Objective To study the effects of incentive intervention mode on mental health status, self-efficacy and quality of life of patients recovering from hypertensive intracerebral hemorrhage. Methods 90 patients who recovered from hypertensive intracerebral hemorrhage after surgery in Kaifeng Central Hospital From March 2022 to March 2024 were selected and randomly divided into two groups with 45 cases in the conventional group and 45 cases in the study group. The conventional group recieved conventional intervention white the study control received conventional intervention combined with incentive intervention. The blood pressure control level, self-efficacy, mental health status and quality of life of the two groups were compared. Results The levels of systolic and diastolic blood pressure in the study group were lower than those in the conventional group (P ＜ 0.05). The score of general self-efficacy scale (GSES) in the study group was higher than that in the conventional group (P ＜ 0.05). The scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in the study group were lower than those in the conventional group (P ＜ 0.05). The score of GQOL-74 in the study group was higher than that in the conventional group (P ＜ 0.05). Conclusions Incentive intervention mode can effectively improve the mental health status of patients recovering from hypertensive intracerebral hemorrhage, enhance the self-efficacy of patients, and improve their level of blood pressure control and quality of life.