Academic literature on the topic 'Adhésion et observance thérapeutiques'
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Journal articles on the topic "Adhésion et observance thérapeutiques"
Weiss, L. "Mucoviscidose, observance et thérapeutiques." Archives de Pédiatrie 10 (August 2003): 406–12. http://dx.doi.org/10.1016/s0929-693x(03)90003-0.
Full textMehrzi, A., W. Saadi, H. Abdesslem, C. Sdiri, I. Sebai, K. Ouneissa, A. Ben Brahim, R. Yahyoui, and C. Amrouche. "Observance des hypolipémiants et objectifs thérapeutiques chez un groupe de diabétiques avec dyslipidémie." Annales d'Endocrinologie 82, no. 5 (October 2021): 501. http://dx.doi.org/10.1016/j.ando.2021.08.726.
Full textCarle, Marie-Ève. "Logiques divergentes et confrontations des savoirs." Anthropologie et Sociétés 37, no. 3 (March 13, 2014): 139–56. http://dx.doi.org/10.7202/1024083ar.
Full textMorin, Michel, and Jean-Paul Moatti. "Observance et essais thérapeutiques : obstacles psychosociaux dans la recherche sur le traitement de l’infection par le VIH." Natures Sciences Sociétés 4, no. 3 (July 1996): 228–40. http://dx.doi.org/10.1051/nss/19960403228.
Full textPachoud, B., P. M. Llorca, I. Salmona, and J. B. Trabut. "La décision médicale partagée en psychiatrie : quelle utilité ?" European Psychiatry 30, S2 (November 2015): S39. http://dx.doi.org/10.1016/j.eurpsy.2015.09.111.
Full textSabouni, Waddah, Alexandre Eichelberger, and Olivia Des Georges. "Traitement des classes II pour les patients au cours de la croissance par gouttières thermoformées : quel protocole ?" L'Orthodontie Française 90, no. 1 (March 2019): 13–27. http://dx.doi.org/10.1051/orthodfr/2019003.
Full textGay, C. "Psychoéducation et bipolarité, vivre avec son trouble." European Psychiatry 29, S3 (November 2014): 660. http://dx.doi.org/10.1016/j.eurpsy.2014.09.042.
Full textLe Boudec, A. "Des greffes d’organe au cœur artificiel : quelle évaluation en psychologie de liaison ?" European Psychiatry 29, S3 (November 2014): 587–88. http://dx.doi.org/10.1016/j.eurpsy.2014.09.301.
Full textMessaoudi, A., S. Seklaoui, and A. Ziri. "Les rechutes dans la schizophrénie ; comment prévenir?" European Psychiatry 29, S3 (November 2014): 659–60. http://dx.doi.org/10.1016/j.eurpsy.2014.09.041.
Full textDe Seze, Jérôme, Christine Lebrun-Frenay, Gilles Edan, Pierre Clavelou, Pierre Labauge, and Charlotte Crepin. "Satisfaction et observance thérapeutiques plus élevées chez des patients traités avec 40 mg/mL d’acétate de glatiramère trois fois par semaine par rapport à 20 mg/mL quotidiennement : résultats à 6 mois de l’étude CONFIDENCE." Revue Neurologique 174 (April 2018): S98. http://dx.doi.org/10.1016/j.neurol.2018.01.222.
Full textDissertations / Theses on the topic "Adhésion et observance thérapeutiques"
Belaiche, Stéphanie. "Adhésion thérapeutique et variation des taux sanguins des anti-calcineurines chez le patient greffé rénal." Thesis, Lille 2, 2017. http://www.theses.fr/2017LIL2S018/document.
Full textNon-adherence (NA) is a major issue after kidney transplantation (Tx). We realized a systematic review, in which criteria related to NA were discussed. And, considering that calcineurin inhibitors (CNI) blood levels variability raises the question of NA, we tried to identify factors associated to it. 37 studies on adherence and NA in TX, published between 2009 and 2014 were reviewed. NA fluctuated from 2 to 96% and sseveral factors were related to NA: a.Young age, male, low social support, unemployed, low education b. >3 months after Tx, living donor, >6 comorbidities c. >5 drugs/d, > 2 intakes/d d. Negative beliefs and/or behaviors e. Depression and anxiety. Then, we realised a cross sectional study on a cohort of kidney recipients grafted for more than 1 year. We recorded: clinical data, data from a clinical pharmacist (CP) interview and from 6 self-reports. 408 recipients were enrolled (61.2% male, median age 54 years old). We compared 2 groups according to a coefficient of variation (CV) for CNI blood levels: CV<30% (n=302) and >30% (n=106). In univariate analysis, the distance hospital-home, cyclosporine, time since Tx, discrepancies in the reconciliation process were associated with a greater risk of CV>30%. By contrast, tacrolimus once daily conferred a lower risk of CV >30%. In multivariate analysis discrepancies remained significant (OR=3.2 CI 95% [1.21-9.01], p=0.02). ACV >30% for CNI blood levels after lyear post Tx seems to reflect NA, and could easily be confirmed by the CP interview. This could be a simple method to detect NA in clinical routine
Janik, Frédérick. "Mise en place d'une stratégie d'amélioration de l'observance de l'activité physique post-réhabilitation chez des patients atteints de lombalgie chronique." Electronic Thesis or Diss., Université de Lille (2018-2021), 2021. http://www.theses.fr/2021LILUS051.
