J Cardiovasc Nurs. 2026 Feb 24. doi: 10.1097/JCN.0000000000001320. Online ahead of print.
ABSTRACT
BACKGROUND: Health education is a beneficial nursing approach for patients with cardiovascular disease, but it is unclear whether this approach is effective for patients with abdominal aortic aneurysms who abandon beneficial physical activity due to concerns. In this study, we aimed to evaluate the effectiveness of a health education intervention based on the PRECEDE-PROCEED model in enhancing exercise self-efficacy and quality of life among patients with abdominal aortic aneurysms.
OBJECTIVE: In this study, our aim was to investigate the impact of exercise rehabilitation health education based on the PRECEDE-PROCEED model on the quality of life and exercise self-efficacy of patients with abdominal aortic aneurysms.
METHODS: This randomized controlled trial enrolled 70 patients admitted to the Department of Cardiovascular Surgery at a tertiary Grade-A hospital between June 2024 and June 2025. Participants were equally allocated to either the intervention group (n = 35) receiving exercise rehabilitation health education based on the PRECEDE-PROCEED model or the control group (n = 35) receiving standard cardiac surgical rehabilitation guidance. Outcomes were assessed using the 36-Item Short-Form Health Survey (SF-36) and the Chinese self-efficacy for exercise scale at baseline, discharge, and 3-month follow-up.
RESULTS: No statistically significant differences in baseline scores were observed between the groups (all P > .05). Postintervention, the intervention group demonstrated significantly higher SF-36 scores and Chinese self-efficacy scores both at discharge and at the 3-month follow-up (all P < .05).
CONCLUSION: The application of exercise rehabilitation health education based on the PRECEDE-PROCEED model effectively improves quality of life and enhances exercise self-efficacy, providing empirical support for standardized postoperative rehabilitation protocols.
PMID:41739847 | DOI:10.1097/JCN.0000000000001320