Quelle évaluation pour un projet de soins orienté vers une amélioration durable de la qualité de vie d'un patient porteur d'une BPCO ?
Dominique Delplanque
Kinésithér Scient 2013,0545:23-30 - 10/07/2013
Par comparaison à la population générale, les patients porteurs d'une BPCO ont une moins bonne qualité de vie. La faiblesse musculaire tient un rôle important. La prise en charge de ces patients est basée sur un traitement médicamenteux optimal et la réhabilitation respiratoire. Cette dernière est considérée comme un dispositif efficace et recommandé pour la prise en charge des patients atteints d'une BPCO stable (grade A). Développer l'auto-évaluation chez le patient, c'est lui permettre de poursuivre son apprentissage au-delà du stage de réhabilitation respiratoire. Pour le professionnel de santé, c'est revisiter ses postures éducatives afin de pouvoir mieux s'adapter aux situations, aux contextes et tenter de répondre à cette problématique qu'est le maintien des acquis.
In comparison with the general population, patients with COPD have a reduced quality of life. Muscle weakness plays an important role. Management of these patients is based on optimal medication as well as pulmonary rehabilitation. Pulmonary rehabilitation is considered to be effective and is recommended in management of stable COPD (grade A). Developing self-evaluation enables a patient to continue learning beyond the pulmonary rehabilitation program. For the health professional, it involves revisiting key concepts in order to better adapt to situations, to different contexts and to try to respond to the current problem which is maintaining what one has already acquired.
In comparison with the general population, patients with COPD have a reduced quality of life. Muscle weakness plays an important role. Management of these patients is based on optimal medication as well as pulmonary rehabilitation. Pulmonary rehabilitation is considered to be effective and is recommended in management of stable COPD (grade A). Developing self-evaluation enables a patient to continue learning beyond the pulmonary rehabilitation program. For the health professional, it involves revisiting key concepts in order to better adapt to situations, to different contexts and to try to respond to the current problem which is maintaining what one has already acquired.