Full textIntroduction: Maintaining physical activity is essential to maintain the benefits of multidisciplinary care. However, chronic low back pain patients are not well prepared foran independent approach. It is necessary to support them in this process of behavioral change in order to bring them to regular physical activity.Objective: The main objective was to determine strategies for improving physical activitycompliance with chronic low back pain patients.Method: 3 studies have been conducted. The first one has searched to determine theeffectiveness of a short physical activity program, outside the care structure, for chroniclow back pain workers. The second one has consisted of the evaluation of an educationprogram added to the multidisciplinary management on the compliance in physicalactivity of chronic low back pain patients. The third one has consisted of establishingisometric muscle norms on healthy subjects.Results/conclusion: These studies have shown the benefits of physical activity in themanagement of chronic low back pain, both on pain and on functional and psychologicalparameters. However, the practice of physical activity alone does not make it possible tomodify patients' behaviors. The implementation of a education program leads to asignificant improvement in compliance with the treatment program and physical activity,although this remains moderate. However, these studies have made it possible tounderstand the complex nature of the behavioral changes that can lead patients with lowback pain to adopt an active lifestyle
Bergeron, Marie. "Pratiques diagnostiques et thérapeutiques dans la prévention et le traitement de l'ostéoporose et adhésion des patients." Thesis, Lyon, 2018. http://www.theses.fr/2018LYSE1334/document.
Full textOsteoporosis is a silent disease that weakens the patient's bone structure and causes fractures that have significant individual and societal consequences in terms of health and dependence. Treatments have been shown to be effective in reducing the risk of fracture, but it appears that diagnostic and therapeutic management and medication adherence of patients at risk of osteoporotic fracture are not optimal, which may minimize the benefits of these therapies in real practice. Initially, we focused on diagnostic and therapeutic management practices and showed that (i) the massive increase in reimbursements for vitamin D dosages observed between 2008 and 2013 was essentially due to an increase in the number of patients receiving a single dosage and not to intensive follow-up of a restricted population particularly at risk of deficiency, and (ii) the proportion of patients initiating anti-osteoporotis treatment following a wrist or humerus fracture between 2009 and 2011 remained low in France (9%). Following this observation, we questioned the effectiveness and efficiency of interventions aimed at improving the management of patients at risk of osteoporotic fracture. Interventions to improve the management of patients who have had a fracture or at risk of fracture had significant efficacy on bone mineral density prescription but a more limited impact on treatment prescribing. We have shown that "structural" interventions and those consisting of sending educational materials (for patients, health professionals or both) were dominant strategies from a medico-economic point of view, and that interventions with educational exchange were cost-effective. Finally, we compared the therapeutic adherence (implementation and persistence) of patients initiating oral bisphosphonate therapy between those taking the brand drug and those taking the generic drug. Initiating treatment with a generic drug was not associated with a decrease in therapeutic adherence
Souares, Aurélia. "Mesure et déterminants de l'observance des prescriptions de combinaisons thérapeutiques dans le traitement de l'accès palustre simple chez l'enfant au Sénégal." Paris 6, 2007. http://www.theses.fr/2007PA066056.
Full textEkhteraei, Toussi Mohammad Massoud. "Analyse et reconstitution des décisions thérapeutiques des médecins et des patients à partir des données enregistrées dans les dossiers patient informatisés." Paris 13, 2009. http://www.theses.fr/2009PA132029.
