ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
This article is part of the Research TopicCardiac RehabilitationView all 11 articles
Analysis of current status and influencing factors of health promotion behaviours among patients after PCI: Based on Health Ecology Theory
Provisionally accepted
- Deyang People's Hospital, deyang, China
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Background: Coronary heart disease (CHD) is one of the most common cardiovascular diseases, with its prevalence and mortality rates increasing annually. Percutaneous coronary intervention (PCI) serves as a crucial revascularisation method for CHD, effectively alleviating myocardial ischemia and improving patient outcomes. However, patients undergoing PCI often experience adverse events such as restenosis due to unhealthy lifestyles or behaviours. Therefore, conducting a comprehensive, multifaceted exploration of the factors influencing health promotion behaviours in post-PCI patients is crucial for enhancing these behaviours and preventing adverse cardiovascular events. Objective: Based on health ecology theory, this study aims to understand the current status of health promotion behaviours among post-PCI patients, analyse their influencing factors, and provide evidence for developing targeted interventions to improve these behaviours. Methods: This cross-sectional study employed a convenience sampling approach. Between March and October 2024, 436 patients with PCI from the Cardiovascular Department of a Grade A tertiary general hospital in Sichuan Province, China, were enrolled. The study employed a general information questionnaire, the health promotion lifestyle scale, the health literacy scale, the psychological resilience scale, and the perceived social support scale for data collection. Univariate analysis, correlation analysis, and multiple stepwise linear regression were used to explore the factors influencing health promotion behaviours among these patients. Results: The mean health promotion behaviour score among PCI patients was (84.55±11.86). Correlation analysis revealed positive associations between health promotion behaviours and health literacy, psychological resilience, and perceived social support (r=0.747–0.809, P<0.01). Multivariate stepwise linear regression analysis revealed that age, occupational status, self-rated sleep quality, whether the patient or family members have worked in healthcare, receipt of chronic disease knowledge guidance, health literacy, psychological resilience, and perceived social support were significant factors influencing health promotion behaviours (P<0.05), explaining 77.6% of the total variance. Conclusion: Health promotion behaviours among PCI patients post-surgery are at a moderate level. Influencing factors are multi-level and multidimensional, suggesting comprehensive interventions targeting individuals, families, and society are necessary to enhance health promotion behaviours.
Keywords: Percutaneous Coronary Intervention, health promotion behaviours, Health ecology theory, Influencing factors analysis, Nursing
Received: 19 Sep 2025; Accepted: 28 Nov 2025.
Copyright: © 2025 Li, Zhao, Dai, Wen, Fan, Wu and He. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jijun Wu
Lin He
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