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Efficacite d'un programme d'enseignement de la mesure de la pression arterielle a domicile sur l'apprentissage des connaissances theoriques et pratiques

Posted on:2011-07-31Degree:M.ScType:Thesis
University:Universite du Quebec a Trois-Rivieres (Canada)Candidate:Leblanc, Marie-EveFull Text:PDF
GTID:2444390002455782Subject:Health Sciences
Abstract/Summary:
Background: Home blood pressure measurement (HBPM) can improve screening and treatment of hypertension. Other benefits linked with HBPM are better therapeutic adherence, faster reach of blood pressure target value and self-care enhancement. HBPM is included in the vast majority of hypertension guidelines around the world. Patients are becoming more interested in the technique and are buying devices in large numbers. Despite clear benefits demonstrated and attraction provide by HBPM, literature is scarce when it comes to validated educational programs. Few authors have yet to demonstrate the efficacy and validity of a HPBM educational strategy.;Design and method: A pre-test post-test design was chosen. Adult workers from a French Canadian University having never received formal teaching on HBPM were included. Participants were randomly assigned in two groups: experimental group and control group. Both received an educational strategy in conformity with Canadian Hypertension Education Program (CHEP) recommendations. Experimental group received an individual formation with a HBPM education program including slides and explanations from a nursing trainer. Control group received a self-learning education module with an informative booklet validated by expert consensus. Knowledges were assessed with a questionnaire during pre test and post test while skills were evaluated with an observational grid during post test only.;Results: Forty-seven participants were included. Analysis shows that both experimental and control groups improve knowledge significantly with greater post test scores: 38% and 45 % vs up 97 % and 90 % respectively, p < 0.001. Experimental group getting higher scores than control group (p < 0.0001). As for skills development, educational program received in experimental group are clearly more effective than self-learning education module shown with post test scores: 74 % and 53 % respectively, p = 0.001.;Conclusions: Both education strategies presented in this study can be used effectively to teach adults HBPM and are time-efficient in short-term. Notwithstanding this, the interaction with a nursing trainer has proven beneficial, especially regarding skills acquisition.;Hypothesis: The first hypothesis is that experimental group gets better scores to knowledges evaluation than control group after receiving education HBPM education program in short term. The second hypothesis is that experimental group gets better scores to skills evaluation than control group after receiving HBPM education program in short term.;Keywords: education*, "education program", "Home blood pressure determination", "Home blood pressure measurement", hypertension*, "patient education", "self-blood pressure", "self-blood pressure determination", "self-blood pressure measurement", "self-care", nursing*, "nursing education", review*.
Keywords/Search Tags:Home blood pressure, HBPM, Education, Hypertension, Post test
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