Combined effects of Evodiae Fructus point application and psycho-cardiology nursing on post-PCI coronary heart...

To evaluate the effects of Evodiae Fructus point application combined with psycho-cardiology nursing on sleep, quality of life (QoL), and nursing satisfaction in patients with coronary heart disease after percutaneous coronary intervention (PCI).

In this randomized controlled trial, 82 patients were allocated to either the study group (n = 41), receiving Evodiae Fructus point application and psycho-cardiology nursing alongside conventional care, or the control group (n = 41), receiving conventional care alone. The primary outcomes were sleep quality (Pittsburgh Sleep Quality Index, PSQI) and QoL (China Questionnaire of QoL in Cardiovascular patients, CQQC). Secondary outcomes included cardiac function indices (LVEF, LVEDD, LVESD, LVEDV), adverse reactions, and nursing satisfaction.

Cardiac function improved similarly in both groups (e.g., LVEF between-group difference in change: -1.85, 95% CI: -5.42 to 1.72; p = 0.305). However, the study group showed superior improvement in the primary endpoints: a lower PSQI total score (between-group difference: -5.56, 95% CI: -7.91 to -3.21; p < 0.001) and a higher CQQC total score (between-group difference: 18.45, 95% CI: 10.32 to 26.58; p < 0.001). Nursing satisfaction was also higher in the study group (97.56% vs. 90.24%, p = 0.023), with no significant difference in adverse reactions (19.5% vs. 9.8%, p = 0.322).

For patients undergoing PCI, integrating Evodiae Fructus point application with psycho-cardiology nursing into standard care significantly improves sleep quality, QoL, and nursing satisfaction, with a favorable safety profile. This combined approach did not, however, confer additional short-term benefits to cardiac function.