Key result
Nursing cardiac rehabilitation reduces post-PCI adverse cardiovascular events by an absolute ~14% vs routine care.
Why the study?
Patients with CHD still face challenges regarding postoperative cardiac function recovery and quality of life improvement after PCI.
Does nursing cardiac rehabilitation improve cardiac function, quality of life, and clinical outcomes in patients with coronary heart disease after percutaneous coronary intervention?
RCT (n=100)
Single-blind (outcome evaluators blinded)
Group randomization design using a computer-generated random allocation sequence
No
Does nursing cardiac rehabilitation improve cardiac function, quality of life, and clinical outcomes in patients with coronary heart disease after percutaneous coronary intervention?
Absolute Event Rate: 4% vs 18%
p-value: p=0.025
A comprehensive, nurse-led cardiac rehabilitation program significantly improves short-term cardiac function, exercise endurance, and quality of life while reducing adverse events in patients following PCI.
Supports nurse-led cardiac rehabilitation after PCI; extends randomized evidence on event reduction in coronary disease.
Background With the widespread application of Percutaneous coronary intervention (PCI) is widely used to treat coronary heart disease (CHD). Although it can effectively open narrowed or occluded coronary arteries, patients still face many challenges in terms of postoperative cardiac function recovery and improvement of quality of life. Therefore, this study aimed to evaluate the impact of nursing cardiac rehabilitation on cardiac function and quality of life in patients with CHD after PCI. Methods From February 2022 to February 2023, 100 patients with CHD who underwent PCI at the Tianjin Rehabilitation Center of the Joint Logistics Support Force were selected and divided into the control group (CG) and the observation group (OG). The CG received routine nursing care. The OG underwent cardiac rehabilitation nursing. Results Compared with the CG, the OG had a lower left ventricular end-systolic diameter and left ventricular end-diastolic diameter and a higher left ventricular ejection fraction after nursing ( P < 0.05). Compared with the CG, the OG had a longer 6-min walking distance (6MWD) after nursing ( P < 0.05). The incidence of adverse cardiovascular events was lower in the OG than in the CG ( P = 0.025). Compared with the CG, the OG had higher World Health Organization Quality of Life-BREF (WHOQOL-BREF) scores in all fields after nursing ( P < 0.05). Nursing satisfaction was higher in the OG than in the CG ( P = 0.014). Conclusions Nursing cardiac rehabilitation can promote cardiac function and quality of life in patients with CHD after PCI, which has high clinical significance.
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Wu et al. (2026) conducted an RCT in Coronary heart disease after percutaneous coronary intervention (n=100). Nursing cardiac rehabilitation vs. Routine nursing care was evaluated on Incidence of adverse cardiovascular events (arrhythmia, myocardial infarction, angina) (p=0.025). Nursing cardiac rehabilitation significantly reduced the incidence of adverse cardiovascular events to 4.0% compared to 18.0% with routine nursing care in patients with coronary heart disease after percutaneous coronary intervention.
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