26 results on '"M. Chambouleyron"'
Search Results
2. [Therapeutic patient education in respiratory rehabilitation]
- Author
-
H, Ouksel, M, Chambouleyron, J-M, Grosbois, P, Surpas, A, Lino, S B, Kermelly, and J, Bourbeau
- Subjects
Male ,Caregivers ,Patient Education as Topic ,Chronic Disease ,Humans ,Female - Abstract
Therapeutic patient education (TPE) is an essential component of pulmonary readaptation in chronic respiratory diseases. Numerous and varied patient education projects offer heterogeneous contents and methods, which render them difficult to analyze and to compare. The objective of this review was to provide perspective on the main principles of patient education, using a non-exhaustive approach.This review is focused on patient education using a patient-centered approach, physician-patient partnership and self-management, which are presented at once pragmatically and conceptually. One of the main objectives of TPE is the acquisition of self-management skills by patients with a chronic disease, which will be considered from a clinical standpoint. Lastly, TPE will be assessed in the overall framework of patient-centered pulmonary readaptation.TPE needs to be structured in view of assessing its effects. It is consequently essential for caregivers to receive continuous training so as to more clearly understand the methods employed, the objective being to build evaluable contents contributing to performance of multicentric trials.Current literature on TPE emphasizes the extent to which the patient remains the central actor in his or her care pathway. If patients are called upon to modify their behaviors, it is equally necessary that caregivers proceed likewise, adopting postures favoring the acquisition and appropriation by the patient of skills that shall be required as he or she learns to live with chronic disease.
- Published
- 2021
3. Collaborateurs de la présente édition
- Author
-
N. Nabholz, C. Ciangura, M. Morena, R. Roussel, J.-L. Richard, A. Grimaldi, C. Colette, J.-P. Cristol, I. Banu, G. Lagger, B. Canaud, P. Valensi, G. Ha Van, J.-J. Robert, A. Wojtusciszyn, O. Dupuy, L. Monnier, S. Chiheb, F. Bonnet, S. Jacqueminet, A. Golay, A. Scheen, H. Leray-Moragues, E. Renard, E. Bousquet, C. Brunet, M. Chambouleyron, A. El Azrak, S. Schuldiner, M. Baudot, A. Fontbonne, L. Bordier, M. Marre, F. Galtier, E. Cosson, C. Sachon, J. Bringer, A. Lasserre-Moutet, C. Serny, A. Giordan, B. Vialettes, B. Vergès, J.-L. Schlienger, A. Hartemann, I. Aubry, F. Travert, S. Halimi, M. Piperno, D. Rochd, B. Bauduceau, J.-F. Blicklé, and P.-J. Guillausseau
- Published
- 2019
4. Diabète de type 2, peut-on en guérir ? « Que répondre à une personne chez qui on vient de découvrir fortuitement un diabète de type 2 avec une glycémie à deux reprises supérieure à 1,25g/l et une HbA1c à 6,7 %, et qui demande si elle peut guérir ? »
- Author
-
G. Lagger, F. Sittarame, V. Gay, M. Chambouleyron, A. Lasserre-Moutet, and A. Golay
- Subjects
Nutrition and Dietetics ,Endocrinology, Diabetes and Metabolism ,Internal Medicine ,Cardiology and Cardiovascular Medicine - Abstract
Resume Les patients peuvent nous interpeller sur la guerison du diabete de type 2. L’important est de bien comprendre ce que le patient entend par « guerison », et quelle peut etre sa demande profonde. Meme si la reversibilite est physiologiquement envisageable, les obstacles se situent principalement dans la motivation du patient a apprendre et a changer sur le long terme. Un profond engagement des differents soignants, dans une demarche d’education therapeutique et en reseau, est necessaire, tant les notions et les competences a maitriser peuvent paraitre vastes, et parfois contre-intuitives. Que cela mene a la remission complete de la maladie ou pas n’est alors pas forcement le plus important.
