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Master Thesis

Intérêt du coaching téléphonique dans la prévention secondaire de la maladie coronarienne, 1 an après une réadaptation

Abstract : Background. Cardiovascular disease is the most common cause of death in the world. Longterm compliance to prevention measures will partly determine the evolution of coronary heart disease. But cardiovascular risk factors in these patients are partially controlled for most of them. Aims. To evaluate the interest of telephone coaching in secondary prevention in coronary patients at 1 year of cardiac rehabilitation, by analyzing the risk of death at 10 years calculated from the SCORE and secondarily by the analysis of the quality cardiovascular risk factors and the dietary and hygiene measures of patients. Methods. Study of professional practices, descriptive and comparative between 2 groups of coronary patients, conducted in a non-consecutive way from November 2016 to April 2017. A group was followed by telephone by a therapeutic education nurse at 1, 3 and 6 months later their stay in cardiac rehabilitation and another group had no followup after their hospitalization. Patients were interviewed 1 year after their stay in cardiac reeducation by a telephone questionnaire. Results. No difference on the SCORE was demonstrated at 12 months between the 2 groups. However, LDL cholesterol was significantly better controlled in patients in the group followed by nurse (0.70g / l vs 0.98g / l, p = 0.04). For the other secondary criteria, there was no significant difference between the 2 groups. Conclusion. In total, after a myocardial infarction, the benefit on the risk of death at 10 years (according to SCORE) of a telephone coaching by a nurse has not been demonstrated. However, this enhanced monitoring improves LDL cholesterol levels and would tend to improve patient compliance.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01671549
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, December 22, 2017 - 4:39:41 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM

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  • HAL Id : dumas-01671549, version 1

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Marjorie Parent. Intérêt du coaching téléphonique dans la prévention secondaire de la maladie coronarienne, 1 an après une réadaptation. Médecine humaine et pathologie. 2017. ⟨dumas-01671549⟩

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