Min Wang, Jian-Ou Xu, Cai-Feng Luo, Fei Lv, Lan-Zhi Wei
Qualitative comparative analysis of learning engagement among Chinese part-time master's students in nursing
Nurse education today
background ischaemic heart disease including myocardial infarction one main causes leading heart failure consequence ischaemic myocardial damage recent years survival acute phase myocardial infarction improved significantly high mortality rate within 12 months hospital discharge reaching 98 poland remains challenge therefore koszawa mcami comprehensive 12month postmi care programme introduced poland 2017 aim study aimed assess body composition including limited phase angle visceral fat total body fat redistribution intracellular extracellular fluid body metabolic age using bioelectrical impedance analysis bia postmi patients early postmi rehabilitation participating koszawa mcami programme methods study involved examination rehabilitation 94 postmyocardial infarction patients referred cardiology appointment within 710 days hospital discharge clinical assessment electrocardiogram biochemical blood tests complete blood count crp serum creatinine performed various reasons death qualification device implantation noncompletion rehabilitation failure attend followup bia data 55 patients examined twice rehabilitation used final analysis measurements taken using highgrade tanita mc780 bia body composition analyser measured resistance tissues lowintensity electrical impulse perceptible subject results participation rehabilitation part koszawa mcami programme associated decrease metabolic age patients reduction visceral fat levels levels adipose tissue lower upper limbs moreover clinically beneficial reduction ratio extracellular water total body water also observed changes statistically significant p 0005 contrast statistically significant differences change phase angle values subjects 5week postinfarction rehabilitation conclusions participation early postmyocardial infarction rehabilitation part koszawa mcami programme 25 training sessions associated significant improvements body composition parameters visceral adipose tissue limb fat water redistribution consequently reduction metabolic age despite significant increase phase angle values hypothesised good baseline condition subjects might explain lack significant change phase angle short observation period analysis would worthwhile increase number patients baseline reduced phase angle values monitor changes parameter throughout rehabilitation entire mcami programme changes phase angle may also influenced programme components dietary psychological education worth considering implementing regular bia assessment patients programme motivating stimulus diligent exercise extending rehabilitation followed telerehabilitation hybrid telerehabilitation