Full textThis thesis deals with the study of the agreement between the therapeutic decisions and the recommendations of best practice. We propose three methods for the analysis and the reconstruction of physicians’ and patients’ therapeutic decisions through the information available in patient records. Our first method involves the analysis of the agreement between physicians’ prescriptions and the recommendations of best practice. We present a typology of drug therapy, applicable to chronic disease, allowing to formalize both prescriptions and recommendations and to compare them in three levels of detail: the type of treatment, pharmaco-therapeutic class, and the dose of each medication. Our second method involves the extraction of physicians’ therapeutic decisions through patient records when the guidelines do not offer recommendations. We first present a method for discovering knowledge gaps in clinical practice guidelines. Then we apply a machine learning algorithm (C5. 0 Quinlan) to a database of patient records to extract new rules that we graft to the decision tree of the original guideline. Our third method involves the analysis of compliance of patients’ therapeutic decisions with regard to the physicians’ recommendations concerning insulin dose adjustment. We present five indicators useful for the verification of the level of patient compliance: absolute agreement (AA) and the relative agreement (RA) show an acceptable compliance, extreme disagreement (ED) shows a dangerous behavior, over-treatment (OT) and under-treatment (UT) show that the administered dose was respectively too high or too low
Huiart, Laetitia. "Hormonothérapie et cancer du sein : mesure de l'adhésion au traitement en bases de données médico-administratives." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM5048/document.
Full textThe use of oral anticancer therapies has significantly increased in recent years. Adherence to these therapies has therefore become a major issue in the field of oncology. This thesis focuses on the question of treatment adherence in oncology, and more specifically on the use of medical records and administrative databases to estimate adherence and persistence to hormonal therapy—now a major form of oral breast cancer therapy. Our perspective is based on pharmacoepidemiology, i.e. the study of drugs in a clinical setting. The first part of this thesis synthesizes current knowledge on adherence and persistence to hormonal therapy for BC – i.e. tamoxifen and aromatase inhibitor therapies.The second part, which is based on the study of two cohorts constituted (1) from the UK General Practice Research Database and (2) from the French National Health Insurance System, demonstrates that - More than half of women younger than 40 at diagnosis do not receive any tamoxifen at 5years of follow-up. This group of women presents the highest rates of treatmentinterruption. - Among women over 50 at diagnosis, those receiving some form of AI therapy discontinue less frequently than those on tamoxifen treatment. - Determinants of non-persistence identified in the studies under review include low social support and self-reporting of non-compliance among younger women. Among older women, those using complementary or alternative medicine or suffering from comorbidities are more likely to discontinue their treatment, whereas women usingpolypharmacy are less likely to discontinue. - In previous studies, a large proportion of women who discontinued their treatment resumed after a prolonged gap. To account for these temporary treatment discontinuations, we used multi-state models. The probability of being off treatment estimated from these models is lower than that estimated from Kaplan-Meier estimates, after the 1st year of treatment. Adherence to hormonal therapy is largely suboptimal. Some of its determinants are modifiablefactors, while others can be used to identify sub-groups of patients at high risk of non-adherence. Accounting for temporary treatment discontinuation is important when measuring nonpersistence. Adherence is a key element for the translation of efficacy measured in clinical trials into effectiveness in real life. There is an urgent need to acknowledge the problem of nonadherence to oral therapy in oncology
Carle, Marie-Ève. "Vulnérabilité, observance et adhésion thérapeutique : quels risques? : la prévention de la tuberculose chez les enfants immigrants à Montréal." Thèse, 2011. http://hdl.handle.net/1866/6848.
Full textWhile the number of new tuberculosis cases in Quebec has dropped considerably in recent decades, global epidemiology nonetheless shows that this disease is responsible for more than two million deaths every year. In Canada, some groups are more vulnerable than others; for example, immigrants from countries where tuberculosis is endemic. The Clinique de tuberculose du Centre hospitalier universitaire Sainte-Justine constitutes an active tool in the fight against this disease, notably through its school screening program for immigrant children. This screening identifies carriers of latent tuberculosis, i.e. non-contagious form of the disease. A nine-month preventive course of treatment is provided to children with a positive result so as to forestall the development of tuberculosis disease (active form). In 28 % of cases, this treatment is not completed properly and in 11 % of cases, it is declined. This study focuses on both the issue of medical compliance and post-migration life conditions. Observations of consultations at the Tuberculosis Clinic and interviews with caregivers and families have led to a reflection on the prevention of tuberculosis in the context of migration, as well as the multifactorial nature of non-compliance. Data analysis reveals the impact of migration and living conditions (e.g. housing, employment and language proficiency, etc.) on the irregular intake of medication, allowing for a better understanding of this behaviour (Chapter 4). It was also possible to document a distinction between behaviour (compliance) and attitudes (adherence), nuancing the understanding of various therapeutic trajectories using multiple and diverse rationalities (Chapters 5 and 6). All this allows for reflection on the normative nature of categories such as "risk groups" and "risk behaviour", while leaving room for different referential universes and the impact of the overall living conditions of families (Chapter 7).
