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Master Thesis

Évaluation de la connaissance de la maladie et de l'observance thérapeutique des patients après un accident vasculaire cérébral

Abstract : INTRODUCTION : Knowledge of a disease and its treatments improve adherence to a behaviour modification and compliance. OBJECTIVE : To evaluate the knowledge of cerebrovascular disease and the level of compliance of patients with secondary prevention of stroke. Compare the results with the knowledge of a control population. METHOD : We took over a cohort of 494 patients hospitalized for stroke in the neuro-vascular department of Annecy's hospital between 11/01/08 and 03/31/10. Then, a cohort indicator of 222 patients encountered in general practice offices of Annecy's suburb between 05/07/12 and the 07/31/12. We asked them to answer a questionnaire. RESULTS : in the end, we were able to get answers of 213 patients and 220 witnesses. Patients know their diagnosis to a 75% rate but are insufficiently aware of their cerebrovascular risk factors. They don't know better clinical signs compatible with a stroke than witnesses and would have been even less likely to call the emergency medical service facing these same signs. Self-assessment of compliance is good to a 67.8% rate, but we didn't find a relationship between compliance and knowledge of diagnosis, or with the recognition of their cerebrovascular risk factors. CONCLUSION : The knowledge of disease of patients in secondary prevention of stroke is not optimal. The establishment of a multidisciplinary therapeutic education would seem interesting.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00760924
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Submitted on : Tuesday, December 4, 2012 - 3:36:55 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Tuesday, March 5, 2013 - 3:53:13 AM

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  • HAL Id : dumas-00760924, version 1
  • PPN : 165950331

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Thomas Chanvillard. Évaluation de la connaissance de la maladie et de l'observance thérapeutique des patients après un accident vasculaire cérébral. Médecine humaine et pathologie. 2012. ⟨dumas-00760924⟩

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