Abstract:OBJECTIVE To explore the intervention effect of dual track nursing management mode on blood pressure control in patients of refractory hypertension. METHODS 154 patients with refractory hypertension admitted from March 2017 to December 2017 in our department of Cardiology were selected as the research subjects and randomly divided into the observation group and the control group according to the hospitalization number. The control group was given routine nursing intervention, and the observation group was intervened by two track nursing management mode,the intervention time of the two groups was 1 month after discharge.Blood pressure, quality of life, self rating Anxiety Scale (SAS) score and health behaviors were compared between the two groups before and after intervention. RESULTS After intervention, blood pressure (systolic blood pressure and diastolic blood pressure) of the two groups decreased significantly compared with that before intervention, and the difference between the two groups was statistically significant (P<0.05). The blood pressure control in the observation group was significantly better than that in the control group (P<0.05).After the intervention, the improvement of quality of life and the change of health behavior in the observation group were significantly better than those in the control group (P<0.05).After the intervention, the SAS score of the patients was significantly lower than that of the control group (P<0.05).After the intervention,the incidence of complications in the two groups was significantly lower, and the incidence of complications in the observation group (10.4%) was significantly lower than that of the control group (26,0%), the difference was statistically significant (P<0.05). CONCLUSION The two track nursing management model has a good effect on the control of blood pressure in the patients with stubborn hypertension, improve the quality of life of the patients, adjust the anxiety, and promote the habit of healthy behavior.