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Master Thesis

Évaluation des connaissances acquises et du maintien de l’activité physique à distance d’un programme de rééducation cardiovasculaire en Guadeloupe

Abstract : Objectives. - To evaluate the acquired knowledge and the level of physical activity at a distance of a cardio vascular rehabilitation program (CVR) at Basse Terre Hospital Center (BTHC) in Guadeloupe. Focus on the characteristics of the included population compared to the population not included between 2017 and 2018. Methodology. - Interventional quantitative prospective study involving a sample of patients included if they had completed 4 weeks of CVR and if they had been reassessed between 3 and 6 months at the BTHC (CVR-Heart school) or at home by the HTA- Gwad. A first questionnaire focused on knowledge of their cardiovascular profile and training heart rate (THR) as well as knowledge of the benefits of physical activity (PA) on health (/ 10) and minimal daily time PA recommended by WHO. The Ricci and Gagnon (RG) questionnaire show the level of physical activity by Daily Living PA (DLPA) (/ 20) and Sport and Recreational PA (SRPA) (/ 20). The average number of daily steps taken after 7 days of wearing a pedometer was also used. Results. - A total of 112 patients were reevaluated / 214 admitted at the beginning in CVR between February 2017 and April 2018 with an admission period of 81.5 +/- 79.7 days and a sexe ratio of 1.9. We did not observe any geographic disparities or significant differences in study levels related to this re-evaluation. Although a decrease in knowledge of the cardiovascular profile which was observed (p <0.001), knowledge of its THR was maintained for 91% of patients at the end of the program (p = 0.27). At a distance, the 30 minutes’ minimum of PA to be performed each day were known in 76% of patients (p <0.001) and they increased their scores on the benefits of regular PA on health (+2 points / 10 (p <0.001)). 87% of the reassessed BTHC RCV patients had a "fairly active" profile according to the RG questionnaire, with for the SRPA +6 points with an average score of 14.9 / 20 (p <0.001) and for the DLPA +1.2 points with an average score of 9.61 / 20 (p = 0.002). 81 (/ 112) pedometer record returns allowed us to get in our population an average score of 6406 steps per day +/- 4387. Conclusion. – We highlight the original character of this decentralized re-evaluation of our BTHC CVR program in Guadeloupe. The link formed by the HTA-Gwad network in the city and the CVR-heart school to the hospital ensures fair access to care and coordinated patient care. This study allows us to certify that our patients are meeting public health safety and awareness goals with a clear progression in scores. At a distance from the program 87% of patients have a level of physical activity that is sufficient and beneficial to their health. This is mainly due to the improvement of recreational PA, which places our population ahead of the Caribbean and national surveys in terms of action against sedentary lifestyle. .
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Master Thesis
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Harmonie Bastareaud. Évaluation des connaissances acquises et du maintien de l’activité physique à distance d’un programme de rééducation cardiovasculaire en Guadeloupe. Médecine humaine et pathologie. 2019. ⟨dumas-02497710⟩



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