Objective：To investigate of the status of lifestyle in hypertensive patients with medication in Lianyungang rural communities，and to explore the related factors. Methods：1 542 patients with essential hypertension (adhere to the medication) aged over 35 years old were recruited by cluster sampling from rural communities of Ganyu and Donghai counties of Lianyungang city. Data was collected by epidemiological questionnaire，blood pressure measurement and physical examination. Results：16.1% were smokers，21.0% were alcohol drinkers，34.1% were on high-sodium diet，25.2% did not self-monitored blood pressure，43.1% felt high pressure of themselves and 78.0% lack of exercise. Conclusion：The status of lifestyle of hypertension patients is of poor quality. The low level of blood pressure control of the patients in middle-aged and elderly hypertensive population in Lianyungang rural community may be related to unhealthy lifestyle，suggesting that we should implement a planned，organized，targeted health education to strengthen the health management of hypertension，and improve the quality of patient’s lives.