〔Abstract〕 Objective To explore the factors affecting the quality of health management of hypertensive patients in the community and analyze specific intervention measures. Methods From July 2019 to July 2020, 220 patients with chronic hypertension admitted to the Central Health Center in Zhenlong Town, Huiyang District, Huizhou City were selected as the research objects, and scored according to the scores of the hypertension patients self-management behavior rating scale (HPSMBRS) They are low quality group (n = 72), medium quality group (n = 85), and high quality group (n = 63). The general data, social support, self-effi cacy, and community chronic disease management of the three groups of patients were compared, and logistic regression was used to analyze the infl uencing factors of the health management quality of hypertensive patients in the community. Results Patients with different health management quality levels had statistically signifi cant differences in regular medication, blood pressure monitoring, social support, self-effi cacy, and community chronic disease management (P < 0.05); The results of multivariate logistic regression analysis showed that regular medication is a protective factor for the quality of health management, while social support, self-effi cacy, and community chronic disease management are risk factors that affect the quality of health management. Conclusion Regular drug use, social support, self-effi cacy, and community chronic disease management are the main factors affecting the quality of health management of hypertensive patients in the community. Interventions should be implemented in the aspects of drug-taking publicity and education, self-management and community management to ensure the health of hypertensive patients in the community and the stability of blood pressure level.