Abstract: Objective To understand disease-related cognition and related behavior of hypertensive patients aged 50 and older in Liuzhou urban, provide the basis and foundation for hypertension group intervention management mode. Methods 1 176 hypertensive patients aged 50 and older from Liunan and Liubei area were investigated with self-designed questionnaire. Data were entered by two people using Epi Data 3.1,statistical analysis was conducted by SPSS 13.0. Results Hypertensive patients did not adequately understand treatment of hypertension and which factors should be considered. 7.3% of patients still smoking, 18.6% of them had salty diet habit and 12.4% had no outdoor exercise in the past year. About half of patients with dizziness, blurred vision or other clinical manifestation. Method of treatment included medicine and non-medicine treatment. However, 57.3% of patients with medicine treatment could not take the medicine following doctor's orders. The rates of disease control was significantly different between age over 65 years old and below 65 (χ²=7.72,P=0.021). Examination in hospital and community follow-up were the most common manner in hypertension management. And most people tend to choose self management and family management. Conclusions In consideration of the problems of understanding of disease, lifestyle, medication situation in hypertensive patients in Liuzhou, effective community intervention should be taken to improve patient's health condition.