Objective To explore the effect of systematic nursing measures on sleep quality and bad mood of community hypertensive patients. Methods 106 community hypertension patients were randomly divided into 2 groups. The control group (53 cases) received routine nursing, combined with basic sleep knowledge to instruct the patients to maintain correct methods of rest and sleep. The observation group (53 cases), on the basis of the control group, take systematic nursing measures, including guiding patients to adjust the sleep environment, sleep quality assessment, medication guidance, psychological intervention, acupoint massage; The changes of Pittsburgh Sleep quality Index scale (PSQI) before and after nursing were compared, and the scores of Hamilton Depression scale (HAMD) and Hamilton anxiety scale (HAMA) were used to evaluate the improvement of cognitive emotion. Results After nursing, the PSQI scores of the two groups were decreased, but the sleep time, sleep quality, sleep efficiency, hypnotic drugs, sleep disorder, daytime dysfunction score and sleep time in the observation group were less than those in the control group (P<0.05). Compared with the control group, the HAMA and HAMD scores of the patients in the observation group were lower than those in the control group (P<0.05). Conclusion Systematic nursing measures are effective in community hypertension patients, can significantly alleviate the bad mood of patients, and have a positive effect on improving sleep quality, which are worth popularizing in clinical practice.