La détresse des patients gravement malades est-elle mesurable et par qui ?

International audienc

Etat nutritionnel et consommation alimentaire en France :situation actuelle et évolution, 1997-2003

Savanovitch C, Deschamps V, Hercberg S, Castetbon K, pour le groupe de travail « Surveillance de la situation nutritionnelle en France »info:eu-repo/semantics/nonPublishe

Surveillance du surpoids et de l’obésité chez les enfants en France :bilan des données disponibles et comparaisons internationales

Abstract n° P9-11info:eu-repo/semantics/nonPublishe

IPADAM quali « Interventions Pharmaceutiques À propos du Dossier pharmaceutique et de l’AutoMédication » : expérience des équipes officinales et ressenti des patients

International audienceObjectives:This study had two main aims: (i) document the experience of community pharmacists receiving a spontaneous request for ibuprofen and oral pseudoephedrine, and their use of pharmaceutical records, and (ii) explore patients’ perceptions of pharmaceutical records and pharmaceutical interventions.Methods:The study was conducted over two weeks between February and April 2014 in 482 community pharmacies and 8 French faculties of pharmacy. It was based on data collected by pharmacy team focus groups during patient telephone interviews using standardized question grids. Textual and thematic analyses were made of the patient responses.Results:Four pharmacy team focus groups carried out 49 telephone interviews. Examination of the practice of the groups showed that pharmaceutical interventions, although incompletely registered, are performed on a daily basis and enhance the value of the pharmacist's function. Analysis of the telephone interviews also showed the importance of the advisory role of the pharmacist in dispensing an optional medical prescription. The thematic analysis of the results identified a positive response of patients to pharmaceutical interventions if made by their regular pharmacist and accompanied by explanatory information. The focus groups and patients agreed that pharmaceutical records were not consulted often enough.Conclusion:This study underlines the need for greater safety in the use of optional medical prescription drugs. Promoting responsible self-medication in compliance with proper use should include systematic reference to a PR and informed dialogue with the patient.Objectifs :La présente étude a eu deux objectifs principaux : (i) explorer le vécu des équipes officinales face aux interventions pharmaceutiques et à l’utilisation du dossier pharmaceutique, lors d’une demande spontanée d’ibuprofène ou de pseudoéphédrine per os (ii) connaître la perception du dossier pharmaceutique et des interventions pharmaceutiques par les patients.Méthodes :L’étude s’est déroulée sur deux semaines entre février et avril 2014 dans 482 officines de 8 facultés de pharmacie françaises. Elle a reposé sur des focus group d’équipes officinales et des entretiens téléphoniques de patients à l’aide de grilles d’entretien standardisés. Les verbatim ont fait l’objet d’une analyse de données textuelles et d’une analyse thématique.Résultats :Quatre focus groups et 49 entretiens téléphoniques ont été réalisés. L’analyse du vécu des équipes officinales a montré que l’intervention pharmaceutique, bien qu’insuffisamment tracée, fait partie du quotidien de l’exercice officinal et valorise l’acte de dispensation. L’analyse des entretiens téléphoniques des patients appuie ce ressenti, en soulignant la démarche d’accompagnement du dispensateur. L’analyse thématique des résultats identifie un élément essentiel du vécu des patients : ils ressentent positivement les interventions pharmaceutiques si le pharmacien est leur pharmacien habituel et si celui-ci formule des explications à visée éducative. En outre, équipes officinales et patients s’accordent sur le fait que le dossier pharmaceutique est insuffisamment utilisé.Conclusion :Cette étude s’inscrit dans une perspective de renforcement de la sécurité d’emploi des médicaments d’automédication, en promouvant le recours systématique au dossier pharmaceutique, à l’appui du dialogue avec le patient

Evolution des apports en nutriments dans l’étude Suvimax (1995-2002)

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Assessing the validity of the clinician-rated distress thermometer in palliative care

International audienceBackground: The distress of patients suffering from a terminal illness can lead to a state of despair and requests for euthanasia and assisted suicide. It is a major challenge for palliative care workers. The Distress Thermometer (DT) is recommended by the National Comprehensive Cancer Network as a means of more easily assessing distress. It is available as a Self-assessment reported Distress Thermometer, but for a wider use in palliative care it should also be implemented in the form of a clinician-reported outcome (clinRO). Clinicians need to rate patient's distress when the patient is not able to do so (subject that cannot be addressed, defensive patient…). The primary aim of the quantitative study was to assess the validity of the Clinician-Rated Distress Thermometer in palliative care. Method: The assessments were performed by teams working in three palliative care centres. The primary endpoint was concordance between the patient and clinicians' responses via Lin's concordance coefficient. Eligible patients were aged 18 years or older, suffering from a severe disease in the palliative phase, and with a sufficient level of awareness to consent to participate in the study. A total of 51 patients were recruited, 55% were male, with a mean age of 65.8 years [39-90 years]. Results: Three hundred sixty-four clinician-Rated Distress Thermometer and 467 Self-Reported Distress Thermometer were performed. Only 364 of the 467 Self-Reported Distress Thermometer were used for the study, as investigators did not systematically ask the patient to give an account of his distress. Concordance between patient and clinician responses: The Lin's concordance coefficient with a threshold (alpha) of 5% was 0.46 [0.38; 0.54]. At the first assessment, it was 0.61 [0.44; 0.79]. The Cohen's kappa coefficient was 0.52, with a concordance rate of 79.6%. The sensitivity was 82.9% [66.4-93.4] and the specificity 71.4% [41.9-91.6]. Conclusion: The first assessment gave the best results in terms of concordance between Clinician-Rated DT and Self-Reported DT. In the next assessments, the Clinician-Rated DT were less consistent with the patients' Self-Reported DT

Evolution de la consommation alimentaire dans l’étude SU.VI.MAX (1995-2002)

info:eu-repo/semantics/publishe

Alimentation, nutrition et cancer. Vérités, hypothèses et idées fausses

info:eu-repo/semantics/nonPublishe

Situation et évolution des apports alimentaires de la population en France, 1997-2003

info:eu-repo/semantics/publishe