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Master Thesis

Les programmes d'éducation thérapeutique pour les patients insuffisants cardiaques chroniques en Ile-de-France : une enquête qualitative

Abstract : Introduction: Chronic heart failure is responsible for a significant morbi-mortality. Therapeutic patient education (TPE) has its place in the management of this disease by improving the quality of life and reducing hospitalizations. There are many TPE programs. The objective was to identify and analyze therapeutic education programs for patients with chronic heart failure in Ile-de-France area between 2010 and 2019. Method: Qualitative study with semi-structured interviews on 24 programs, with a thematic content analysis of the data using a phenomenological approach. Results: The majority of the programs were hospital-based, carried by multidisciplinary teams, very heterogeneous with group workshops and, in a non-systematic way, individual sessions. The themes covered were the disease, treatments and hygieno-dietary rules. A shared educational assessment and evaluations in the form of a questionnaire were carried out. The educational tools were multiple. The teams were trained in TPE, involved and described an enrichment of their practice. The limits were mainly the lack of resources, time, evaluation, involvement of general practitioners and patient recruitment. Conclusion: The proportion of therapeutic education programs was low in primary health care. Programs design did not appear to be appropriate for primary care professionals. There is a need to integrate TPE into the patient care pathway with improved city-hospital coordination, to train health professionals and to enhance the value of this activity.
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https://dumas.ccsd.cnrs.fr/dumas-03461908
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Submitted on : Wednesday, December 1, 2021 - 3:24:34 PM
Last modification on : Tuesday, December 7, 2021 - 3:15:25 AM
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Carine Daoleuang. Les programmes d'éducation thérapeutique pour les patients insuffisants cardiaques chroniques en Ile-de-France : une enquête qualitative. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03461908⟩

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