{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:42:02Z","timestamp":1771922522402,"version":"3.50.1"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"\n Background<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n 88 post-PCI patients were randomly assigned to a control group (\n n<\/jats:italic>\n \u2009=\u200944) or an intervention group (\n n<\/jats:italic>\n \u2009=\u200944). Both groups received standard care; the control group participated in conventional rehabilitation, while the intervention 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 distance (6MWD), International Physical Activity Questionnaire (IPAQ), and the Chinese Questionnaire of Quality of Life (CQQC). Data were analyzed using intention-to-treat (ITT) analysis. The protocol was registered in the Chinese Clinical Trial Registry (ChiCTR2300069341).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Both groups demonstrated comparable baseline characteristics (\n P<\/jats:italic>\n \u2009&gt;\u20090.05). Significant group\u2009\u00d7\u2009time interactions were found for exercise self-efficacy and 6MWT distance (both\n P<\/jats:italic>\n \u2009&lt;\u20090.001), while physical activity and quality of life showed significant main effects of group (both\n P<\/jats:italic>\n \u2009&lt;\u20090.05). The intervention group demonstrated significantly greater improvements in exercise self-efficacy, physical activity, and quality of life at T1, T2, and T3 (all\n P<\/jats:italic>\n \u2009&lt;\u20090.05). For 6MWD, significant between-group differences were observed at T2 and T3 (both\n P<\/jats:italic>\n \u2009&lt;\u20090.001), but not at T1 (\n P<\/jats:italic>\n \u2009=\u20090.065\u2009&gt;\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Clinical Trial Registration<\/jats:title>\n \n https:\/\/www.chictr.org.cn\/bin\/home<\/jats:ext-link>\n , identifier, ChiCTR2300069341.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1688894","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T06:32:00Z","timestamp":1768804320000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effects of Guozhuang dance on exercise self-efficacy in coronary heart disease patients following percutaneous coronary intervention: a randomized controlled trial"],"prefix":"10.3389","volume":"12","author":[{"given":"Wenxiao","family":"Wu","sequence":"first","affiliation":[{"name":"School of Nursing, Zhejiang Industry Polytechnic College","place":["Shaoxing, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangqun","family":"Mao","sequence":"additional","affiliation":[{"name":"School of Nursing, Zhejiang Industry Polytechnic College","place":["Shaoxing, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yijiang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Nursing, the First Affiliated Hospital, Zhejiang University School of Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, the First Affiliated Hospital, Zhejiang University School of Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xia","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Nursing, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University","place":["Jinhua, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiting","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nursing, the First Affiliated Hospital, Zhejiang University School of Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing, the First Affiliated Hospital, Zhejiang University School of Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Fang","sequence":"additional","affiliation":[{"name":"School of Nursing, Changsha Medical University","place":["Changsha, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1161\/circulationaha.124.069450","article-title":"Influence of pathophysiologic patterns of coronary artery disease on immediate percutaneous coronary intervention 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