Objective: To investigate the application effect of cardiac rehabilitation nursing based on five-level early activity in patients with coronary heart disease. Methods: A total of 86 patients with coronary heart disease admitted from January 2025 to January 2026 were selected and randomly divided into a control group receiving conventional nursing and a study group receiving cardiac rehabilitation nursing based on five-level early activity, with 43 cases in each group. The intervention effects of the two groups were compared. Results: After intervention, the cardiac function indicators in the study group were significantly better than those in the control group (p < 0.05); after intervention, the 6-minute walk test (6MWT) and peak oxygen uptake (VO2 peak) in the study group were significantly higher than those in the control group (p < 0.05); after intervention, the quality of life score in the study group was significantly higher than that in the control group (p < 0.05). Conclusion: Cardiac rehabilitation nursing based on five-level early activity can effectively improve cardiac function, enhance exercise tolerance, and elevate the quality of life in patients with coronary heart disease.
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