目的 探讨在老年高血压患者中应用效果及对生活质量的影响。方法 选择我院2018 年6月至2019年4月收治的104例老年高血压患者为研究对象，随机数字表法分为观察组（优质护理干预）和对照组（常规护理），每组52例，比较两组患者护理前后的收缩压、舒张压变化情况，评估并比对两组患者护理后的生活质量、情绪状态及护理工作的满意，随访1 年，记录护理后1 年时间内脑卒中、心绞痛、心肌梗死、高血压性肾损伤、高血压眼底损害等并发症的发生情况。结果 与对照组相比，观察组患者的收缩压（SBP）、舒张压（DBP）水平及汉密尔“,”Objective To explore the effect of application in elderly patients with hypertension and its impact on quality of life. Methods A total of 104 elderly patients with hypertension treated in our hospital from June 2018 to April 2019 were selected as the research object. They were randomly divided into observation group (high-quality nursing intervention) and control group (routine nursing)， with 52 cases in each group. The changes of systolic and diastolic blood pressure before and after nursing were compared between the two groups， and the quality of life after nursing was evaluated and compared between the two groups The patients were followed up for 1 year. The complications such as stroke， angina pectoris， myocardial infarction， hypertensive renal injury and hypertensive fundus damage were recorded within 1 year after nursing. Results Compared with the control group， the systolic blood pressure (SBP)， diastolic blood pressure (DBP) level and Hamilton Depression Scale (HAMD) score of the observation group were relatively lower (P<0.05)， while the SF-36 score and satisfaction score of quality of life were relatively higher (P<0.05). After nursing， the total incidence of complications in the observation group was 7.69%， lower than 23.08% in the control group (χ2=4.727， P<0.05). Conclusion The effective development of quality nursing intervention can help to improve the clinical treatment effect of hypertension in the elderly， reduce the risk of various complications， improve their quality of life， and comprehensively maintain the physical and mental health of patients.