Effect Of Tobacco Control On Adults With Hypertension And Smoking In A Community In Xi'an

ObjectiveThe harm of hypertension and smoking to human body has been gradually clarified in the exploration of various experts.Effective management of hypertension patients can not only prevent the harm of diseases to human body,but also reduce the burden of public health problems in China.At present,the intensity of smoking control in the management of hypertension patients in the community in our city has not been further clarified.The implementation of smoking control in the management of hypertension patients in the community can further guide general practitioners and community health service personnel to control smoking of patients,thus improving the blood pressure control rate of patients.This article according to the questionnaire survey was conducted on hypertension with smokers get related information,analyze the survey data can be obtained,by smoking status are grouped on a community hypertension patients with smoking with current state of general condition,high blood pressure and smoking status,and analyzes the factors that influence the degree of knowledge about tobacco control clear xi tobacco control,the impact on the community hypertension patients with smoking with targeted intervention,further effective management in patients with this part.MethodsAccording to the purpose of the study,relevant literature,books and documents were consulted,and relevant questionnaires were directly selected.After the preliminary survey,the questionnaires were slightly adjusted.Cluster random sampling was adopted,and the questionnaires were filled in by telephone or in person.The data were entered in pairs using Epidata 3.1 statistical software,and the data were processed and analyzed using EXCEL and SPSS 24.0.The Kruskal Wallis Test and Pearson chi-square Test or Fisher's exact Test were used for the difference analysis.Spearman was used for correlation analysis,andmultivariate Logistic regression analysis was used for regression analysis.P < 0.05 was the test level.ResultsIn this survey,a total of 1182 questionnaires were collected from a community health service center,among which the incomplete and incomplete questionnaires were excluded.A total of 1123 valid questionnaires were collected,so the response rate was 95%.Among them,1028(91.5%)were males and 95(8.5%)were females,and the smoking cessation rate was 41.9%.The average duration of hypertensive patients was 6.05 years,with the majority of hypertensive grade one patients having poor medication and medical compliance.The tobacco control knowledge part was scored and summed up,and the average score of tobacco control knowledge was divided into two parts: good part and bad part.(1)Between the degree of tobacco control knowledge mastery and general characteristics: older patients had better mastery than younger patients(p < 0.01);Men were better than women in mastering tobacco control knowledge(p < 0.01).People who did not go to school or primary school had a poor knowledge of tobacco control.The higher the education level of the study subjects,the higher the knowledge level of tobacco control(p <0.01).In the marital status,the divorced and widowed people had a poor grasp of tobacco control knowledge(p < 0.01).The national civil servants,medical personnel,administrative personnel,professional and technical personnel have a good command of tobacco control knowledge,and the cultural and educational personnel are at an average level.The enterprise owners,freelancers,workers and other employees have a poor command of tobacco control knowledge(p < 0.01).People with poor sleep status and poor sleep status had worse knowledge of tobacco control than those who chose other sleep status(p < 0.01).(2)There was a correlation between the degree of tobacco control knowledge and the condition of hypertension: people with good knowledge of tobacco control had higher systolic blood pressure and lower diastolic blood pressure,and had shorter duration of hypertension(p < 0.05).The knowledge of tobacco control was better in the patients treated with oral antihypertensive drugs(p < 0.01).(3)Between the degree of tobacco control knowledge and smoking status: considering that people who quit smoking within 1 month and 12 months have a better knowledge of tobacco control,those who will quit smoking but will not quit within 12 months have a similar knowledge of tobacco control,while those who do not want to quit have a poorknowledge of tobacco control(p < 0.01).Medical staff's inquiry and suggestion on patients' smoking history had an impact on the mastery of patients' tobacco control knowledge,and the patients' mastery of tobacco control knowledge was better after the inquiry and suggestion(p < 0.01).People who have quit smoking have a better knowledge of tobacco control than people who smoke(p < 0.01).View of tobacco control,the choice of "not much affect the population as a whole is more,better grasp of the knowledge of tobacco control situation,choose " plan to quit smoking "and "The law can not be enforced when everyone is an offender " crowd better grasp of the knowledge of tobacco control situation,choose "smoking not convenient " and after " little smoke " poor grasp of the knowledge of tobacco control situation(p < 0.01).After multi-factor regression analysis,the following can be obtained: Patients with a history of alcohol consumption had a poor grasp of tobacco control knowledge(OR =19.906,95%CI: 1.659-238.886),and those who saw doctors only 3-5 times in the past 6months had a poor grasp of tobacco control knowledge(OR = 0.034,95%CI: 0.003-0.427).The reason for smoking was that patients with " self-satisfaction in appearance " had a poor grasp of tobacco control knowledge(OR = 0.001,95%CI: 1.659-238.886),(OR = 13.334,95%CI: 1.049-169.478),the frequency of eating breakfast may have a certain impact on the mastery of tobacco control knowledge(p < 0.05).Conclusion(1)In a community of xi 'an city,the patients included in hypertension health management are mainly the elderly,with stable blood pressure control,high medication rate but poor medication compliance,poor medical treatment,and low return rate.(2)At present,the smoking situation of patients with hypertension and smoking is still severe.The initial smoking period is mainly in the youth,the smoking cessation rate is still not up to the requirements,and the patients are not willing to quit smoking and have poor self-efficacy.(3)General practitioners and community health service staff are not enough to inquire about the smoking history of patients,cannot timely grasp the smoking status of patients,and cannot timely advise and educate patients to quit smoking,and general practitioners themselves do not pay enough attention to tobacco control.(4)Patients with hypertension and smoking have an average level of knowledge of tobacco control,passive and passive attitude towards tobacco control,and a strongwillingness to cooperate only in public places.(5)General practitioners should strengthen the health education and health management of patients with hypertension and smoking in many aspects,and improve the attention,self-efficacy and compliance of patients.(6)The form of local and community tobacco control propaganda is relatively single.At the same time,local and community should strengthen the strong publicity of tobacco control and the supervision of smoking ban in public places.