Baudrant-Boga, Magalie. "Penser autrement le comportement d'adhésion du patient au traitement médicamenteux : modélisation d'une intervention éducative ciblant le patient et ses médicaments dans le but de développer des compétences mobilisables au quotidien - Application aux patients diabétiques de type 2 -." Phd thesis, 2009. http://tel.archives-ouvertes.fr/tel-00488730.
Full textSimard, Patrice. "Évaluation de l’adhésion et de la persistance aux antidiabétiques, et de l’effet de la non-adhésion à la metformine sur la mortalité de toutes causes, sur l’utilisation et les coûts directs des soins de santé." Thèse, 2018. http://hdl.handle.net/1866/19990.
Full textDuguay, David. "Design de jeux pour la santé : utilisation de jeux sérieux pour favoriser l’adhésion aux exercices thérapeutiques chez des jeunes patients atteints de fibrose kystique." Thesis, 2020. http://hdl.handle.net/1866/24116.
Full textVers l’âge de 7 ans, les patients atteints de fibrose kystique (FK) sont amenés à suivre une thérapie par pression expiratoire positive (PEP). Celle-ci consiste à réaliser une série d’exercices respiratoires répétitifs et méthodiques. Cependant, ces exercices peuvent être ennuyeux et démotivants pour des jeunes enfants et entrainent un taux d’adhésion quotidien de moins de 50%. Ce faible résultat affecte grandement la qualité et l’espérance de vie à long terme des patients, en plus d’avoir un impact social et familial considérable. Ces derniers utilisent les aspects ludiques et interactifs des jeux vidéo pour motiver et susciter l’engagement des sujets envers l’activité et son contenu. Ils ont déjà faits leurs preuves dans le domaine de la santé et de l’éducation en favorisant l’apprentissage ou la réhabilitation par exemple. Ce projet de recherche-création cherche à valider la possibilité d’utiliser des jeux spécialement conçus pour la thérapie PEP ainsi que l’intérêt des jeunes atteints de FK à les utiliser dans le cadre de leurs exercices thérapeutiques. L’objectif est de favoriser l’adhésion des jeunes envers cette thérapie et faciliter l’apprentissage et l’application des techniques associées. Cette approche ludique vise ultimement à améliorer la qualité de vie des jeunes atteints de FK dans la durée. Grâce à une collaboration entre des étudiants de l’Université de Montréal et des spécialistes en santé de la clinique de FK du CHU Ste-Justine, trois prototypes de jeux et un prototype d’interface électronique, utilisé pour contrôler les jeux et pour être compatibles avec l’appareil PEP le plus utilisé en Amérique du Nord (le PariPEP®), ont été conçus dans le cadre de ce projet. Les prototypes ont été testés sur place, à la clinique FK de l’hôpital pour enfants, dans le cadre d’une étude pilote effectuée auprès de 10 jeunes patients, toutes et tous âgés entre 8 et 10 ans.
At around the age of 7 years old, younger patients diagnosed with cystic fibrosis (CF) are usually prescribed a new therapy using positive expiratory pressure (PEP). For PEP therapy, patients are required to perform a series of repetitive and methodical breathing exercises to improve lung capacity among other health benefits. However, these exercises can be boring and demotivating for young children. As a result, daily adherence rate to PEP therapy is less than 50%. In turn, this affects the quality of life and long-term health of patients as well as directly impacting their families. In the education and health sectors, serious games are already used with children to help them with learning, therapy and even physical rehabilitation. Serious games leverage the fun and interactive aspects of video games to motivate and improve the commitment of the player to learn the targeted material or adhere to a specific health behaviour. This research-creation project seeks to validate the efficacy of using games specially designed to help patients adhere to PEP therapy exercises more regularly. The objective is to encourage them to get involved in their daily exercises and to facilitate the learning and application of the breathing techniques. This playful approach ultimately aims to improve the quality of life of CF children over time. Leveraging a multi and interdisciplinary collaboration between students from University of Montreal and specialists from the CF clinic at CHU Ste-Justine, three games prototypes and an electronic device prototype, used to control the games, were developed for the most popular PEP device in North America (PariPEP®). The games and electronic device prototypes were tested at the CF clinic, within the hospital for children, as part of a pilot study with 10 young patients, aged from 8 to 10 years old.
Book chapters on the topic "Adhésion et observance thérapeutiques"
Dessibourg, Claude-André. "Adhésion et Relation Thérapeutiques." In Handicap mental : approche transdisciplinaire, 181–85. Elsevier, 2009. http://dx.doi.org/10.1016/b978-2-294-70371-3.50027-0.
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