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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
78
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.
Huaihe Hospital of Henan University
Kaifeng, Henan, China
Health Promotion Lifestyle Profile II
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.
Time frame: From enrollment to 3 months post-intervention
Cardiac Self-Efficacy Scale
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.
Time frame: From enrollment to 3 months post-intervention
Seattle Angina Questionnaire
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.
Time frame: From enrollment to 3 months post-intervention
Blood Pressure
Time frame: From enrollment to 3 months post-intervention
Fasting Blood Glucose
Time frame: From enrollment to 3 months post-intervention
Six-Minute Walk Test
Time frame: From enrollment to 3 months post-intervention
Body Mass Index
Time frame: From enrollment to 3 months post-intervention
Left Ventricular Ejection Fraction
Time frame: From enrollment to 3 months post-intervention
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