Self-Management Support for Acute Coronary Syndrome Patients After Hospital Discharge

Construction and Empirical Study of a "Hospital-to-Home" Self-Management Support Model for ACS Patients Based on the Integrated COM-B and HAPA Models

This randomized controlled trial evaluates a "Hospital-to-Home" self-management support model for Acute Coronary Syndrome (ACS) patients, which is based on the integrated COM-B and HAPA theories. Participants are randomly assigned to either an intervention group receiving a structured self-management program or a control group receiving standard education. The study compares self-management behaviors and health outcomes between the two groups to assess the model's effectiveness.

Inclusion Criteria:

• Diagnosed with acute coronary syndrome (ACS) according to the Guidelines for the Rapid Emergency Diagnosis and Treatment of Acute Coronary Syndrome (2019), based on electrocardiogram (ECG), serological tests, and symptomatology.
• Age ≥ 18 years.
• Mentally alert, with unimpaired communication skills, and adequate reading and expressive abilities.
• Patient, or their primary caregiver, able to use the study communication tool (WeChat).

Exclusion Criteria:

• Advanced or terminal stage of disease with expected survival less than 12 months.
• Severe physical comorbidities (e.g., decompensated cardiac, hepatic, or renal function).
• Motor dysfunction or mobility impairment.
• Currently participating in or previously participated in a similar clinical study.