Objective: To conduct a systematic review of the basic condition and performance of the multidimensional scale of hypertension compliance. Methods: The multidimensional scale of hypertension compliance were retrieved from PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), VIP and Wanfang Database from the establishment of the database to August 2019. The included studies were analyzed and the psychometric performance of the scale was evaluated by systematic evaluation. Results: A total of 27 studies were included, including the Hill-Bone Compliance to High Blood Pressure Therapy Scale, Therapeutic Adherence Scale for Hypertensive Patients Scale, the Treatment Adherence Questionnaire for Patients with Hypertension Scale and Questionnaire on Adherence to Systemic Hypertension. Conclusion: The measurement methods for compliance with hypertension are not unified, and the scale ignores the evaluation at the level of lifestyle, diet, weight and stress management. The number of high-quality multidimensional scale is limited, and future research can strengthen the development, testing and application of multidimensional compliance scale for different hypertensive populations.