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Master Thesis

Évaluation des besoins éducatifs des patients détenus porteurs d’une pathologie chronique : perspectives pour le développement d’une offre adaptée d’éducation thérapeutique pendant le temps de la détention au Centre Pénitentiaire de Gradignan

Abstract : Background: Therapeutic education (ETP) must adapt to the requirements as to the place of life, socio-economic level, education of patients. In French prisons, chronic diseases (excluding infectious) are very little studied, much less the needs of detained patients who are carriers. Objectives: The aim of this study was to assess the educational needs of detained patients carrying a chronic illness, their interest in an educational offer and to propose ways to program content Method: Semi-structured interviews were conducted with detained patients supported by the Health Unit of the Penitentiary Center of Bordeaux Gradignan. Results: The needs expressed by the patients concerned the knowledge of the disease and monitoring principles, management of anxiety associated with the disease, changes in lifestyle, access to health care system and cooperation in the care. The prison context affected the nature of the needs. For patients, the ETP would allow to learn and interact with caregivers as well as patients. Their penal situation made it difficult to grasp the future. However, patients wanted to continue care at the exit, aided by their general practitioner (GP) that was like the switchman of their care network. Relays cited for the ETP at the exit were the GP and the associative network. However this project would be based on their social situation at the exit Conclusion: An educational program in detention appears necessary and expected by the interviewed patients. It would be a way for them to redefine their relationship to disease, better living detention and to monitor relay output through a better knowledge of the healthcare system. Despite the doubts related to the exit, their confidence in their general practitioner makes him a privileged interlocutor for relay monitoring and the ETP.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01200519
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, September 16, 2015 - 3:55:37 PM
Last modification on : Wednesday, August 23, 2017 - 4:28:55 PM
Long-term archiving on: : Tuesday, December 29, 2015 - 7:35:00 AM

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Mareme Kandji. Évaluation des besoins éducatifs des patients détenus porteurs d’une pathologie chronique : perspectives pour le développement d’une offre adaptée d’éducation thérapeutique pendant le temps de la détention au Centre Pénitentiaire de Gradignan. Médecine humaine et pathologie. 2015. ⟨dumas-01200519⟩

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