- Published
- 2015
5. Plans d’action personnalisés écrits et exacerbations de la BPCO
- Author
-
M Beaumont, M Chambouleyron, and G Bouric
- Subjects
Pulmonary and Respiratory Medicine ,business.industry ,Medicine ,business ,Humanities - Abstract
Resume Introduction Les exacerbations sont les complications evolutives les plus frequentes dans la BPCO. En matiere d’education therapeutique, la realisation de plans d’action personnalises ecrits a montre un impact sur la gestion et le retentissement des exacerbations. Etat de l’art Le plan d’action personnalise est un document, elabore conjointement entre les soignants et chaque patient, qui comporte trois parties : description des signes actuels de la maladie, description des signes des exacerbations et conduite a tenir par le patient en cas d’apparition d’une exacerbation. Le plan d’action est consigne dans un document conserve par le patient. Il fait partie d’un programme d’education therapeutique qui permet de rendre le patient competent pour gerer sa vie avec sa maladie et prendre les mesures adequates quand necessaire. L’education ne concerne pas seulement le patient mais aussi le soignant, chacun devant etre sensibilise a l’interet du plan d’action et arriver a se sentir competent dans sa realisation et sa mise en œuvre. Conclusion Une formation reguliere est necessaire pour sensibiliser les soignants et augmenter le nombre de plans d’action personnalises ecrits. Une telle formation permet de redefinir le role du patient et du professionnel dans cette demarche.
- Published
- 2015
6. La bronchopneumopathie chronique obstructive (BPCO) du sujet âgé en huit questions/réponses
- Author
-
Mahmoud Zureik, C. Prefaut, V Morize, J P Emeriau, François Piette, B. de Wazières, A Duguet, Nicolas Roche, M Ferry, Maurice Hayot, K Nassih, M Catto, Claude Jeandel, H Ouksel, E. Orvoen-Frija, M Chambouleyron, and M Benoit
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,education.field_of_study ,COPD ,Palliative care ,Rehabilitation ,business.industry ,medicine.medical_treatment ,Population ,medicine.disease ,Comorbidity ,respiratory tract diseases ,FEV1/FVC ratio ,Health care ,medicine ,Pulmonary rehabilitation ,Intensive care medicine ,business ,education - Abstract
Chronic obstructive pulmonary disease (COPD) is a chronic disease characterized by incompletely reversible airflow limitation, measured by a decrease of FEV(1)/FVC ratio. International consensus does not agree on a single threshold for this ratio, which can define airflow obstruction. Although the prevalence of COPD in the elderly population varies according to the definition used, it definitely increases with age and could reach 15% in those over 65 years of age. Therefore, ageing of the population should result in increased prevalence and socioeconomical costs of COPD during coming years. In France, diagnosis of COPD in the elderly is difficult, late and insufficient. Management, which has the same goals as in younger populations, has to be global and coordinated. Some points should be considered with particular attention considering the cumulative risks related on the one hand to COPD and on the other to ageing: pharmacological side-effects, decreased physical and social autonomy, nutritional impairment, comorbidities. Given the lack of specific data in elderly populations, pharmacological indications are generally considered to be the same as in younger populations, but some additional precautionary measures are necessary. Pulmonary rehabilitation seems to be beneficial at any age. Palliative care comes up against important difficulties: an indefinite beginning of the palliative stage in COPD; insufficient palliative care resources; insufficient communication; insufficient utilization of palliative care resources. Global COPD management in elderly requires coordination, best reached in health care network organizations involving medical and/or social professionals.
- Published
- 2010
7. Propositions pour une éducation thérapeutique du patient apnéique
- Author
-
Alain Golay, V. Barthassat, and M. Chambouleyron
- Subjects
Nutrition and Dietetics ,Endocrinology, Diabetes and Metabolism ,Internal Medicine ,Cardiology and Cardiovascular Medicine - Abstract
Les patients souffrant d’un syndrome d’apnees-hypopnees obstructives du sommeil sont aujourd’hui plus souvent identifies et certainement mieux pris en charge qu’hier. Les progres techniques du traitement par pression positive continue permettent a plus de personnes de supporter d’etre appareillees et de beneficier du traitement plus confortablement. L’engagement dans la prise en charge de differents professionnels de sante represente une aide importante pour le quotidien des patients. Cependant, l’adhesion au traitement reste sub-optimale. En reponse a ce probleme, nous discutons ici le role crucial de l’education therapeutique du patient apneique dans une perspective de long terme.
