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Master Thesis

Attentes des patients à haut risque allergique dans l'éducation thérapeutique à la gestion de la crise anaphylactique en ambulatoire

Abstract : Background. Anaphylaxis is increasing lately. Intramuscular epinephrine (adrenaline) is the first-line drug recommended to treat anaphylaxis, with delay or absence of injection being a risk factor for anaphylaxis fatality. Epinephrine is underused by patients. Individual action plans and repeated education on epinephrine auto-injector use decrease the risk of anaphylaxis recurrence. Its impact on patients' quality of life is important and the general practitioner could have an important role to play. Aim Identify patients' the expectations and needs with high risk of anaphylaxis to adapt their therapeutic education and improve their primary care support. Methods. Qualitative study by semi-directed interviews of patients with high risk of anaphylaxis in Haute-Savoie, France. The informations have been collected until complete saturation of datas. The interviews have been transcribed and analyzed by theme by two investigators. Results. 14 patients have participated in the study. The primary care given by general practitioners remains a key element in the mangement of patients with anaphylaxis. Patients'fears are diverse and include family and friends. Fear of side effects and the questions about epinephrine auto-injectors are limiting their use. Delays for allergological work-up with specialists emphasize the general practitioner's role. Demonstration of epinephrine auto-injector use reassure the patients. Conclusion. This study highlights the general practitioner's role in the management of allergic patients. Therapeutic education is essential and must include demonstration of epinephrine auto-injector use. The general practitioner's role is central and contributes to improvement of patient's quality of life.
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Master Thesis
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Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Monday, January 25, 2021 - 10:09:33 AM
Last modification on : Thursday, January 28, 2021 - 3:17:46 AM
Long-term archiving on: : Monday, April 26, 2021 - 6:36:44 PM


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  • HAL Id : dumas-03119792, version 1


Fanny Pétrègne, Apolline Sievert. Attentes des patients à haut risque allergique dans l'éducation thérapeutique à la gestion de la crise anaphylactique en ambulatoire. Médecine humaine et pathologie. 2021. ⟨dumas-03119792⟩



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