ABSTRACT
@#Objective To analyze the clinical intervention effect of multi-disciplinary team (MDT) nursing mode on patients after transcatheter aortic valve implantation (TAVI). Methods A total of 89 patients who were admitted to our hospital and underwent TAVI surgery from April to December 2021 were selected, including 64 males and 25 females, with an average age of 64.7±11.8 years. The subjects were divided into a MDT intervention group (n=42) and a control group (n=47) according to different postoperative nursing intervention methods. Clinical effectivenesses were compared between the two groups. Results The left ventricular ejection fraction in the two groups significantly increased on the 7th day after the operation, and the increase in the MDT intervention group was more obvious, with no statistical difference between the two groups (P=0.14). On the 7th day after surgery, forced vital capacity/predicated value and forced expiratory volume in one second/predicated value significantly decreased, and decreased more significantly in the control group than those in the MDT intervention group with statistical differences (P=0.01). The ICU stay time (P=0.01), hospital stay time (P<0.01) and total postoperative pulmonary complications rate (P=0.03) in the MDT intervention group were significantly shorter or lower than those in the control group The evaluation results of the anxiety and depression status of the patients before and after nursing intervention showed that the scores of anxiety and depression in the two groups were significantly lower than before, and the scores of each scale in the MDT intervention group were lower. The score of quality of life of the two groups significantly improved at the end of 6 months after surgery, and in the MDT intervention group it was significantly higher than that in the control group (P=0.02). Conclusion MDT intervention mode can promote the rapid recovery of patients after TAVI, effectively reduce the risk of postoperative pulmonary complications, and improve the postoperative quality of life.
ABSTRACT
Objective To establish a simple and practical regression equation for estimating maximal oxygen uptake(VO2max),so as to provide a base and reference for epidemiological studies.Methods Totally 128 freshmen(88 males and 40 females) were randomly recruited majoring in social sports and physical education to conduct the correlation analysis between VO2max and the weight,body surface area,body mass index(BMI) and vital capacity.Then 34 freshmen(17 males and 17 females) were chosen from them randomly to compare whether there was a significant difference between the two VO2max relative values measured by Astrand estimation and direct measurement respectively.Based on the results,the multiple linear regression analysis was conducted:independent variables entered theregression equation in turn according to the Forward method and the significance test of the regression equation,the regression coefficients and the fitting degree was conducted.We got the regression equation finally according to the Durbin-Watson and VIF values.Another 17 male freshmen were recruited to verify the efficient of the regression equation.Results Significant differences were observed in the relative VO2max value of females,being 45.14 ± 8.08 ml/kg/min and 32.63 ± 5.87 ml/kg/min by Astrand and direct measuring respectively,but not in that of the male,being 47.24 ± 6.46 ml/kg/min and 51.62 ± 6.91 ml/kg/min accordingly.There was very significant correlation between VO2max and weight,body surface area,BMI and vital capacity of the male freshmen(P＜0.01),but not of the female freshmen (P＞0.05).The regression equation of estimating the relative VO2max of the boy freshmen was y=34.812+0.015×vital capacity(ml)-40.403×body surface area(m2).No significant differences were found between the value calculated using this equation and that measured directly (P＞0.05).Conclusions The regression equation found in this study is simple,practical and efficient,and it can be used to estimate the relative VO2max of male freshmen majoring in physical education and social sports in epidemiologic study,so as to evaluate their cardiopulmonary fitness.
ABSTRACT
Background and Objectives: Maximum Oxygen uptake (VO2 max) is a good predictor of cardiopulmonary and muscle fitness. Maximum oxygen uptake is defined as the highest rate at which oxygen can be taken up and utilize by body during severe exercise. The present study aims to find out the level of VO2 max using Mc Ardle equation and to compare obtained values from Chatterjee’s equation in Nepalese population. Methodology: Maximum oxygen uptake was determined by using the Queen’s college step-stool of 16.25 inches and popular Mc Ardle equation. Stepping was done for a total duration of 3 minutes at the rate of 24 cycles per minute for males and 22 cycles per minute for females. After completion of the exercise, subjects remained standing while the carotid pulse rate was taken as heart rate. Maximum oxygen uptake was calculated using obtained heart rate. Results: Queen’s college step test (QCT) was used as a submaximal exercise and the estimated VO2 max in boys and girls was 48.8± 7.3 ml/kg/min and 37.4± 2.7 ml/kg/min respectively with Mc Ardle equation and the value was higher when compared with Chatterjee’s equations. The value of VO2 max was observed and found to be less in smokers and sedentary individuals. Conclusion: As the values of VO2 max obtained from different equations are different, this research strongly argues the need of developing a prediction equation specifically for the Nepalese population.