- Published
- 2009
8. L’éducation thérapeutique des patients apnéiques : résultats d’une enquête de besoins
- Author
-
J.L. Racineux, S. Jacquemet, and M. Chambouleyron
- Subjects
Behavioral Neuroscience ,Neuropsychology and Physiological Psychology ,Neurology ,Cognitive Neuroscience ,Neurology (clinical) - Abstract
Resume Comme la plupart des malades chroniques, les patients apneiques s’autoadministrent leur traitement, ce qui necessite l’acquisition de reelles competences et la mise en place d’une education therapeutique des patients. L’education doit etre construite sur des besoins educatifs averes. La litterature montre l’ecart entre les besoins determines par les patients et ceux apprecies par les soignants. Nous avons realise une enquete de besoins aupres de 52 patients apneiques et 15 conjoints et aupres de 29 de leurs professionnels de sante. Les resultats les plus remarquables sont la difficulte de certains patients a apprehender la realite de leur maladie, la lourdeur du traitement amenant les patients a devoir reellement bâtir leur motivation au traitement et l’etroitesse des relations entre tolerance au traitement et implication du conjoint. Nous presentons les besoins educatifs que l’on peut deduire des resultats de cette enquete et discutons des implications en terme de strategies educatives dans le cadre du syndrome d’apnees du sommeil.
- Published
- 2007
9. [The cure of type 2 diabetes and patient education]
- Author
-
G, Lagger, M, Chambouleyron, J C, Correia, F, Sittarame, G, Miganne, A, Lasserre Moutet, and A, Golay
- Subjects
Motivation ,Physician-Patient Relations ,Diabetes Mellitus, Type 2 ,Patient Education as Topic ,Humans ,Physician's Role - Abstract
Type 2 diabetes is a potentially reversible disease. Patient education encompasses a deep investment of the health care providers, who with the aid of pedagogic tools, help the pa tient commit to this path. This facilitates the learning of uncommon knowledge and skills required. Whether or not it leads to a complete remission of the disease may not be the main purpose. The main goal lies in the patient's motivation to learn and change on a long term basis.
- Published
- 2015
10. Question 4-4. Éducation thérapeutique des patients atteints de BPCO
- Author
-
P. Surpas, S. Jacquemet, and M. Chambouleyron
- Subjects
Pulmonary and Respiratory Medicine - Published
- 2005
11. Adaptation du projet du patient :besoins éducatifs emblématiques
- Author
-
D. Debeaumont and M. Chambouleyron
- Subjects
Pulmonary and Respiratory Medicine ,Political science ,Humanities - Abstract
Resume La definition de la vieillesse a beaucoup evolue grâce notamment aux progres de la medecine. Il n’est plus a demontrer les benefices de l’activite physique a tous les âges de la vie. Cependant, il est necessaire d’individualiser la rehabilitation respiratoire pour les personnes âgees. Ces dernieres doivent trouver un sens a la reprise d’une activite physique douce en restaurant un sentiment d’utilite. Elles doivent pouvoir en evaluer les benefices et se sentir confiantes et en securite dans cette pratique.
