Centre de Recherche Universitaire de La Léchère, Université Grenoble-Alpes, 73260 La Léchère, France.
Association Française pour le Développement de l'Education Thérapeutique 18, Passage de la Bonne Graine, 75011 Paris, France.
Int J Environ Res Public Health. 2022 Jan 21;19(3):1176. doi: 10.3390/ijerph19031176.
The prognosis of chronic venous insufficiency (CVI) is greatly depending upon the ability of the patients to optimize their health-related behaviors (mainly compliance to compression stockings, physical activity and diet). As this is usually challenging for the patients, we developed a therapeutic education program (TEP) aiming at helping them to achieve these optimizations. We report here the preliminary results obtained with this program. This structured TEP was developed by a working group of 15 health professionals to be used during the regular French spa 3-week treatment course for CVI patients. The program included three interactive workshops aiming at improving the patients' knowledge, skills and motivation, two educational consultations allowing to set and follow-up their personal action plans and a built-in evaluation. It was implemented in spa resorts specialized in CVI. Among the first 150 patients (116 women and 34 men, mean age 69 years old (SD 8 years), 49% had post-thrombotic disease. Compliance to the education workshops was 98%. After a 3-month follow-up, 83% of the patients fully achieved at least one behavioral objective. Quality of life, as assessed by the CIVIQ 2 auto-questionnaire, improved at 3 months ( = 0.0024) and 9 months ( = 0.018). These results demonstrate the feasibility of a TEP for CVI patients and its ability to improve their health-related behaviors, opening the way for the development of similar programs for other chronic diseases in the setting of spa resorts.
慢性静脉功能不全 (CVI) 的预后在很大程度上取决于患者优化其健康相关行为的能力（主要是对压缩袜、体育活动和饮食的依从性）。由于这对患者来说通常具有挑战性，我们开发了一种治疗教育计划 (TEP)，旨在帮助他们实现这些优化。我们在此报告该计划的初步结果。该结构化 TEP 由 15 名健康专业人员组成的工作组开发，用于 CVI 患者的常规法国温泉 3 周治疗课程。该计划包括三个互动工作坊，旨在提高患者的知识、技能和动力，两个教育咨询，以制定和跟踪他们的个人行动计划，并进行内置评估。它在专门治疗 CVI 的温泉胜地实施。在最初的 150 名患者中（116 名女性和 34 名男性，平均年龄 69 岁（标准差 8 岁），49%患有血栓后疾病。教育工作坊的参与率为 98%。在 3 个月的随访中，83%的患者至少完全实现了一个行为目标。生活质量，通过 CIVIQ 2 自我问卷评估，在 3 个月（ = 0.0024）和 9 个月（ = 0.018）时有所改善。这些结果表明，CVI 患者的 TEP 具有可行性，并且能够改善他们的健康相关行为，为温泉胜地治疗其他慢性疾病的类似计划的开发开辟了道路。
