Pathways of influence on health-promoting lifestyles in older adults with coronary heart disease: a cross-sectional study

This study establishes an social cognitive theory-informed framework where psychosocial resources and cognitive appraisals synergistically influence health behaviors in older adults. The centrality of self-efficacy as a mediator highlights its role in translating environmental supports into sustainable lifestyle changes. Based on the pathway relationships among various factors identified in the study, clinical nursing can construct a comprehensive nursing model. During the nursing process, a comprehensive assessment of the patients' various indicators should be conducted, and personalized nursing plans should be formulated according to the assessment results. It is necessary to organically integrate aspects such as improving health literacy, strengthening social support, enhancing self-efficacy, and alleviating health anxiety to provide patients with all-round nursing services.