Abstract:OBJECTIVE To analyze the current status and influencing factors of falls in elderly hypertensive patients in the community, evaluate the effect of home visit interventions, and prevent and reduce falls. METHODS With the help of the health filing system of the community health service center, a random cluster of 130 hypertensive patients aged 60～79 years were selected as the research object, and a self-made questionnaire, fall knowledge and behavior, fall efficacy and elderly balance measurement tables were used to understand their fall status and its influencing factors; 130 patients were randomly divided into a control group and an observation group, with 65 patients in each group. The control group was given routine community health services, and the observation group was given routine community health services + home visits. The two groups received a period of 12 months of intervention, the two groups were compared for balance, anti-fall knowledge, total behavior and efficacy scores, and number of falls per capita. RESULTS The logis⁃ tic analysis showed that women, age, homeostasis, and chronic diseases were the risk factors that affected patients’falls, while fall pre⁃ vention behavior and fall prevention effectiveness were their protective factors. Static balance, posture control, and homeostasis, the ob⁃ servation group was significantly better than the control group (P＜0.01), and the observation group had significantly higher scores on anti-fall knowledge, behavior, and efficacy than the control group (P＜0.01), and the average number of falls per capita was signifi⁃ cantly lower than the control group(P＜0.01). CONCLUSION According to the risk factors of falls, home visit intervention could effec⁃ tively improve the patient’s ability to balance, increase the level of anti-fall knowing and trusting, and the effectiveness of preventing falls, and reduce the number of falls. It was worth popularizing and applying.