• 作者：Sophie Favé ; ^a ; ^b ; ^{sophie.fave@chu-lyon.fr" class="auth_mail} ; ^{favesophie@orange.fr" class="auth_mail} ; Anne Jolivot^a ; ^c ; Jean-Pierre Desmaris^a ; ^d ; Christelle Maurice^a ; ^b ; ^e ; É ; velyne Decullier^b ; ^e ; Bruno Duquesne^a ; ^f ; Maurice Laville^a ; ^g ; ^h
• 关键词：É ; ducation thé ; rapeutique ; Maladie ré ; nale chronique ; Motivation ; Observance ; Prise en charge pré ; coce ; Ré ; seau de santé
• 刊名：Néphrologie Thérapeutique
• 出版年：April, 2014
• 年：2014
• 卷：10
• 期：2
• 页码：112-117
• 全文大小：289 K

Introduction

Therapeutic education helps patients to acquire the knowledge and ability to live with their disease. However, some patients are not willing to take part in a health education program. Identifying the barriers of their non-adherence would help us to determine accurately their effective educational needs and to adapt the program to deliver a better education for less-motivated patients.

Patients and methods

An education program for chronic kidney disease stage聽3聽patients was implemented across a health network. The study is based on patient's participation during each step of the program. The reasons for non-participation were collected, via direct survey and cross-referencing with available medical records.

Results

From 80聽eligible patients, and after medical approval, 66聽patients received information about the program. Thirty-six patients elected to participate in program and 21聽of them joined a therapeutic education group. We did not find any significant differences in the medical or social profile to determine the characteristics of non-participating patients. We found less program involvement however, with patients complying with biomedical follow-up but who do not benefit from complementary paramedical care.

Conclusion

Nearly half of patients did not take part in the therapeutic education program, primarily those who did not benefit from a multidisciplinary team to manage their chronic disease. Therapeutic education remains a less known concept by patients, and requires an informative and encouraging exhortation from practitioners during casual medical care.