Effects of a health management model based on the integrated theory of health behavior change on body mass index, blood lipids, quality of life, and self-management ability in elderly community-dwelling patients with chronic coronary syndrome
10.3760/cma.j.cn114798-20250731-00928
- VernacularTitle:基于ITHBC的健康管理模式对社区老年CCS患者体重指数、血脂、生活质量与自我管理能力的影响
- Author:
Mingyuan FU
1
;
Xinying LIU
;
Xiaoyi YU
;
Caiying GE
;
Min KONG
Author Information
1. 首都医科大学全科医学与继续教育学院，北京 100069
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Health management;
Integrated theory of health behavior change
- From:
Chinese Journal of General Practitioners
2025;24(12):1496-1502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of a health management model based on the Integrated Theory of Health Behavior Change (ITHBC) on body mass index (BMI), blood lipids, quality of life, and self-management ability in elderly community-dwelling patients with chronic coronary syndrome (CCS).Methods:This randomized controlled trial enrolled elderly CCS patients attending the general outpatient clinic at Fangzhuang Community Health Service Center of Fengtai District, Beijing, between March 2023 and May 2024. Participants were randomly assigned to either an intervention group or a control group. The control group received routine care, while the intervention group received ITHBC-based health management for 12 months. Primary endpoints included BMI, blood lipid profiles (total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C)), quality of life (assessed across 5 domains: disease perception, physical limitation, angina stability, angina frequency, and treatment satisfaction), and patient self-management ability (assessed across 7 domains: symptom management, harmful habit management, emergency management, disease knowledge management, daily life management, treatment adherence management, and emotional cognition management).Results:A total of 140 patients were enrolled, with the age of 71.0(67.0, 75.0) years; 85 (60.71%) were male. Seventy patients were assigned to each group. At the 12-month follow-up, levels of TC, TG, and LDL-C in the intervention group were significantly lower than those in the control group (all P<0.05). No statistically significant differences were observed in BMI or HDL-C levels between the two groups (all P>0.05). Regarding quality of life, the intervention group had a significantly lower score in the disease perception domain than the control group ( P=0.007). No significant intergroup differences were found in the scores for physical limitation, angina stability, angina frequency, or treatment satisfaction (all P>0.05). For self-management ability, the symptom management score was significantly higher in the intervention group than in the control group ( P=0.030). No significant differences were observed between the groups in the remaining self-management domains (all P>0.05). Conclusions:The ITHBC-based health management model can improve blood lipid management in elderly community-dwelling CCS patients, with superior effects compared to routine care, although it doesn′t significantly improve BMI. The model also shows potential to improve patients′ quality of life and self-management ability; however, its effects in these areas are not significantly superior to those of routine care.
