Objective To explore the construction and effects of a self-management program for patients with permanent pacemaker（PPM） implantation based on the integrated theory of health behavior change（ITHBC）. Methods Seventy patients with PPM admitted to a hospital in Hengyang from September 2020 to October 2021 were selected for the study

and were divided into a control group and an observation group using the random number table method

with 35 cases in each group. Patients in the control group were given conventional management interventions

and patients in the observation group were given a self-management program for PPM patients constructed based on ITHBC as a guide for over interventions

and in both groups the intervention continued for 1 month. The quality of life [quality of life instrument for Chinese patients with pacemaker（QLIPP）]

self-management level [using the Exercise of Self-Care Agency（ESCA）]

and self-efficacy [General Self-Efficacy Scale（CSES）] before and after the intervention at 1 month and 6 months were compared between the 2 groups

and the medication adherence after the intervention [Morisky Medication Adherence Scale（MMAS-8） ] was compared between the 2 groups. Results The excellent medication adherence rate of patients in the observation group was 97.14%

which was significantly higher than that of 77.14% in the control group

and the difference was also statistically significant（χ2=6.248

P=0.012）. Before the intervention

there was no statistically significant difference between the QLIPP scores of patients in the 2 groups（P>0.05）; at 1 month and 6 months of the intervention

the QLIPP scores of patients in the 2 groups were higher than before the intervention and higher in the observation group than in the control group

with statistically significant differences（P<0.05）. Before the intervention

there was no statistically significant difference between the ESCA and CSES scores of the 2 groups; at 1 month and 6 months of the intervention

the ESCA and CSES scores of the 2 groups were higher than before the intervention and higher in the observation group than in the control group

with statistically significant differences（P<0.05）. Conclusion The self-management program constructed based on ITHBC can effectively improve the self-management ability

survival quality

self-efficacy and medication adherence of PPM patients

and it is worthy to be promoted in clinical use.