Percutaneous Coronary Intervention
Conditions
Brief summary
The goal of this study is to develop and evaluate a nurse-led intervention program based on the Information-Motivation-Behavioral Skills (IMB) model to improve health-promoting behaviors and quality of life in elderly patients after percutaneous coronary intervention (PCI). It will also learn about the program's effects on self-efficacy and relevant objective clinical indicators. The main questions it aims to answer are: Does the IMB-based nurse-led intervention improve health-promoting behaviors in elderly PCI patients? What effects does the intervention have on patients' self-efficacy, quality of life, and objective clinical indicators? Researchers will compare the nurse-led IMB-based intervention to usual care to see if the program effectively enhances health-promoting behaviors and quality of life. Participants will: Receive the IMB-based nurse-led intervention or usual care Be followed up for a specified period with regular assessments Complete questionnaires on health-promoting behaviors, self-efficacy, and quality of life at baseline and at designated time points post-intervention Have objective clinical indicators measured and recorded
Interventions
BEHAVIORALNurse-led intervention
The intervention group received a nurse-led IMB-based program plus standard care, delivered by an eight-member team from surgery to 4 weeks post-discharge. Information: In-hospital sessions (10-15 min) with teach-back, group peer support, a discharge handbook, and weekly phone/video follow-ups. Motivation: Three in-hospital motivational interviewing sessions (15-20 min) plus weekly post-discharge calls to enhance intrinsic motivation and family involvement. Behavioral Skills: Hands-on training via demos, simulations, and role-playing (15-20 min) with real-time feedback, discharge review, and post-discharge dynamic adjustments. Core Content: Six domains-health responsibility, nutrition, physical activity, stress management, interpersonal relations, and spiritual growth-each integrating IMB components.
Sponsors
Henan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. a confirmed diagnosis of coronary heart disease with a stable condition following PCI 2. age ≥60 years 3. normal cognitive and communication abilities 4. provision of written informed consent and voluntary participation in the study
Exclusion criteria
1. severe concomitant diseases affecting vital organs (e.g., liver, brain, or kidneys) 2. current participation in other similar studies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health Promotion Lifestyle Profile II | From enrollment to 3 months post-intervention | The Health Promotion Lifestyle Profile II cocomprises six dimensions with a total of 52 items. Each item is rated on a 4-point Likert scale, yielding a total score ranging from 52 to 208, with higher scores indicating better health-promoting behaviors. Total scores of 52-91 indicate a poor level of health-promoting lifestyle, 92-131 indicate a moderate level, 132-171 indicate a good level, and 172-208 indicate an excellent level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac Self-Efficacy Scale | From enrollment to 3 months post-intervention | The cardiac self-efficacy scale consists of two dimensions and includes a total of 16 items. Each item is rated using a 5-point Likert scale, with total scores ranging from 0 to 64. Higher scores indicate greater self-efficacy in managing disease-related problems. |
| Seattle Angina Questionnaire | From enrollment to 3 months post-intervention | The Seattle Angina Questionnaire (SAQ) is a 19-item instrument comprising five domains that assess disease-specific functional status and quality of life in patients with coronary heart disease. Each domain score is standardized to a range of 0 to 100, with higher scores indicating better health status and quality of life. |
| Blood Pressure | From enrollment to 3 months post-intervention | — |
| Fasting Blood Glucose | From enrollment to 3 months post-intervention | — |
| Six-Minute Walk Test | From enrollment to 3 months post-intervention | — |
| Body Mass Index | From enrollment to 3 months post-intervention | — |
| Left Ventricular Ejection Fraction | From enrollment to 3 months post-intervention | — |
Countries
China
Outcome results
None listed