Intervention effect of the knowledge,attitude,practice model on hypertensive patients in the community
Objective To explore the intervention effect of the"knowledge,attitude,practice"(KAP)model on hypertension management in community,so as to provide evidence for hypertension management in urban communities.Methods In January 2020,eligible hypertensive patients were recruited from the communities in Shenyang City for a 1-year KAP model intervention.KAP indicators and blood pressure were measured before and after the intervention and compared.Change in hypertension control rate and its influencing factors were analyzed.The data collected were analyzed using t-test,x2 test and multivariable logistic regression in SPSS 26.0 statistical software.Results A total of 3 791 hypertensive patients were recruited.After the 1-year KAP model intervention,the knowledge about hypertension,prevention awareness and compliance improved statistically significantly compared with those before the intervention(x2=1 181.24,1 652.74,1 613.95,783.69,663.11,611.15,549.35,2 844.13,2 672.25,P＜0.05);the mean reduction of systolic blood pressure after the intervention was 15.92(15.42-16.43)mmHg,and that of diastolic blood pressure was 5.67(5.33-6.01)mmHg(t=61.93,33.02,P＜0.05).The control rate of hypertension increased from 19.78％at baseline to 80.16％after intervention,with statistically significant difference(x2=2 764.19,P＜0.05).Multivariable logistic regression analysis of blood pressure control 1 year after the intervention showed that poor compliance with medications due to poor memory,failure to reduce smoking and alcohol consumption were independent risk factors of poor blood pressure control[OR(95％CI):1.27(1.02-1.59),1.53(1.12-2.10),1.59(1.15-2.00),P＜0.05).Conclusions The KAP intervention model may be effective in the management of hypertension.For those who show poor compliance to medications due to memory problems and those who have not reduced smoking and alcohol consumption,further exploration is needed for appropriate management model.The management model should be continually improved for better hypertension management in urban community,and ultimately for the maximum health benefit of blood pressure control.
Knowledge attitude practice modelCommunity hypertensionIntervation
NETL
NSTL
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