You need to add anchors to your string.
When you have, for example:
aeqwae
You say the output is true, but it’s not valid because a is not the same as e. Well, regex simply matches the previous character (before e), which is a. Thus, the match is valid. So, you get this:
[aeqwa]e
The string enclosed in the brackets is the actual match and why it returns true.
If you change your regex to this:
/^([aeiou]).*\1$/
By adding ^, you tell it that the start of the match must be the start of the string and by adding $ you tell it that the end of the match must be the end of the string. This way, if there’s a match, the whole string must be matched, meaning that aeqwae will no longer get matched.
A great tool for testing regex is Regex101. Give it a try!
Note: Depending on your input, you might need to set the global (g) or multi-line (m) flag. The global flag prevents regex from returning after the first match. The multi-line flag makes ^ and $ match the start and end of the line (not the string). I used both of them when testing with your input.