Abstract: Objective To analyze the status and influencing factors of self-management behavior in patients aged over 60 years old with hypertension, so as to provide basis for formulating measures to improve the ability of hypertension management behavior. Methods A questionnaire survey was conducted among all patients aged over 60 years old who were diagnosed with hypertension in a hospital of Fuxin City from July to November 2019. The survey contents included basic information, Chronic Disease Self-Management Study Measures, Therapeutic Adherence Scale Hypertensive Patients（TASHP）,and High Blood Pressure-Health Literacy Scale into Chinese （C-HBP-HLS）. Descriptive epidemiological method was used for analysis, and univariate and multivariate logistic regressions were used to analyze the influencing factors of hypertension self-management behavior score. Results A total of 416 elderly patients with hypertension were enrolled, with an average age of （65.28 ± 2.04） years old, and 60 - 70 years old patients accounted for 47.60%, males accounted for 50.72%, females accounted for 49.28%. The patients with course of disease 1-5 years accounted for 66.11%. The total score of self-management behavior was （42.68 ± 5.22）, which was at a low level. Multiple linear regression analysis showed that the higher the education level （standardized partial regression coefficient： 0.657）, per capita disposable income （standardized partial regression coefficient： 0.682）, TASHP score （standardized partial regression coefficient： 0.749）, C-HBP-HLS score （standardized partial regression coefficient： 0.672）, the higher the score of self-management behavior. Conclusion The elderly patients with hypertension in this area have poor self-management behavior,and health literacy, treatment compliance, education level and per capita disposable income are the influencing factors. Early effective intervention is of great significance to improve it.

Key words: Hypertension, Self-management, Health literacy, Influencing factor, Nursing intervention