{"id":1764,"date":"2003-10-01T01:00:00","date_gmt":"2003-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/hepatite-chronique-c-connaissances-et-pratique-des-infirmiers-liberauxenquete-et-formation-du-reseau-vhc-91-77\/"},"modified":"2018-10-20T18:39:30","modified_gmt":"2018-10-20T16:39:30","slug":"hepatite-chronique-c-connaissances-et-pratique-des-infirmiers-liberauxenquete-et-formation-du-reseau-vhc-91-77","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/hepatite-chronique-c-connaissances-et-pratique-des-infirmiers-liberauxenquete-et-formation-du-reseau-vhc-91-77\/","title":{"rendered":"HEPATITE CHRONIQUE C :\nCONNAISSANCES ET PRATIQUE DES INFIRMIERS LIBERAUX\n(enqu\u00eate et formation du r\u00e9seau vhc 91-77)"},"content":{"rendered":"

2003<\/strong><\/p>\n

J. DENIS, G. MACAIGNE, T. REDELSPERGER, L. TURNER, G. GATINEAU SAILLANT, B. LAMBARE, H. DOUCERON, S. HERBERT,
\n(Evry \u2013 Corbeil, Melun, Dourdan, Coulommiers, Meaux, R\u00e9seau VHC 91-77, D.D.A.S.S 91)<\/em><\/p>\n

H\u00e9patologie <\/strong>– \u00a02000-03-09 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

En 2002 le r\u00e9seau VHC 91-77 a propos\u00e9 aux 935 infirmiers lib\u00e9raux (IDEL) d\u2019Essonne et de Seine et Marne, 6 sessions de formation, chacune effectu\u00e9e sur le m\u00eame type en des lieux diff\u00e9rents avec le support d\u2019un diaporama commun. Un questionnaire \u00e9tait joint \u00e0 l\u2019invitation portant sur leurs caract\u00e9ristiques professionnelles, leur exp\u00e9rience pratique du traitement des patients atteints d\u2019h\u00e9patite C (HC) ainsi que sur des questions de connaissance g\u00e9n\u00e9rale concernant le VHC. A chaque session un livret repr\u00e9sentant l\u2019ensemble des diapositives leur \u00e9tait remis. Un d\u00e9fraiement \u00e9tait pr\u00e9vu aux participants. Un mois apr\u00e8s chaque session, les participants ont re\u00e7u un second questionnaire reprenant les questions de connaissance g\u00e9n\u00e9rale et leur demandant leur avis sur la formation. <\/p>\n

RESULTATS
\nPRATIQUE PROFESSIONNELLE :
\n84 IDEL se sont inscrits aux formations et 59 ont r\u00e9pondu au premier questionnaire. L\u2019\u00e2ge moyen \u00e9tait de 44,6 ans, la dur\u00e9e d\u2019exercice lib\u00e9ral de 13,9 ans ; tous sauf un avaient \u00e9t\u00e9 dipl\u00f4m\u00e9s avant 1990.
\nLes \u00be des IDEL avaient d\u00e9j\u00e0 trait\u00e9 par IFN de 1 \u00e0 12 personnes. Le Viraf\u00e9ron stylo\u00ae et le Rof\u00e9ron\u00ae mono dose \u00e9taient jug\u00e9s les plus pratiques et les mieux tol\u00e9r\u00e9s. L\u2019IDEL passe de 5 \u00e0 45 minutes aupr\u00e8s du patient (de 5 \u00e0 15mn : 82% des cas, de 15 \u00e0 45mn : 18% des cas), apprend au patient \u00e0 s\u2019auto injecter dans 50% des cas, apr\u00e8s de 1 \u00e0 5 injections faites par ses soins dans 61%. Les aiguilles sont constamment recueillies dans un container sp\u00e9cifique s\u00e9curis\u00e9 (le plus souvent celui de l\u2019IDEL) et habituellement d\u00e9truit dans un circuit sp\u00e9cifique. Au cours des soins le patient parle de son h\u00e9patite C dans 80% des cas et l\u2019IDEL se juge \u00e0 l\u2019aise pour r\u00e9pondre dans 46% des cas. Lors des soins habituels, l\u2019IDEL ne s\u2019enqui\u00e8re que rarement de l\u2019existence d\u2019un HC, d\u2019une autre h\u00e9patite ou d\u2019une infection \u00e0 VIH. En cas de soins chez un patient VHC+, 60% des IDEL pensent courir un risque de contamination et 50% d\u00e9clarent prendre des pr\u00e9cautions particuli\u00e8res.
\nLa quasi totalit\u00e9 souhaite avoir plus d\u2019informations sur le VHC et consid\u00e8rent avoir un r\u00f4le \u00e0 jouer dans l\u2019information et l\u2019\u00e9ducation des patients VHC+.<\/p>\n

