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Master Thesis

Évaluation de l'efficacité d'un programme d'éducation thérapeutique chez les insuffisants cardiaques : le programme I-Care à l'hôpital Saint-André de Bordeaux

Abstract : Introduction: Heart failure is a common serious illness. Its treatment is well defined and therapeutic training is one of the main recommendations. I-Care, the national programme for therapeutic training in hospitals was implemented in Bordeaux in 2006 and is dedicated to the education of patients with heart failure. The goal of this thesis was to evaluate the efficiency of this programme in order to derive critical insights into possible improvements. Materials and methods: A retrospective quantitative study was made on 46 patients who had participated in the programme between 2006 and 2014 and who had at least completed the evaluation on average 25 months after the educational diagnosis. Results: This study shows a re-hospitalisation rate of 0.69 on average with 63% of patients not re-hospitalised, a significant amelioration of dyspnea (p=0.006), of BNP level (p=0,05), of FEVG (9.7 %, p< 0,0001) and of oedemas (Khi-2, p=0.03). An improvement was found for self-monitoring of weight, physical activity, fatigue, and quality of life but not statistically significant. Conclusion: This study has enabled the evaluation of the efficiency of the I-Care programme in Bordeaux which is encouraging. It would nonetheless be interesting to homogenise these programmes at a national scale and to organise their long term implementation.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01117411
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, February 17, 2015 - 9:41:15 AM
Last modification on : Wednesday, August 23, 2017 - 4:32:16 PM
Long-term archiving on: : Thursday, May 28, 2015 - 3:41:02 PM

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Annamaud Roussel. Évaluation de l'efficacité d'un programme d'éducation thérapeutique chez les insuffisants cardiaques : le programme I-Care à l'hôpital Saint-André de Bordeaux. Médecine humaine et pathologie. 2015. ⟨dumas-01117411⟩

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