Cancer du sein et hormonothérapie : de la conception à la mise en place d'un atelier collectif d'éducation thérapeutique

Abstract : Hormone-dependant breast cancer affect about 50 000 new women every year. A lot of these women will receive for several years a hormonal therapy in their care pathways to decrease the risk of recurrence of this cancer. This treatment has many adverse side effects which may impair the life quality of patients and reduce their medication adherence. The Bayeux hospital oncology and pharmacy units therefore created an education therapeutic collective workshop for patients who take hormonal therapy for their breast cancer. The aims of this workshop are to increase support for these patients and improve their medication adherence with some entertainments. We developed several tools to make those moments dynamic and playful like “True or False” cards about misconceptions, boards to be completed about drug mechanism of action, and cards about what to do if adverse reactions occur. A patient’s telephone follow-up has been also established afterwards. Overall thirty-nine patients took part in therapeutic education sessions over a period of 1,5 years. We were not able to demonstrate an improvement of medication adherence. But the patient’s overall satisfaction was excellent about these sessions. This encourages us to continue and improve that workshop by developing other sessions about food and physical activity. A development of a practical guide for patients about hormonal therapy would bring real added value to our therapeutic education workshop.
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Master Thesis
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Clémentine Dupuis. Cancer du sein et hormonothérapie : de la conception à la mise en place d'un atelier collectif d'éducation thérapeutique. Sciences pharmaceutiques. 2018. ⟨dumas-01943660⟩



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