Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial.

•Nurse-led multidisciplinary self-management improves health outcome of CHD patient.•Self-management of chronic patients needs support from multidisciplinary team.•Individual assessment, consultation and follow-up were critical to self-management.•Multidisciplinary collaboration is essential for chronic management in communities.