Objective To explore the profiles and influencing factors of self-neglect among community-dwelling older patients with hypertension, and to provide references for precise classification and individualized intervention by community healthcare providers. Methods Using convenience sampling, 300 older patients with hypertension from two communities in Nanning City were selected and surveyed with a general information questionnaire, the Rural Elderly Self-Neglect Scale, the Short-Form Mini-Nutritional Assessment (MNA-SF), the Geriatric Depression Screening Scale (GDS-15), and the Social Support Rating Scale.Cluster analysis was employed to identify the self-neglect profiles of patients, and the Wordcloud toolkit in Python software was used to visually display the characteristics of different profile types.Multinomial logistic regression was used to explore the influencing factors of different types. Results Self-neglect among community-dwelling patients with hypertension was classified into three types:neglect-indifferent type （28.0%）, slack-passive type （25.0%）, and proactive-active type （47.0%）.Age, living arrangement, medication status, nutrition, depression and social support were the influencing factors of self-neglect profile types in these patients （all P＜0.05）. Conclusion There is group heterogeneity in self-neglect among community-dwelling older patients with hypertension.Community healthcare providers should take targeted intervention measures based on the characteristics and influencing factors of different profile types to reduce self-neglect.