Effects of digital health education combined with cognitive behavioral therapy on treatment compliance and sleep quality in elderly patients with coronary atherosclerotic heart disease,arrhythmia and cognitive impairment
Sang Xiaohong
Chen Xia
Wu Hongjin
Shao Yong
Long Deyong
Abstract：Objective To investigate the application of digital health education combined with cognitive behavioral therapy(CBT)and family support in elderly patients with coronary atherosclerotic heart disease(CHD),arrhythmia and cognitive impairment,and its effects on treatment compliance and sleep quality.Methods A prospective study was conducted.A total of 450 elderly patients with CHD,arrhythmia and cognitive impairment admitted to Beijing Anzhen Hospital,Capital Medical University from January 2023 to January 2025 were divided into control group and observation group by random number table method.The control group(227 cases)received routine intervention,and the observation group(223 cases)received digital health education combined with CBT and family support on the basis of routine intervention.The general data,arrhythmia,sleep,cognition,quality of life improvement and treatment compliance were analyzed between the two groups.Results After intervention,the duration and frequency of arrhythmia in both groups were shorter/decreased than those before intervention,and those in the observation group were shorter/lower than those in the control group(all P＜0.05).After interven-tion,the scores of Pittsburgh sleep quality index(PSQI)in both groups were lower than those before intervention,and the score in the observation group was lower than that in the control group(all P＜0.05).After intervention,the scores of Montreal cognitive assessment(MoCA)and 36-item short form health survey(SF-36)in both groups were higher than those before intervention,and the scores in the observation group were higher than those in the control group(all P＜0.05).The treatment compliance rate in the observation group was higher than that in the control group[96.0％(214/223)vs 81.5％(185/227)](P＜0.05).Conclusion Digital health education combined with CBT and family support can improve treatment compliance,reduce the duration and frequency of arrhythmia,improve sleep quality,cognitive function and quality of life in elderly patients with CHD,arrhythmia and cognitive impairment.
Keywords：Coronary atherosclerotic heart diseaseArrhythmiaCognitive impairmentHealth educationCognitive behaviorFamily support
Publication Date：2026-05-18
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 656-660 )