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Abstract
Background Cardiac insufficiency is a common, chronic, life threatening disease. Therapeutic patient education is a key component to prevent heart failure and sustain quality of life. In this context, a therapeutic educational programme was set up in 2009 by both the cardiology and pharmacy departments. The programme’s outcomes were determined according to guidelines.
Purpose To assess the effectiveness of the therapeutic educational programme and patient satisfaction.
Material and methods Patient’s knowledge assessment was carried out before (D0) and after education at 2 and 6 months (M2 and M6) according to 20 right/wrong questions. For each answer, the patient was asked to rate the degree of certainty. Self-reported skills and satisfaction were rated using an anonymous questionnaire just after the programme (D1) and during follow-up at M2 and M6.
Results Between January 2013 and October 2015, 110 patients were included. Among these, knowledge was assessed in 92 patients at D0. The rate of correct responses (CR) improved from 71% at D0 to 82% at M2. It was maintained at 81% at M6. A correlation was observed between CR improvement and degree of certainty. The percentage of CR with a degree of certainty of 100% increased by 15% and 16% at M2 and M6, respectively. Self-reported skills were focused on management of the disease, treatments and diet. 53 patients (48%) completed the survey. They considered that the programme (i) improved their understanding and management of the disease: 93% (D1), 94% (M2), 94% (M6); (ii) helped them make the best use of their treatment: 93% (D1), 93% (M2), 93% (M6); (iii) and facilitated dietary self management: 95% (D1), 98% (M2), 98% (M6). Patient satisfaction rate was elevated just after the programme at D1 (93%) and was maintained at M2 (95%) and M6 (94%).
Conclusion Analysis of 3 year data reported that this programme satisfied patients, and allowed them to acquire knowledge and skills in the management of their cardiac insufficiency. Patient follow-up after education is a critical issue in this programme to sustain skills and knowledge that patients have acquired about their disease.
References and/or Acknowledgements
Brunie, et al. J Pharm Clin 2010;29:98-102
References and/or AcknowledgementsNo conflict of interest.