Home-based exercise rehabilitation is a key intervention for reducing readmission rates and disability risk in elderly patients with heart failure with preserved ejection fraction (HFpEF). However, a standardized home-based exercise rehabilitation management pathway integrating traditional Chinese and Western medicine is currently lacking, and clinical practice face problems such as insufficient awareness of rehabilitation, inadequate individualization of exercise protocols, incomplete home monitoring systems, and weak interdisciplinary collaboration mechanisms. This consensus was developed using an evidence-based approach, with an initial draft created through literature screening, quality assessment, evidence extraction, and synthesis of evidence. The draft was then refined through expert panel discussions and two rounds of Delphi expert consultations to establish evidence grading and formulate recommendations. The consensus clarifies the core concepts of home-based exercise rehabilitation with integrated traditional Chinese and Western medicine for elderly HFpEF patients, constructs a standardized process covering organizational management, exercise principles, assessment and monitoring, and exercise protocols, and establishes management strategies for home-based exercise rehabilitation. This consensus aims to establish a management pathway for home-based exercise rehabilitation with integrated traditional Chinese and Western medicine for elderly patients with HFpEF, standardize home-based exercise rehabilitation procedures, reduce readmission rates and disability risk through a systematic rehabilitation system, improve quality of life, and provide standardized guidance for clinical practice.

居家运动康复是降低老年射血分数保留性心力衰竭（HFpEF）患者再住院率及失能风险的关键手段，但目前缺乏规范化的中西医结合居家运动康复管理路径，临床实践中存在康复认知不足、运动方案个体化欠缺、居家监测体系不完善、跨学科协作机制薄弱等问题。本共识基于循证方法，通过文献筛选、质量评价、证据提取与综合形成初稿，经专家论证会及2轮德尔菲专家函询完成证据分级和推荐意见制定。共识明确了老年HFpEF患者中西医结合居家运动康复核心概念，构建涵盖居家运动康复组织管理、运动原则、评估与监测及运动方案的标准化流程，并制定了居家运动康复管理策略。本共识旨在建立老年HFpEF患者中西医结合居家运动康复管理路径，规范居家运动康复流程，通过系统化康复体系降低患者再住院率及失能风险，改善其生活质量，为临床提供标准化指导。