ObjectiveTo investigate the effect of cross-theoretical model combined with empowerment education on self-management behavior and negative emotions in young and middle-aged patients with coronary heart disease after percutaneous coronary intervention(PCI).

MethodsA total of 68 young and middle-aged patients with coronary heart disease undergoing PCI were selected and divided into the observation group(n=33) and control group(n=35) according to the random number table method.The control group was given routine health education, and the observation group was given cross-theoretical model combined empowerment education on the base of control group.The coronary heart disease self-management behavior scale and anxiety and depression rating scale were used to conduct a questionnaire survey, and the scores of each dimension of self-management behavior, anxiety and depression scores of patients in the two groups were compared.

ResultsThere was no significant difference in the scores of each dimension of self-management between the two groups at discharge(P>0.05).At 3 months after discharge, there was no significant difference in the scores of emotional cognitive management dimension of self-management between the two groups(P>0.05), but the scores of other dimensions of self-management in observation group were higher than those in control group(P < 0.05 to P < 0.01).At 6 months after discharge, the scores of each dimension of self-management in observation group were significantly higher than those in control group(P < 0.01).There was no significant difference in the scores of anxiety and depression between the two groups at discharge(P>0.05).The scores of anxiety in observation group were lower than those in control group at 3 and 6 months after discharge(P < 0.05 to P < 0.01).The scores of anxiety depression in the two groups at 3 and 6 months after discharge were lower than those at discharge(P < 0.05), and the scores of anxiety at 6 months after discharge were lower than those at 3 months after discharge in observation group(P < 0.05).

ConclusionsThe application of cross-theoretical model combined empowerment education in the health education of young and middle-aged patients with coronary heart disease after PCI can improve the patient's self-management ability, improve the patient's self-management behavior, and reduce the patient's negative emotions such as anxiety and depression, which is worthy of clinical promotion.