Diabète gestationnel : vécu de la pathologie et de la prise en charge au CHU de Caen

Abstract : Objective : To assess the impact of the therapeutic patient education (TPE) program on the experience of the pathology and its management at the teaching hospital of Caen (CHU) for patients with gestational diabetes mellitus (GDM). Method : A prospective descriptive and monocentric study carried out at the CHU through the Satisfy DG protocol. All patients with GDM participating in the TPE program were included. We interviewed 100 patients at 36 weeks of amenorrhea and 96 patients after childbirth. Results : It appears that patients well understand the information provided on the GDM and its supervision. They feel integrated into their care, it makes communication easier with healthcare professionals. However, they can t always express their feelings about GDM, which can lead to additional stress or guilt. Patients also underestimate the risk of developing gestational diabetes in later pregnancy and a long-term type 2 diabetes. Conclusion : Patients are globally satisfied with their care in TPE program. To improve this program, psychological care could be offered to patients. It also seems important to disclose the benefits of combining the diet with a regular physical activity and to insist on long-term risks in post-partum.
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https://dumas.ccsd.cnrs.fr/dumas-01557676
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Submitted on : Thursday, July 6, 2017 - 2:22:13 PM
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Émilie Tina. Diabète gestationnel : vécu de la pathologie et de la prise en charge au CHU de Caen. Gynécologie et obstétrique. 2017. ⟨dumas-01557676⟩

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