CONNAISSANCE GENERALE :
\nR\u00e9ponses au questionnaire initial : 61% pensent que la contamination VHC peut encore se faire actuellement de fa\u00e7on fr\u00e9quente par transfusion, 68% par voie sexuelle, 70% par \u00e9change d\u2019objet de toilette, 47% lors de soins dentaires, 11% par l\u2019usage des toilette publique mais aucun par simple contact physique. 47% savent qu\u2019environ 600 000 sujets ont \u00e9t\u00e9 contamin\u00e9s en France. Moins de 20% estime autour de 80% le risque de passage \u00e0 la chronicit\u00e9. 46% pensent que l\u2019HC \u00e9volue constamment vers la cirrhose et 50% vers un CHC. Le risque de passage \u00e0 la chronicit\u00e9 et les chances de r\u00e9ponses au traitement sont mal connus. 98% savent que la restriction maximum d\u2019alcool et 47% pensent qu\u2019un r\u00e9gime alimentaire sont recommand\u00e9s et 10% que la pratique du sport doit \u00eatre mod\u00e9r\u00e9e. La quasi totalit\u00e9 pense que la pr\u00e9valence des h\u00e9patites C n\u2019est pas plus \u00e9lev\u00e9e chez les IDEL que dans la population g\u00e9n\u00e9rale.<\/p>\n

R\u00e9ponses au deuxi\u00e8me questionnaire (23 r\u00e9ponses) : la totalit\u00e9 des IDEL a jug\u00e9 la formation globalement ou plut\u00f4t satisfaisante et qu\u2019elle a bien r\u00e9pondu \u00e0 leurs interrogations ; la totalit\u00e9 souhaiterait une nouvelle formation sur le m\u00eame mode et d\u00e9sirerait participer aux r\u00e9unions du r\u00e9seau. N\u00e9anmoins l\u2019\u00e9valuation a posteriori montre que l\u2019acquisition des connaissances n\u2019atteint pas le niveau souhait\u00e9.<\/p>\n

CONCLUSION :
\nCette \u00e9tude r\u00e9alis\u00e9e avant la g\u00e9n\u00e9ralisation de l\u2019utilisation de l\u2019IFN p\u00e9gyl\u00e9, chez des IDEL ayant pour la plupart obtenu leur dipl\u00f4me avant la d\u00e9couverte du VHC, il appara\u00eet que les IDEL :
\n-a sont impliqu\u00e9es dans le traitement des HC et g\u00e8rent correctement l\u2019\u00e9limination des d\u00e9chets.
\n-b souhaitent s\u2019impliquer plus dans l\u2019encadrement du patient.
\n-c sont demandeuses de formations sp\u00e9cifiques et souhaitent \u00eatre impliqu\u00e9es dans les r\u00e9seaux.
\n-d ont un niveau de connaissances th\u00e9oriques sans doute insuffisant pour remplir ce r\u00f4le. La formation des IDEL est une mission des r\u00e9seaux.<\/p>\n","protected":false},"excerpt":{"rendered":"

2003 J. DENIS, G. MACAIGNE, T. REDELSPERGER, L. TURNER, G. GATINEAU SAILLANT, B. LAMBARE, H. DOUCERON, S. HERBERT, (Evry \u2013 Corbeil, Melun, Dourdan, Coulommiers, Meaux, R\u00e9seau VHC 91-77, D.D.A.S.S 91) H\u00e9patologie – \u00a02000-03-09 –\u00a0CO – ________________________________ En 2002 le r\u00e9seau VHC 91-77 a propos\u00e9 aux 935 infirmiers lib\u00e9raux (IDEL) d\u2019Essonne et de Seine et Marne, […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[14],"class_list":["post-1764","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-14"],"yoast_head":"\nHEPATITE CHRONIQUE C : CONNAISSANCES ET PRATIQUE DES INFIRMIERS LIBERAUX (enqu\u00eate et formation du r\u00e9seau vhc 91-77) - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/hepatite-chronique-c-connaissances-et-pratique-des-infirmiers-liberauxenquete-et-formation-du-reseau-vhc-91-77\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HEPATITE CHRONIQUE C : CONNAISSANCES ET PRATIQUE DES INFIRMIERS LIBERAUX (enqu\u00eate et formation du r\u00e9seau vhc 91-77) - 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