Objective: To explore the influence of health education based on health belief model on self-efficacy and psychological state of patients undergoing permanent pacemaker implantation. Methods: A total of 120 patients who received permanent cardiac pacemaker implantation in our hospital from January 2018 to September 2020 were selected and randomly divided into a control group (n=60) and an experimental group (n=60). The control group was given conventional health education, while the experimental group was given health education based on health belief model. The self-efficacy, psychological resilience, psychological state, total complication rate and nursing satisfaction of the 2 groups were observed. Results: After the intervention, the scores of General Self-Efficacy Scale (GSES) and Connor-Davidson Resilience Scale (CD-RISC) in the experimental group were higher than those in the control group (P<0.05). After the intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the experimental group were lower than those in the control group (P<0.05). During the intervention period, the total incidence of complications (urinary retention, pneumothorax, local bleeding, abdominal distension, and limb pain on the operation side) in the experimental group was lower than that in the control group (P<0.05). The satisfaction of patients in the experimental group was higher than that in the control group (P<0.05). Conclusion: Health education based on health belief model can improve patients’ self-confidence, improve patients’ negative emotions, reduce postoperative complications, and improve patients’ satisfaction.