TITLE:
Therapeutic Education of Heart Failure: Prospective Study in the Cardiology Department of the Dalal Jamm National Hospital Center in Dakar
AUTHORS:
Mamadou Barry, Marguerite Tening Diouf, Mamadou Bassirou Bah, Aimé Mbaye Sy, Ibrahima Sory Sylla, Hassatou Diallo, Aissatou Tiguidanké Balde, Elhadj Yaya Balde, Abdoul Kane, Mamadou Dadhi Balde
KEYWORDS:
Therapeutic Education, Heart Failure, Quality of Life
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.7,
July
25,
2023
ABSTRACT: 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 patients who had an attitude adapted to physical activity (12 before
TPE and 16 after TPE). There was also an increase in the number of patients who
were confident about the outcome of their disease (12 before TPE and 16 after
TPE), and a decrease in those who were hopeless (8 before TPE and 5 after TPE),
an improvement in the quality of life score (45.03 before TPE and 15.78 after
TPE). Conclusion: This study shows the beneficial effect of therapeutic
education in patients hospitalized for heart failure in improving their level
of knowledge, compliance with treatment, lifestyle habits and quality of life.