AIMS: This study explored the effects of a Common-sense model of self-regulation-based nursing intervention on enhancing cardiac exercise rehabilitation compliance in coronary heart disease patients, aiming to improve cardiac function and overall health outcomes. DESIGN: This study was a two-arm, parallel prospective randomized controlled trial. METHODS: Participants were recruited from February to August 2024 at 3 Hospitals in Changsha, Hunan, China. Participants in the intervention group received a nursing intervention based on a Common-sense model of self-regulation and routine health education, while those in the control group received routine health education only. The outcome variables included exercise compliance, level of exercise fear, brief illness perception, emotional regulation self-efficacy level, blood pressure, body mass index, six-minute walking test. Statistical methods used to analyze the data include t-test, non-parametric rank sum test. RESULTS: 77 participants completed the study. Compared to the control group (n = 38), the intervention group (n = 39) showed statistically significant improvements in the outcomes of exercise compliance, level of exercise fear, level of brief illness perception, level of emotion regulation self-efficacy, blood pressure, body mass index, six-minute walk test. CONCLUSION: A Common-sense model-based cardiac exercise rehabilitation compliance intervention effectively improves health outcomes in coronary heart disease patients and can be integrated into nursing practice to enhance clinical care. Clinical Trial Registration: identifier ChiCTR2400084280.

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