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首页> 外文期刊>Annals of physical and rehabilitation medicine >What is the role of TPE in management of patients at risk or with pressure ulcer as of 2012? Towards development of French guidelines for clinical practice [Quelle est la place de l'éducation thérapeutique dans la prise en charge du patient à risque et/ou porteur d'escarre en 2012? Vers l'élaboration de recommandations fran?aises pour la pratique clinique]
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What is the role of TPE in management of patients at risk or with pressure ulcer as of 2012? Towards development of French guidelines for clinical practice [Quelle est la place de l'éducation thérapeutique dans la prise en charge du patient à risque et/ou porteur d'escarre en 2012? Vers l'élaboration de recommandations fran?aises pour la pratique clinique]

机译：截至2012年，TPE在管理有风险或患有压疮的患者中起什么作用？致力于制定法国临床实践指南[2012年，在有风险和/或有压疮的患者管理中，治疗教育的位置是什么？致力于制定法国临床实践建议]

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Introduction: Pressure ulcer (PU) is a common complication in chronic affection, especially neurological disorders and diseases commonly diagnosed in the elderly. For a long period of time, the prevention of skin lesions was taught only in an empirical manner. The development of therapeutic patient education (TPE) sheds a new light on care management for patients with chronic pathologies. Objectives: Determine the place of TPE in persons at risk of and/or already suffering from pressure ulcer (PU) as of 2012. Methods: The methodology used is the one promoted by SOFMER, including: a systematic review of the literature with a query of the PASCAL Biomed, PubMed and Cochrane Library databases for data from 2000 through 2010; a compendium of prevailing professional practices and advice from a committee of experts. Results: The review of the literature found six studies including four controlled trials in patients with chronic neurological impairments (most of them with spinal cord injury). No studies were found regarding the elderly. The level of evidence for efficacy in persons with spinal cord injury (SCI) is moderate. The clinical practice study focuses on programs currently underway, dedicated to SCI patients or elderly populations. Discussion: The approach proposed through TPE has its role in a strategy aimed at preventing PU in persons at chronic risk of developing PU. The educational objectives and techniques used must be adapted to the clinical and psychological context and are debated in this review. The co-construction of programs, recommended in the official texts on therapeutic education in France, should help to tailor these programs to the patients' needs. Conclusion: TPE is relevant in care management or prevention of PU in persons at chronic risk, patients with spinal cord injury (Grade B) or elderly subjects (Grade C).
机译：简介：压疮（PU）是慢性情感病的常见并发症，尤其是神经系统疾病和老年人中常见的疾病。长期以来，仅以经验的方式教授了预防皮肤损伤的方法。治疗性患者教育（TPE）的发展为慢性病患者的护理管理提供了新的思路。目标：截至2012年，确定TPE在有压力溃疡和/或已患有压力溃疡（PU）的人群中的位置。方法：SOFMER推广使用的方法，包括：对文献进行系统的回顾，并提出疑问PASCAL Biomed，PubMed和Cochrane图书馆数据库，用于收集2000年至2010年的数据;流行的专业实践和专家委员会的建议汇编。结果：对文献的审查发现有六项研究，包括针对慢性神经功能缺损（多数为脊髓损伤）患者的四项对照试验。未发现有关老年人的研究。脊髓损伤（SCI）患者疗效的证据水平中等。临床实践研究的重点是目前针对SCI患者或老年人群的计划。讨论：通过TPE提出的方法在旨在预防具有慢性发展性PU风险的人的PU的策略中具有其作用。所使用的教育目标和技术必须适应临床和心理背景，并在本综述中进行讨论。在法国有关治疗教育的正式文本中建议共同制定计划，这将有助于根据患者的需求定制这些计划。结论：TPE与慢性病患者，脊髓损伤患者（B级）或老年患者（C级）的护理管理或PU预防有关。

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