CLINICAL TRIAL article
Front. Cardiovasc. Med.
Sec. Cardiovascular Epidemiology and Prevention
This article is part of the Research TopicExercise Management in Cardiovascular Health: Innovations and ChallengesView all 3 articles
The effects of Guozhuang dance on exercise self-efficacy in coronary heart disease patients following percutaneous coronary intervention: A randomized controlled trial
Provisionally accepted- Department of Nursing, Department of Humanities and Social Sciences, Zhejiang Industry Polytechnic College, Zhejiang, China
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Background:Coronary heart disease (CHD) is a leading cause of death. Despite PCI improving coronary perfusion, many patients face low physical activity, reduced self-efficacy, and poor quality of life, emphasizing the need for better rehabilitation. Objectives:To evaluate the effects of a 12-week Guozhuang dance intervention on exercise self-efficacy, functional capacity, physical activity, and health-related quality of life in CHD patients following PCI. Methods:88 post-PCI patients were randomly assigned to a control group (n=44) or an experimental group (n=44). Both groups received standard care; the control group participated in conventional rehabilitation, while the experimental group added Guozhuang dance. Outcomes measures were assessed at baseline(T0), at 4(T1) and 12(T2) weeks of intervention, and at 6 weeks after post-intervention(T3) using the Multidimensional Self-Efficacy for Exercise Scale (MSES), Six-Minute Walk Test (6MWT), International Physical Activity Questionnaire (IPAQ), and the Chinese Questionnaire of Quality of Life (CQQC). The protocol was registered in the Chinese Clinical Trial Registry (ChiCTR2300069341); Results: 81 participants completed the study (intervention n = 40; control n = 41), with no baseline differences (P > 0.05). The intervention group showed significantly greater improvements in exercise self-efficacy, 6MWT distances, physical activity, and quality of life compared to the control group at T2 and T3 (all P < 0.05). Conclusion:A 12-week Guozhuang dance program significantly enhances exercise self-efficacy, functional capacity, physical activity, and quality of life in CHD patients after PCI, making it a valuable addition to traditional cardiac rehabilitation.
Keywords: Guozhuang dance, Percutaneous Coronary Intervention, exercise self-efficacy, 6-minute walk test, Quality of Life
Received: 19 Aug 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Wu, Mao, Zhou, Wang, Qian, Huang, Liu and Yong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Fang Yong, fangyong19971228@163.com
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