Objective To explore the in?uence of curved supine nursing combined with foam dressing on the oc- currence of pressure ulcers, comfort level, skin condition and quality of life of elderly bedridden patients with hyperten- sion. Methods A total of 128 elderly bedridden patients with hypertension admitted to The Second People’s Hospital of Henan Province from January 2020 to March 2025 were selected and divided into the study group (n=64) and the control group (n=64) according to the random number table method. The control group received routine medical nursing, while the study group received nursing with the curved supine nursing combined with foam dressing. The incidence of pressure ulcers, the risk of pressure ulcer occurrence [stress injury nursing assessment sheet (Braden) score], comfort level [Kolcaba General Comfort Questionnaire (GCQ) score], skin condition (skin temperature, humidity and integrity) and quality of life [Medical Outcomes Study 36-item Short-Form (SF-36) score] were compared between the two groups. Results Be- fore nursing, there were no signi?cant di?erences in Braden scores, scores of each dimension of GCQ, skin temperature, skin humidity, skin integrity and scores of all aspects of SF-36 between the two groups (P > 0.05). After nursing, the Bra- den scores, scores of each dimension of GCQ, skin integrity and scores of all aspects of SF-36 in the study group were higher than those in the control group, while the skin temperature, skin humidity and the incidence of pressure ulcers in the study group were lower than those in the control group (P < 0.05). Conclusion Curved supine nursing combined with foam dressing can reduce the risk and incidence of pressure ulcers in elderly bedridden patients with hypertension, e?ectively improve the skin condition of patients, and enhance their comfort level and quality of life.