〔Abstract〕 Objective To study the effect of community chronic disease management in elderly patients with hypertension. Methods A total of 272 elderly patients with hypertension admitted to Heshan People's Hospital from July 2020 to June 2021 were selected and divided into a control group and an observation group by random number table method, with 136 cases in each group. The control group was carried out routine hypertension management, and the observation group was carried out community chronic disease management on the basis of routine management, and the clinical effects of the two groups were compared. Results After management, systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, the differences were statistically significant (P < 0.05). After management, the fluctuation levels of diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group, with statistical significances (P < 0.05). After management, self-management ability scale score of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). The rate of complete compliance in the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After management, the quality of life score of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion For elderly patients with hypertension, the implementation of community chronic disease management can assist in the control of blood pressure, reduce blood pressure fluctuations, improve patients' self-management ability, strengthen patients' compliance behavior, and improve their quality of life.