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Master Thesis

Impact des groupes de marche dirigés par les infirmières du réseau ASALEE sur le bilan lipidique et la qualité de vie des patients en Nouvelle-Aquitaine

Abstract : Introduction: the early 2000s and especially 2009 with the HPST law (Hôpital Patient Santé Territoire), demographic disparities and the desire to improve access to primary care gave rise to many projects. ASALEE is a modern device designed to face and improve healthcare access. The main objective of this study was to analyse the impact of nurse-led walking groups on LDL-cholesterol (LDL-c). The secondary objective was to assess patients’ quality of life in each group with a survey. Material and Methods: this work was about a quantitative and multicentric retrospective cohort study led from September 2018 until September 2019 in Nouvelle-Aquitaine, France. Criterions carried out by Public Health Nurse Officers (PHNO), included LDL-c, HDL-c and HbA1c in one hand, and weigh, blood pressure and tobacco consumption in the other hand.
The main judgment criterion was the LDL-c level in blood. 
In order to assess patients' quality of life, the SF-36 MOS survey was submitted in each group. The secondary judgment criterion is the physical summary score and the mental summary score of this survey. Results: this study has allowed to include 132 patients, divided into 2 groups according to whether or not they participated in a walking activity. The walking groups had a female sex rate’s significant difference compared to the other group (68% vs 47% ; p=0.01). There was no significant difference depending on the practice of a walking activity or not (1.35 vs 1.27; p=0.15). 
Finally, there was no statistically significant difference between the physical summary score (60.7 vs 66.2; p=0.07) and the mental summary score

Discussion: impact of walking groups on lipid balance remains to be demonstrated, although the results are hopefull. A larger power study over a longer period of time would be an interesting study to try to achieve it.
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, September 28, 2020 - 1:46:05 PM
Last modification on : Wednesday, October 14, 2020 - 4:21:55 AM
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Pierre Leglise. Impact des groupes de marche dirigés par les infirmières du réseau ASALEE sur le bilan lipidique et la qualité de vie des patients en Nouvelle-Aquitaine. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02950960⟩



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