- Published
- 2012
12. [Chronic obstructive pulmonary disease (COPD) in the elderly]
- Author
-
E, Orvoen-Frija, M, Benoit, M, Catto, M, Chambouleyron, A, Duguet, J-P, Emeriau, M, Ferry, M, Hayot, C, Jeandel, V, Morize, K, Nassih, H, Ouksel, F, Piette, C, Prefaut, N, Roche, B, de Wazieres, and M, Zureik
- Subjects
Aged, 80 and over ,Patient Care Team ,Risk ,Depression ,Malnutrition ,Palliative Care ,Age Factors ,Respiratory System Agents ,Comorbidity ,Pulmonary Disease, Chronic Obstructive ,Patient Education as Topic ,Cardiovascular Diseases ,Prevalence ,Humans ,Drug Interactions ,France ,Case Management ,Aged - Abstract
Chronic obstructive pulmonary disease (COPD) is a chronic disease characterized by incompletely reversible airflow limitation, measured by a decrease of FEV(1)/FVC ratio. International consensus does not agree on a single threshold for this ratio, which can define airflow obstruction. Although the prevalence of COPD in the elderly population varies according to the definition used, it definitely increases with age and could reach 15% in those over 65 years of age. Therefore, ageing of the population should result in increased prevalence and socioeconomical costs of COPD during coming years. In France, diagnosis of COPD in the elderly is difficult, late and insufficient. Management, which has the same goals as in younger populations, has to be global and coordinated. Some points should be considered with particular attention considering the cumulative risks related on the one hand to COPD and on the other to ageing: pharmacological side-effects, decreased physical and social autonomy, nutritional impairment, comorbidities. Given the lack of specific data in elderly populations, pharmacological indications are generally considered to be the same as in younger populations, but some additional precautionary measures are necessary. Pulmonary rehabilitation seems to be beneficial at any age. Palliative care comes up against important difficulties: an indefinite beginning of the palliative stage in COPD; insufficient palliative care resources; insufficient communication; insufficient utilization of palliative care resources. Global COPD management in elderly requires coordination, best reached in health care network organizations involving medical and/or social professionals.
- Published
- 2009
13. Du « to cure » au « to care », quels changements pour les soignants ?
- Author
-
M. Chambouleyron, D. Gindre, and P. Surpas
- Subjects
Pulmonary and Respiratory Medicine - Abstract
Objectif Recenser les difficultes rencontrees par les soignants lors de la creation d’un dispositif educatif et les solutions trouvees. Methodes Organisation d’une reunion pluridisciplinaire, analyse qualitative. Resultats Les resultats se trouvent sur la Fig. 1 . Discussion Mise en evidence de competences a acquerir : – savoir reperer les signes de dysfonctionnement d’une equipe ; – savoir amorcer un changement ; – gestion des conflits : connaitre le concept de bouc emissaire et les strategies a mettre en œuvre ; – mettre en valeur l’acte d’apprentissage. Conclusion La creation d’un programme d’ETP n’est pas un simple ajout dans la prise en charge des patients. Elle change la posture de l’equipe soignante qui doit passer de la position de soignant a soignant educateur. La resolution des difficultes ne passe pas exclusivement par une formation.
- Published
- 2015
14. [Question 4-4. Patient education in chronic obstructive pulmonary diseases]
- Author
-
M, Chambouleyron, P, Surpas, and S, Jacquemet
- Subjects
Pulmonary Disease, Chronic Obstructive ,Patient Education as Topic ,Humans - Published
- 2005
15. [Therapeutic education of the diabetic patient]
- Author
-
A, Golay, G, Lagger, M, Chambouleyron, and A, Lasserre-Moutet
- Subjects
Diabetes Complications ,Physician-Patient Relations ,Patient Education as Topic ,Health Behavior ,Humanism ,Diabetes Mellitus ,Quality of Life ,Humans ,Social Support - Abstract
Therapeutic education is a patient centred approach focused on patients' needs, values and strategies. It allows not only to increase patients' knowledge and skills on the disease, but also on their treatments. It brings a better quality of life, an increased therapeutic compliance, and decreases complications. The most difficult part of therapeutic education occurs when patients must change their behaviour. Motivational interviewing techniques are of great support and allow to prepare and support patients in "step by step" progressive changes. It is essential to work on resistance to change. The ambivalence in the choice of a new lifestyle must be measured, discussed and negotiate. Patients become partners and health care providers become coaches. To negotiate objectives must allow patients to choose their own strategies which should cost them minimum psychological efforts and bring them maximum benefits. The efficacy of therapeutic education has not to be proved any more: 80% less of amputations at 10 years in diabetic patients, 50% of stable body weight after weight loss at 5 years, etc. In conclusion, therapeutic education is part of a humanist medicine centred on patients which allow them to take care of their own treatment, in order to improve their quality of life, therapeutic compliance and potential complications. The health care providers teach, train, negotiate, motivate and accompany their patients in the long-term follow-up of their diseases.
