การพัฒนารูปแบบการดูแลสุขภาพของผู้สูงอายุที่เป็นความดันโลหิตสูง โดยการมีส่วนร่วมของครอบครัวและชุมชนในชุมชนคลองลัดนางแท่น ตำบลท่าตลาด อำเภอสามพราน จังหวัดนครปฐม

                 This is a descriptive research as a cross-sectional study by using a combination of quantitative and qualitative (mixed research method) to collect the data. This data is collected by a questionnaire with elderly whose are affected by hypertension, including community leaders, committee, and village health volunteers until it gains the results which respond the research objectives in the followings:

             The result of a context study of health care for the elderly with hypertension in Khlong Lat Nang Taen community, Tha Talat sub-district, Sampran district, Nakhon Pathom Province is found that these elderly are, in average, 69.30 years old (X.D.=5.3). Their knowledge and attitude level are at a low level, representing 70.0 %.  Most of them have knowledge of blood pressure measurements and understand the treatment that is required to follow the prescription medication. The knowledge and attitude with the least correct answer are about lack of the knowledge of complications. For the self-health care behavior, it is at a good level, representing 75.0%

              The result of the factors that affecting health care behavior of elderly with hypertension in Khlong Lat Nang Taen community, Tha Talat sub-district, Sampran district, Nakhon Pathom Province is found that most of them have knowledge and attitude about hypertension at a low level, representing 55.0% For the most of wrong answer, it is the blood pressure which is higher than 140/90 mm./Hg. They have knowledge of consumption of foods containing sodium which is a risk factor for high blood pressure.

The result of family and community participation in health care for elderly with hypertension is found that the factor related to self-care behavior of elderly with hypertension with statistical significance at 0.05 which is an access to health services (P-value = 0.010) and family and community participation (P-value = 0.026).

The result of development of health care model for elderly with hypertension by family and community participation is found that overall, it is at the lowest level with an average of 1.71 (X.D.=0.43). Especially the issue of family participation such as persuasion to exercise and preparation for salt and sodium reduced food. Furthermore, the issue of community participation such as blood pressure monitoring by village health volunteers, voice publicity, warn against a health check, and giving the knowledge of hypertension.

                   The body of knowledge is gained from the research consists of 5 components: family, friends or elderly clubs, community leaders/local administrative organizations, public health officials, and village health volunteers. It is found that the sub-district administration organization has the plan or project of fulfillment of a good quality of life for the elderly, disabled, and underprivileged, project of training and study visiting of elderly clubs, project of competition of sports and recreation activities, project of promote and support of exercise.  In addition, it should have mobile unit to check the elderly health care, risk groups, including the training of village health volunteers to have knowledge in caring for the elderly whose suffer from hypertension.