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Introduction Introduction Methods Methods and and study Population study Population Results Results Discussi on The Clinical Immunology Unit of Padua University Hospital together with the Community Health Service (CHS) started two experimental therapeutic patient education (TPE) programmes addressed to patients suffering from systemic lupus erythematousus (SLE) and bronchial asthma respectively. During a series of structured teaching sessions, small groups of patients received information about disease and treatment and learned some basic self-management skills from healthcare personnel. In 2002, 18 SLE patients of the Clinical Immunology Unit and 11 asthmatic patients of a general practitioner of Padua CSH have been enrolled in the TPE programmes. Before and after education, the knowledge of SLE patients about disease, treatment, diet and physical activity was evaluated by a multiple choice questionnaire, whereas asthmatic patients' knowledge and beliefs about disease and treatment were evaluated by means of a conceptual map. Today many people with chronic diseases ask complete information about disease and treatment in order to share therapeutic decision and responsibility with their doctors. Consequently, doctors and other healthcare professionals, besides ordinary support, are often requested to provide patients with adequate information. Indeed, regular and reliable exchange of information between healthcare personnel and patients is essential in establishing an empathic and reassuring therapeutic partnership. By contrast, incomplete, incorrect or misleading information exchange may cause bad or even fatal consequences on patients’ health, producing anxiety and deteriorating human relationships. In the evaluation of the two experimental TPE programmes both a qualitative and a quantitative analysis were applied. The results of SLE patients’ questionnaires, expressed as percentage of right answers before and after TPE, showed an average increase of the knowledge level from 60.5% to 74%. The qualitative analysis of conceptual maps of asthmatic patients revealed a more structured and complete reorganisation of knowledge about health, disease and treatment. percentage of wrong concepts significantly decreased after TPE. # Rossato E., °Bonadiman L., Pettenuzzo C,.*Marcolongo R. # Professional Educator, Hospital Training Unit, Padua University Hospital, °General Practitioner, Padua, Physician, Padua, *Physician immunologist, Clinical Immunology Unit, Padua University Hospital VENETO REGION VENETO REGION - - PADUA UNIVERSITY HOSPITAL and ULSS PADUA UNIVERSITY HOSPITAL and ULSS 16, ITALY 16, ITALY THERAPEUTIC EDUCATION PROMOTES THE REORGANISATION OF PATIENTS’ HEALTH KNOWLEDGE THERAPEUTIC PATIENT EDUCATION LABORATORY THERAPEUTIC PATIENT EDUCATION LABORATORY – PADUA (ITALY) – PADUA (ITALY) The increase of health literacy and knowledge level of patients and their caregivers after TPE may help them to self-manage the disease and therapy. It is then conceivable that, promoting the integration of new concepts and knowledge in patients’ semantic network, TPE might prompt them to adopt a correct health behaviour, increasing the quality of their life. CORRESPONDING AUTHOR Dr. Renzo Marcolongo Dr. Renzo Marcolongo : Clinical Immunology Unit, Padua : Clinical Immunology Unit, Padua Universital Hospital Universital Hospital via Giustiniani, 3 – 35128 PADUA via Giustiniani, 3 – 35128 PADUA (Italy) (Italy) E-mail: [email protected] E-mail: [email protected] 0 20 40 60 80 100 120 140 160 180 200 SO CIAL EM O TIO N AL CO GN ITIVE Q ualitative Evaluation ofC onceptualM aps PR E-TP E PO ST-TPE 65 72 56 74 0 10 20 30 40 50 60 70 80 2000 2001 HEALTH LITERACY O F S.L.E. PATIENTS Pre-TPE Post-TPE 189 50 161 6 0% 20% 40% 60% 80% 100% Health literacy Pre-TPE Health literacy Post-TPE W RONG RIGHT