- Published
- 2005
16. [Education and respiratory rehabilitation]
- Author
-
J, Desplan and M, Chambouleyron
- Subjects
Patient Education as Topic ,Chronic Disease ,Respiratory Tract Diseases ,Quality of Life ,Humans - Published
- 2001
17. 338 'Let's talk about it', a mediation tool in couples, for adults living with cystic fibrosis
- Author
-
J.-L. Racineux, S. Ravilly, M. Chambouleyron, V. David, A. Lasserre-Moutet, A. Badatcheff, and H. Ouksel
- Subjects
Pulmonary and Respiratory Medicine ,business.industry ,Pediatrics, Perinatology and Child Health ,Mediation ,Medicine ,Pediatrics, Perinatology, and Child Health ,business ,medicine.disease ,Cystic fibrosis ,Clinical psychology - Full Text
- View/download PDF
18. [Therapeutic patient education in respiratory rehabilitation].
- Author
-
Ouksel H, Chambouleyron M, Grosbois JM, Surpas P, Lino A, Kermelly SB, and Bourbeau J
- Subjects
- Chronic Disease, Female, Humans, Male, Caregivers, Patient Education as Topic
- Abstract
Introduction: Therapeutic patient education (TPE) is an essential component of pulmonary readaptation in chronic respiratory diseases. Numerous and varied patient education projects offer heterogeneous contents and methods, which render them difficult to analyze and to compare. The objective of this review was to provide perspective on the main principles of patient education, using a non-exhaustive approach., State of Knowledge: This review is focused on patient education using a patient-centered approach, physician-patient partnership and self-management, which are presented at once pragmatically and conceptually. One of the main objectives of TPE is the acquisition of self-management skills by patients with a chronic disease, which will be considered from a clinical standpoint. Lastly, TPE will be assessed in the overall framework of patient-centered pulmonary readaptation., Perspectives: TPE needs to be structured in view of assessing its effects. It is consequently essential for caregivers to receive continuous training so as to more clearly understand the methods employed, the objective being to build evaluable contents contributing to performance of multicentric trials., Conclusion: Current literature on TPE emphasizes the extent to which the patient remains the central actor in his or her care pathway. If patients are called upon to modify their behaviors, it is equally necessary that caregivers proceed likewise, adopting postures favoring the acquisition and appropriation by the patient of skills that shall be required as he or she learns to live with chronic disease., (Copyright © 2022 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
19. [The cure of type 2 diabetes and patient education].
- Author
-
Lagger G, Chambouleyron M, Correia JC, Sittarame F, Miganne G, Lasserre Moutet A, and Golay A
- Subjects
- Diabetes Mellitus, Type 2 etiology, Diabetes Mellitus, Type 2 metabolism, Humans, Motivation, Physician's Role, Physician-Patient Relations, Diabetes Mellitus, Type 2 therapy, Patient Education as Topic
- Abstract
Type 2 diabetes is a potentially reversible disease. Patient education encompasses a deep investment of the health care providers, who with the aid of pedagogic tools, help the pa tient commit to this path. This facilitates the learning of uncommon knowledge and skills required. Whether or not it leads to a complete remission of the disease may not be the main purpose. The main goal lies in the patient's motivation to learn and change on a long term basis.
- Published
- 2015
20. [Written action plans and acute exacerbations of COPD].
