmHg, respectively. The proportion of isolated systolic hypertension (ISH) and systolic‐diastolic hypertension (SDH) decreased by 29.14% and 24.81%, respectively. The KAP compliance improved significantly. These results suggest that the community physician‐led KAP intervention model is effective in the management of hypertension in the elderly.

中文翻译：

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知信行干预模式在老年高血压管理中的有效性

本研究阐述了社区医生主导的知识、态度、实践（KAP）干预模式对老年人社区高血压的有效性，描述了研究设计和基线数据。本研究旨在通过对老年高血压患者进行为期1年的管理，比较采用KAP干预模式前后老年高血压人群的变化。基于入组老年高血压患者基线数据的基本信息及影响血压控制的危险因素 管理方式由两部分组成：（1）患者所属社区医生统一管理；（二）社区医生对签约患者的管理。目的是展示老年高血压患者干预前后的抗高血压效果（控制率、血压降低和脉压）、血压类型分布以及KAP的变化。KAP干预模型在一年内对2660名老年高血压患者进行了实施。血压控制率提高54.03%。整体收缩压和舒张压的平均值分别降低了 16.00 和 5.31 mmHg。单纯性收缩期高血压（ISH）和收缩期-舒张期高血压（SDH）比例分别下降29.14%和24.81%。KAP 合规性显着提高。这些结果表明，社区医生主导的KAP干预模式对于老年高血压的管理是有效的。