THERAPEUTIC EDUCATION PROMOTES THE REORGANISATION OF PATIENTS’ HEALTH KNOWLEDGE

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VENETO REGION - PADUA UNIVERSITY HOSPITAL and ULSS 16, ITALY. # Rossato E., °Bonadiman L., ‡ Pettenuzzo C,.*Marcolongo R. # Professional Educator, Hospital Training Unit, Padua University Hospital, °General Practitioner, Padua, ‡ Physician, Padua, - PowerPoint PPT Presentation

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Page 1: THERAPEUTIC EDUCATION PROMOTES THE REORGANISATION OF PATIENTS’ HEALTH KNOWLEDGE

IntroductionIntroduction

MethodsMethods and and study study PopulationPopulation

ResultsResults

Discussion

The Clinical Immunology Unit of Padua University Hospital together with the Community Health Service (CHS) started two experimental therapeutic patient education (TPE) programmes addressed to patients suffering from systemic lupus erythematousus (SLE) and bronchial asthma respectively. During a series of structured teaching sessions, small groups of patients received information about disease and treatment and learned some basic self-management skills from healthcare personnel. In 2002, 18 SLE patients of the Clinical Immunology Unit and 11 asthmatic patients of a general practitioner of Padua CSH have been enrolled in the TPE programmes. Before and after education, the knowledge of SLE patients about disease, treatment, diet and physical activity was evaluated by a multiple choice questionnaire, whereas asthmatic patients' knowledge and beliefs about disease and treatment were evaluated by means of a conceptual map.

Today many people with chronic diseases ask complete information about disease and treatment in order to share therapeutic decision and responsibility with their doctors. Consequently, doctors and other healthcare professionals, besides ordinary support, are often requested to provide patients with adequate information. Indeed, regular and reliable exchange of information between healthcare personnel and patients is essential in establishing an empathic and reassuring therapeutic partnership. By contrast, incomplete, incorrect or misleading information exchange may cause bad or even fatal consequences on patients’ health, producing anxiety and deteriorating human relationships.

In the evaluation of the two experimental TPE programmes both a qualitative and a quantitative analysis were applied. The results of SLE patients’ questionnaires, expressed as percentage of right answers before and after TPE, showed an average increase of the knowledge level from 60.5% to 74%.The qualitative analysis of conceptual maps of asthmatic patients revealed a more structured and complete reorganisation of knowledge about health, disease and treatment. Moreover, the percentage of wrong concepts significantly decreased after TPE.

#Rossato E., °Bonadiman L., ‡Pettenuzzo C,.*Marcolongo R.#Professional Educator, Hospital Training Unit, Padua University Hospital, °General Practitioner, Padua,

‡Physician, Padua,*Physician immunologist, Clinical Immunology Unit, Padua University Hospital

VENETO REGIONVENETO REGION - - PADUA UNIVERSITY HOSPITAL and ULSS PADUA UNIVERSITY HOSPITAL and ULSS 16, ITALY16, ITALY

THERAPEUTIC EDUCATION PROMOTES THE REORGANISATION OF PATIENTS’ HEALTH

KNOWLEDGE

THERAPEUTIC PATIENT EDUCATION LABORATORYTHERAPEUTIC PATIENT EDUCATION LABORATORY – PADUA (ITALY)– PADUA (ITALY)

The increase of health literacy and knowledge level of patients and their

caregivers after TPE may help them to self-manage the disease and therapy.

It is then conceivable that, promoting the integration of new concepts and

knowledge in patients’ semantic network, TPE might prompt them to adopt a

correct health behaviour, increasing the quality of their life.

CORRESPONDING AUTHORDr. Renzo MarcolongoDr. Renzo Marcolongo: Clinical Immunology Unit, Padua Universital Hospital : Clinical Immunology Unit, Padua Universital Hospital

via Giustiniani, 3 – 35128 PADUA (Italy)via Giustiniani, 3 – 35128 PADUA (Italy) E-mail: [email protected]: [email protected]

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SOCIAL EMOTIONAL COGNITIVE

Qualitative Evaluation of Conceptual Maps

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Health literacy Pre-TPE Health literacy Post-TPE

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