- Author
-
Beaumont M, Bouric G, and Chambouleyron M
- Subjects
- Disease Progression, Humans, Medical Writing, Precision Medicine methods, Quality of Life, Self Care, Advance Directives, Patient Care Planning, Pulmonary Disease, Chronic Obstructive therapy
- Abstract
Introduction: Acute exacerbations are the most frequent complications during progression of the COPD disease. Within a therapeutic educational program, performing written action plans has been shown to impact the management and the consequences of these acute exacerbations., State of the Art: A personalized written action plan is a document generated by both health professionals and patients and is divided into three parts: detailed description of current clinical signs, of exacerbation symptoms and how to self-manage an exacerbation onset. The action plan is recorded in written document that should be kept by the patient. It is part of a therapeutic education course that allows making a patient competent to manage his life with the disease and to take the adequate measures when necessary. Education not only concerns the patient but also the caregiver, both being sensitized to the benefits of the action plan and both feeling competent for its realization and its implementation., Conclusion: Routine training is necessary to sensitize health care providers to increase the use of personalized written action plans. This will help to redefine the role of the patient and the professional in promoting his self-management., (Copyright © 2014 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
21. [Rehabilitation: a case for obese patients?].
- Author
-
Sittarame F, Lagger G, Chambouleyron M, Lasserre-Moutet A, Joly C, Vergotte S, Pataky Z, and Golay A
- Subjects
- Body Mass Index, Chronic Disease, Humans, Obesity psychology, Stereotyping, Obesity rehabilitation, Patient Education as Topic, Weight Loss
- Abstract
In the word obesity, a clinical concept of chronic systemic disease pairs up with pejorative individual or social representations. Being obese is also facing situations of disability, organ failure, uncertainty of the fate and stigmatization. A care concept inspired by rehabilitation and therapeutic patient education could offer a new way and other purposes to the treatment of obesity. Restoring functions, learning how to adapt and change their environment, obese people may live better today, out of their isolation and develop partners in their projects of life and health. Rehabilitation of an obese patient is much more than weight loss!
- Published
- 2014
22. [Chronic obstructive pulmonary disease (COPD) in the elderly].
- Author
-
Orvoen-Frija E, Benoit M, Catto M, Chambouleyron M, Duguet A, Emeriau JP, Ferry M, Hayot M, Jeandel C, Morize V, Nassih K, Ouksel H, Piette F, Prefaut C, Roche N, de Wazieres B, and Zureik M
- Subjects
- Age Factors, Aged, Aged, 80 and over, Cardiovascular Diseases epidemiology, Case Management, Comorbidity, Depression epidemiology, Depression etiology, Drug Interactions, France epidemiology, Humans, Malnutrition epidemiology, Malnutrition prevention & control, Palliative Care, Patient Care Team, Patient Education as Topic, Prevalence, Respiratory System Agents adverse effects, Respiratory System Agents therapeutic use, Risk, Pulmonary Disease, Chronic Obstructive diagnosis, Pulmonary Disease, Chronic Obstructive drug therapy, Pulmonary Disease, Chronic Obstructive epidemiology, Pulmonary Disease, Chronic Obstructive psychology, Pulmonary Disease, Chronic Obstructive rehabilitation
- Abstract
Chronic obstructive pulmonary disease (COPD) is a chronic disease characterized by incompletely reversible airflow limitation, measured by a decrease of FEV(1)/FVC ratio. International consensus does not agree on a single threshold for this ratio, which can define airflow obstruction. Although the prevalence of COPD in the elderly population varies according to the definition used, it definitely increases with age and could reach 15% in those over 65 years of age. Therefore, ageing of the population should result in increased prevalence and socioeconomical costs of COPD during coming years. In France, diagnosis of COPD in the elderly is difficult, late and insufficient. Management, which has the same goals as in younger populations, has to be global and coordinated. Some points should be considered with particular attention considering the cumulative risks related on the one hand to COPD and on the other to ageing: pharmacological side-effects, decreased physical and social autonomy, nutritional impairment, comorbidities. Given the lack of specific data in elderly populations, pharmacological indications are generally considered to be the same as in younger populations, but some additional precautionary measures are necessary. Pulmonary rehabilitation seems to be beneficial at any age. Palliative care comes up against important difficulties: an indefinite beginning of the palliative stage in COPD; insufficient palliative care resources; insufficient communication; insufficient utilization of palliative care resources. Global COPD management in elderly requires coordination, best reached in health care network organizations involving medical and/or social professionals., (Copyright © 2010 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
