| The Nineteenth National Congress of the Communist Party of China pointed out that the issue of agriculture and rural farmers is a fundamental issue related to the national economy and people’s livelihood.In 2021,the state will issue relevant policies and propose that the main policies of healthy poverty alleviation should maintain overall stability,adjust and optimize support policies,and address the shortcomings of the health service system in poverty-stricken areas.We will further make up for weaknesses,further promote the construction of healthy villages,focus on key areas,key groups,and key diseases,improve people’s health promotion policies,consolidate and expand the achievements of healthy poverty alleviation,and further improve the ability of rural health and health services and the health of the masses,and continue to promote poverty alleviation areas.Rural revitalization provides more solid health protection.At the same time,the outline of the "Healthy China 2030" plan proposes that people’s health is an important symbol of national prosperity and national prosperity,and a comprehensive chronic disease prevention and control strategy should be implemented.Hypertension is one of the most common chronic diseases in rural residents.According to the national priority of hypertension prevention and control,this study selected chronic disease hypertension management in Qingyanwei area as the research focus..As a research dimension,by reviewing the literature and summarizing the experience of chronic disease management at home and abroad,drawing on foreign research results,reflecting on the progress of domestic research and practice,using the questionnaire survey method and key person interview method to understand the current situation and problems of rural chronic disease management in Qingyanwei area,Analyze and discuss the reasons,and then put forward corresponding policy recommendations.The questionnaire results show that community publicity has a positive effect on the increase in the awareness rate of hypertension.For every increase of 1 unit of community publicity,the awareness rate is 3.429 times higher than the rate of non-knowledge.The treatment rate has an important correlation with the disease awareness rate and service attitude.The unknowing treatment rate is only 0.189 times the known treatment rate.There are group differences in control rate among six factors including exercise and awareness rate.Finally,through logistic regression analysis,the control rate increases by 6.149 times for every unit increase in exercise,and the unknowing control rate is only 0.415 times the knowing control rate.The interview results also show that the current difficulty in the prevention and control of hypertension in rural areas of Qingdao,Yantai,Weihai is mainly due to the patients’ lack of awareness of the disease.Medical institutions and communities at all levels need to improve the publicity and education of hypertension.In general,the awareness rate of hypertension among rural residents in Qingyanwei area is slightly higher than the national level.The main factor affecting the awareness rate is community publicity,the main factor affecting the treatment rate is the awareness rate,and the main factor affecting the control rate is the Physical activity and awareness.Therefore,strengthening community propaganda and improving the depth and breadth of rural hypertension patients’ awareness of the disease are the keys to ensuring the life and health of rural residents in this area.Timely prevention and control of diseases can reduce the occurrence of related comorbidities,save medical expenses,and significantly reduce the economic burden of rural families. |