心力衰竭的治疗教育:达喀尔Dalal Jamm国家医院中心心内科的前瞻性研究

M. Barry, M. Diouf, M. B. Bah, Aimé Mbaye Sy, I. Sylla, Hassatou Diallo, A. Balde, E. Y. Baldé, A. Kane, M. Baldé
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摘要

背景:心力衰竭(HF)是一种常见的病理,需要多种类型的治疗,包括治疗性教育,已证明在减少心力衰竭或所有其他原因的再住院和死亡率方面具有主要益处。目的:本研究的目的是评估治疗性教育(TPE)在心力衰竭患者中的作用。方法:这是一项单中心、干预性、非随机、前后对照型研究。该研究的重点是18岁及以上住院的心力衰竭患者。我们评估了TPE对治疗依从性、知识、实践态度、患者认知和生活质量的影响。结果:我们的研究纳入了41例治疗前教育患者:17例男性(41%)和24例女性(59%)。平均年龄54.7±16.2岁。在TPE治疗后,我们对32例患者进行了评估:依从性好的患者从75%增加到90.63%,依从性低的患者从90.6%下降到34.4%。对不超过推荐盐摄入量(TPE前6例,TPE后22例)持适应态度的患者数量有所增加
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Therapeutic Education of Heart Failure: Prospective Study in the Cardiology Department of the Dalal Jamm National Hospital Center in Dakar
Context: Heart failure (HF) is a common pathology requiring many types of treatments, including therapeutic education, which has demonstrated a major benefit in terms of reducing re-hospitalization and mortality from HF or all other causes. Objective: The aim of this study was to evaluate the contribution of therapeutic education (TPE) in patients with heart failure. Methodology: This was a single-centre, interventional, non-randomized, before-and-after type study. It focused on hospitalized heart failure patients aged 18 and over. We evaluated the effect of TPE on therapeutic compliance, knowledge, practical attitudes, patient perceptions and quality of life. Results: Our study included 41 patients prior to therapeutic education: 17 men (41%) and 24 women (59%). The mean age was 54.7 ± 16.2 years. After the TPE sessions we evaluated 32 patients: The patients with good compliance increased from 75% to 90.63%, and patients with a low level of compliance (90.6%) decreased to 34.4%. An increase in the number of patients who had an attitude adapted to not exceeding the recommended amount of salt (6 before TPE and 22 after TPE), as well as in the number of
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