23. Therapeutic education of diabetic patients.
- Author
-
Golay A, Lagger G, Chambouleyron M, Carrard I, and Lasserre-Moutet A
- Subjects
- Choice Behavior, Decision Making, Diabetes Mellitus psychology, Health Knowledge, Attitudes, Practice, Humans, Life Style, Motivation, Professional-Patient Relations, Teaching methods, Diabetes Mellitus rehabilitation, Patient Education as Topic methods
- Abstract
Therapeutic patient education is a patient-centred approach, focussed on patients' needs, resources, values and strategies. It allows patients to improve their knowledge and skills not only concerning their illness but also their treatment. It brings a better quality of life, a greater therapeutic compliance and a reduction in complications. The most difficult part of therapeutic patient education occurs when patients must change their behaviour. Motivational interviewing and cognitive-behavioural approaches contribute greatly here and allow both the preparation and support of patients during progressive 'step by step' change. The work on resistance to change is fundamental, and ambivalence when faced with the choice of a new way of life must be measured, discussed and negotiated. Patients become partners and we become 'coaches'. The negotiation of objectives must allow patients to choose their own strategies, which normally should cost them the least possible, psychologically, and bring them the maximum benefit. The efficiency of therapeutic patient education no longer needs to be proved: 80% less amputations over 10 years in diabetic patients; 50% maintenance of weight loss over 5 years, etc. In conclusion, therapeutic education is part of a humanistic medical approach centred on patients; it allows them to be active participants in their own treatment with the aim of improving their quality of life and therapeutic compliance, as well as reducing potential complications. Thus, health care professionals teach, inform, train, negotiate with, motivate and accompany patients in the long-term follow-up of their illness., (Copyright (c) 2008 John Wiley & Sons, Ltd.)
- Published
- 2008
- Full Text
- View/download PDF
24. [Question 4-4. Patient education in chronic obstructive pulmonary diseases].
- Author
-
Chambouleyron M, Surpas P, and Jacquemet S
- Subjects
- Humans, Patient Education as Topic, Pulmonary Disease, Chronic Obstructive therapy
- Published
- 2005
25. [Therapeutic education of the diabetic patient].
- Author
-
Golay A, Lagger G, Chambouleyron M, and Lasserre-Moutet A
- Subjects
- Health Behavior, Humanism, Humans, Physician-Patient Relations, Quality of Life, Social Support, Diabetes Complications prevention & control, Diabetes Mellitus rehabilitation, Diabetes Mellitus therapy, Patient Education as Topic
- Abstract
Therapeutic education is a patient centred approach focused on patients' needs, values and strategies. It allows not only to increase patients' knowledge and skills on the disease, but also on their treatments. It brings a better quality of life, an increased therapeutic compliance, and decreases complications. The most difficult part of therapeutic education occurs when patients must change their behaviour. Motivational interviewing techniques are of great support and allow to prepare and support patients in "step by step" progressive changes. It is essential to work on resistance to change. The ambivalence in the choice of a new lifestyle must be measured, discussed and negotiate. Patients become partners and health care providers become coaches. To negotiate objectives must allow patients to choose their own strategies which should cost them minimum psychological efforts and bring them maximum benefits. The efficacy of therapeutic education has not to be proved any more: 80% less of amputations at 10 years in diabetic patients, 50% of stable body weight after weight loss at 5 years, etc. In conclusion, therapeutic education is part of a humanist medicine centred on patients which allow them to take care of their own treatment, in order to improve their quality of life, therapeutic compliance and potential complications. The health care providers teach, train, negotiate, motivate and accompany their patients in the long-term follow-up of their diseases.
- Published
- 2005
26. [Education and respiratory rehabilitation].
- Author
-
Desplan J and Chambouleyron M
- Subjects
- Chronic Disease, Humans, Quality of Life, Patient Education as Topic, Respiratory Tract Diseases rehabilitation
- Published
- 2001
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