Effect of patient management based on the concept of active health behavior on rehabilitation quality of elderly patients with coronary atherosclerotic heart disease after percutaneous coronary intervention

Du Yinfeng; Zhang Nan; Li Chunying

doi:10.3760/j.issn.1673-4777.2026.06.002

Abstract：Objective To evaluate the effect of patient management based on the concept of active health behavior on rehabilitation quality in elderly patients with coronary atherosclerotic heart disease after percutaneous coronary intervention.Methods A total of 400 elderly patients with coronary atherosclerotic heart disease who un-derwent percutaneous coronary intervention and were admitted to Beijing Anzhen Hospital,Capital Medical University from December 2024 to May 2025 were enrolled as research subjects.They were randomly divided into control group and observation group,with 200 cases in each group.The control group received routine department management,while the observation group received systematic intervention guided by the concept of active health behavior on the basis of routine management.Both groups were followed up for 3 months.The differences in self-efficacy,quality of life,psychological state and incidence of cardiovascular adverse events were compared between the two groups.Results During the follow-up period,15 cases were lost to follow-up in the control group and 10 cases in the observation group,with 185 and 190 cases finally included respectively.At 1 month and 3 months after intervention,the scores related to self-efficacy,self-management ability,quality of life,cognition of disease-related risk factors,treatment compliance and active health behavior level in the observation group were significantly higher than those in the control group,while the scores related to psychological state were significantly lower than those in the control group(all P＜0.001).The total incidence of cardiovascular adverse events in the observation group was lower than that in the control group[16.3％(31/190)vs 47.6％(88/185)](x2=42.259,P＜0.001).Conclusions Patient management based on the concept of active health behavior can significantly improve the level of active health behavior,self-efficacy and self-management ability,optimize quality of life and mental health status,and reduce the incidence of cardiovascular adverse events in elderly patients with coronary atherosclerotic heart disease after percutaneous coronary intervention.