An interventional study of Routine and BCW in Aortic Dissection, sponsored by Shuzhen Wang. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-12.
Sponsored by Shuzhen Wang · Not applicable, Interventional, and Supportive care
Study Title ： Effectiveness of a BCW Theory-Based Exercise Rehabilitation Program in Post-Endovascular Aortic Dissection Patients: A Randomized Controlled Trial
Primary Objective ： To determine whether an exercise rehabilitation program constructed based on the Behavior Change Wheel (BCW) framework improves postoperative quality of life (QoL) in patients undergoing endovascular aortic repair (EVAR).
Methodology ： Intervention Group (n= 40): Receives the BCW-based exercise rehabilitation protocol.
Control Group (n= 40): Receives routine care and health education . Outcome Measures ：
Primary Endpoint :QoL changes assessed via validated scales ( SF-36) at:
Pre-discharge (T0)
1 month postoperatively (T1) 3 months postoperatively (T2)
Secondary Endpoints (Daily Monitoring):
Exercise duration (minutes/day) Exercise intensity Post-exercise blood pressure (mmHg) Post-exercise heart rate (bpm)
Exclusion Criteria:
Behavioral: Routine · Behavioral: BCW
Behavioral: Routine
Inpatient Care: Continuously monitor vital signs (BP, HR, SpO₂), neurological status, and limb function; administer prescribed antihypertensives with thorough medication education and efficacy tracking. Strictly prohibit Valsalva maneuvers . Assess pain levels, wounds, and psychological state; deliver scheduled analgesics and emotional counseling to maintain stable mood. Implement lifestyle optimization: 7+hr sleep/night, portion-controlled nutrition, and gradual postoperative mobilization. Discharge \& Follow-up: Enforce BP control through medication adherence. Ban vigorous activities (mountaineering/swimming/competitive sports); allow low-stress aerobics . Distribute Exercise Diaries (Appx 6) mandating daily logs with critical warnings: STOP immediately if nausea, chest pressure, dizziness, dyspnea, or arrhythmia occur and urgent revisit. Require complete tobacco cessation and secondhand smoke avoidance.
1.1 Assessment of physical fitness and formulation of individualized exercise rehabilitation plans 1.2 Inpatient Phase (Postoperative Day 1 - Week 1): Monitor via ICU Mobility Scale (IMS) before each session:▪ Score 0 : Passive range of motion (PROM) exercises▪ Scores 1-3 : Active bed-based joint mobility training▪ Scores 4-6 : Standing balance training▪ Scores 7-10 : Ambulatory walking training 1.3 Early Outpatient Phase (Weeks 2-4): Initiate when IMS=10:▪ Perform 6-Minute Walk Test (6MWT) ▪ If distance \>450m: Prescribe low-intensity aerobic walking " Speed: 3 km/h" Progression: Start at 10 min/day (≈500 steps), increase by 10 min every other day up to 40 min/day 1.4 Intermediate Rehabilitation (Weeks 5-12): Moderate-intensity aerobic walking + Resistance training :▪ Walking: 4-6 km/h, 30 min/session, 3 sessions/week▪ Resistance training: Seated elastic band exercises, 20 min/session, 2 sessions/week
SF-36
Time frame: Preoperative，1 month postoperative，3 month postoperative
HADS
Hospital Anxiety and Depression Scale，HADS
Time frame: Preoperative，1 month postoperative，3 month postoperative
PISQ
Pittsburgh Sleep Quality Index
Time frame: Preoperative，1 month postoperative，3 month postoperative
Self-Efficacy for Exercise Scale
SEE-C
Time frame: Preoperative，1 month postoperative，3 month postoperative
complications
Time frame: Within 3 months postoperatively
6MWT
Time frame: Predischarge ,1 month postoperative，3 month postoperative
Plan to share: Undecided
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