Therapeutic education unit for heart failure: Setting-up and difficulties. Initial evaluation of the I-CARE programme
| Autor: | Yves, Juillière, Patrick, Jourdain, Jérome, Roncalli, Amélie, Boireau, Hélène, Guibert, Hélène, Lambert, Laure, Spinazze, Guillaume, Jondeau, Pierre, Sonnier, Céline, Rouanne, Angélique, Bidet, Brigitte, Sandrin-Berthon, Jean-Nöel, Trochu, P, Webert |
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| Rok vydání: | 2009 |
| Předmět: |
Program evaluation
Health Knowledge Attitudes Practice medicine.medical_specialty Percentile Prise en charge Attitude of Health Personnel Teaching Materials Interprofessional Relations medicine.medical_treatment MEDLINE Heart failure Care management Patient Education as Topic Multidisciplinary approach Surveys and Questionnaires medicine Humans Program Development Patient Care Team Rehabilitation business.industry Public health Professional-Patient Relations Therapeutic education General Medicine Insuffisance cardiaque Treatment Outcome Family medicine Chronic Disease Patient Compliance Health education Cardiology Service Hospital France Cardiology and Cardiovascular Medicine business Éducation thérapeutique Program Evaluation Patient education |
| Zdroj: | Archives of Cardiovascular Diseases. 102:19-27 |
| ISSN: | 1875-2136 |
| DOI: | 10.1016/j.acvd.2008.10.015 |
| Popis: | Summary Background Education programmes are required in chronic diseases. The insuffisance cardiaque : education therapeutique (I-CARE) programme was developed in France to promote the setting-up of therapeutic education units for chronic heart failure. Aim To evaluate the setting-up of such units, assessing the influence of training on the creation and organization of the unit, the problems encountered and the contribution of the dedicated educational tools. Methods We submitted a questionnaire to the first 136 trained centres. The questionnaire was divided into two sections: one section dealing with educational practices and the other with the advantages and disadvantages of the tools provided. Results The participation rate reached 69.1%. Seventy-four centres (78.7%) declared themselves to be active in therapeutic education. Unit educational activities determined an educational diagnosis (89.2% of the centres) and provided education by means of collective workshops (73.0%) or one-to-one teaching sessions (75.7%). A complete education programme for a patient consisted of a median of four sessions (25th–75th percentile, 2–5 sessions) and lasted for a median of 6 h (25th–75th percentile, 4–10 h). The education team was multidisciplinary and usually included a nurse (93.2%), a dietician (78.4%), a cardiologist (71.6%) and a physiotherapist (40.5%). Heart failure educational tools were used only in part in most centres (89.2%). All advantages and disadvantages were recorded. Conclusion This first evaluation of the setting-up of therapeutic education units in the I-CARE programme has yielded promising results, despite expected difficulties. The effects of therapeutic education on the behaviour of heart failure patients remain to be determined. |
| Databáze: | OpenAIRE |
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