Abstract: Objective To investigate the status of health-related behavior improvement in hypertensive patients and analyze its influencing factors on blood pressure control. Methods Selecting hypertensive patients who were treated in four hospitals in Anhui Province from January 2021 to March 2023 for this study, the improvement of health-related behaviors was evaluated through health behavior improvement scores. Basic information such as gender, age, marital status, education level, dietary status, smoking history, drinking history, physical exercise, taking medicine as directed, psychological status, etc. were collected, and their blood pressure control status was investigated. Descriptive analysis was used to analyze the improvement of health-related behaviors and the achievement of blood pressure control in this population. Univariate and multivariate analyses were used to analyze the influence of health-related behaviors on blood pressure control in hypertensive patients. Results A total of 1 986 valid samples were included in this study, including 1 265 males and 721 females, aged 19-81 years, with a disease course of 1-17 years. The score of health-related behavior improvement in hypertensive patients was （2.37±0.52） points. Multivariate logistic regression analysis showed that smoking （OR=0.142）, no restriction on drinking （OR=0.126）, regular exercise （OR=9.052）, reasonable diet （OR=1.328）, taking medicine as directed （OR=1.283）, and maintaining a healthy weight （OR=1.317） were the influencing factors of blood pressure control in hypertensive patients. Conclusions After implementing health management, hypertensive patients demonstrated significant improvements in their health-related behaviors. Smoking, drinking, regular exercise, reasonable diet, taking medicine as directed, and maintaining a healthy weight are the influencing factors of blood pressure control.

Key words: Hypertension, Health-related behavior, Blood pressure control, Influencing factor