Article

Focus on the different therapeutic patient education (TPE) programs
for stroke survivors found in the literature. Verify their content and efficacy.
A literature review was conducted by searching for entries from 1966 to
2011 in the Medline and Cochrane Library databases.
The references for the
accepted articles were taken into consideration and the articles corresponding to
the criteria inclusion but not present within the initial search were selected.
The keywords used were "self care", "self management", "patient education" and
"stroke". Given the multiplicity of symptoms that may be addressed in TPE
programs, and following expert advice, the symptoms were grouped after expanding
the bibliographic search using the following, additional keywords: "dysphagia";
"swallowing disorder"; "urinary incontinence"; "caregiver"; "fall prevention";
"falling"; "injury"; "shoulder pain"; "physical activity"; "exercise"; "aphasia"
and "cognitive impairment". RESULTS: We found 30 article abstracts. In the end,
we only accepted seven articles on general TPE programs that were well structured
and detailed enough. The TPE programs found in the literature were often of
questionable methodological quality. The multiplicity of symptoms led to very
general TPE programs that covered all possible stroke after-effects. The purpose
of these programs was to reduce stress and anxiety, to improve quality of life
and to alleviate psychosocial after-effects. A change in caregiver and patient
behavior was observed at times. We expanded the bibliographic search to include
scientific arguments that could help implement TPE programs for more specific
targets. CONCLUSION: TPE programs for stroke survivors could be improved by
standardizing and assessing programs that focus on a specific problem caused by
the various possible after-effects of strokes. In order to promote education for
stroke survivors, specific training for health care professionals and appropriate
funding are necessary.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS