RESUMEN
This article presents the experience of a psychologist in the development of a multidisciplinary and collective Therapeutic Patient Education program for dialysis patients in out-center (self-dialysis). The role of the psychologist is situated at different levels: construction of the program, animation and co-animation of interventions and evaluation of the program.
Asunto(s)
Comunicación Interdisciplinaria , Nefrología/educación , Grupo de Atención al Paciente , Educación del Paciente como Asunto , Rol Profesional/psicología , Psicología , Humanos , Evaluación de Programas y Proyectos de Salud , Diálisis Renal/psicologíaRESUMEN
The development of therapeutic patient education for dialysis patients is recent and concerns mainly out-center patients. To our knowledge, only two papers centred on therapeutic education with out-center patients have been published. The particularities of this dialysis modality (unit close to the home, more autonomy, a nurse for six patients, organisation of unit, better quality of life and psychological status) highlight the interest to develop specific educational programs for patients treated in out-center sitting. The example of a program in Aquitaine (France) composed of mainly collective sessions (representations of the disease, dietetic recommendations, hygiene and protection of the vascular access, drugs compliance ) allows to propose several practical implications to initiate the development of specific programs in therapeutic education for out-center dialysis: educative sessions during the sessions of dialysis, group patients, multidisciplinary team, evaluation of the program from a medical and psychosocial point of view