# Design and evaluation of a health education prompt list using network analysis for patients after PCI

**Authors:** Fang Zhen, Songmei Cao, Jingjing Wang, Qin Yuan, Xiaoyan Zhao, Liu Jun

PMC · DOI: 10.3389/fpubh.2025.1740551 · Frontiers in Public Health · 2026-01-12

## TL;DR

This study created a checklist for health education prompts for patients after heart procedures and used network analysis to identify key issues for better patient care.

## Contribution

The novel contribution is the use of network analysis to structure health education prompts and identify core post-procedural issues.

## Key findings

- The checklist includes 8 first-level and 20 second-level health education items.
- Network analysis identified 'Coronary Heart Disease Risk Factors' and 'Postoperative Complications' as core clusters.
- The checklist is clinically applicable and improves patient self-management and nursing guidance.

## Abstract

To develop a checklist of health education prompts for patients after coronary heart disease interventional procedures, and to employ network analysis to identify core issues, thereby providing a structured tool for patients to actively acquire health information.

From January to June 2024, items were generated through literature review, patient interviews (n = 8), and two rounds of expert correspondence (n = 12). A questionnaire survey was then administered to 200 patients. Principal component analysis and network analysis were combined to identify problem clusters and core issues.

The final checklist comprised 8 first-level items and 20 s-level items. Network analysis revealed a modular structure of the problems, with “Coronary Heart Disease Risk Factors” and “Postoperative Complications of Coronary Heart Disease” identified as the core clusters.

The developed checklist of health education prompts for patients after coronary heart disease interventional procedures is clinically applicable. The use of network analysis elucidated the modular structure and interrelationships within post-procedural health education for coronary heart disease. It can assist nursing staff in providing targeted health education, enhancing patients’ postoperative self-management capabilities, and offers direct guidance for nursing practice.

## Linked entities

- **Diseases:** coronary heart disease (MONDO:0005010)

## Full-text entities

- **Diseases:** Postoperative Complications of (MESH:D011183), Coronary Heart Disease (MESH:D003327)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12832636/full.md

## References

29 references — full list in the complete paper: https://tomesphere.com/paper/PMC12832636/full.md

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Source: https://tomesphere.com/paper/PMC12832636