Construction of a Risk Factor Intervention Program for Perimenopausal Patients with Coronary Heart Disease Based on Health Action Process Orientation Theory

Ping Huang,&ast; Lingsha Wu,&ast; Fang Li, Xiaoqin Meng, Ping He Department of Cardiovascular Medicine, The Second Hospital of JiaXing, Jia Xing, Zhe Jiang, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Ping He, Email amnb1284sci@163.comBackground: To construct a risk factor intervention program for perimenopausal patients with coronary heart disease based on the health action process orientation theory, to provide a reference for perimenopausal women to reduce the controllable risk factors of coronary heart disease.Methods: By reviewing relevant literature, guidelines, and expert consensus, we performed a retrospective analysis of the factors influencing perimenopausal patients with coronary heart disease to engage in risk factor reduction behaviors in the preliminary stage, conducted qualitative interviews on patients’ cognition of and motivation for adherence to cardiac rehabilitation, and initially formulated an intervention program for perimenopausal patients with coronary heart disease regarding their risk factors based on the theoretical model of the process of action orientation to health and formed Expert Correspondence Form.Results: The positive response rate of experts in the 2 rounds of correspondence was 100%, the basis of expert judgment (Ca) was 0.955, the familiarity (Cs) was 0.964, the authority coefficient (Cr) was 0.960, and the Kendall’s W coefficients were 0.294 and 0.343, respectively (P< 0.05). The final result was a risk factor intervention program for perimenopausal patients consisting of coronary heart disease based on the health action process orientation theory with 3 level 1, 10 level 2, and 42 level 3 entries.Conclusion: Based on the health action process orientation theory of perimenopausal patients with coronary heart disease risk factor intervention program scientific construction process, the construction of the content around the perimenopausal patients with coronary heart disease characteristics, the development of targeted interventions.Keywords: perimenopause, coronary heart disease, health action process orientation theory, cardiac rehabilitation