title: [Therapeutic patient education in chronic hand dermatitis].
abstract: Hand dermatitis (HD) is usually due to a combination of various interacting factors. It involves significant impairment of the quality of life with psychological and socioeconomic impact. A therapeutic education program in HD.was elaborated by 19 health professionals (dermatologists, occupational clinical physicians, nurses, psychologists, environmental medical advisor) with experience in therapeutic education or skills in HD, according to the recommendations of Haute Autorité de Santé. The program includes an individual medical consultation to perform educational diagnostic, two collective workshops and a medical evaluation consult. Two group workshops "the disease, irritant factors and its treatments" and "the experiences and feelings" were elaborated with learning objectives and educative tools. Different scores were proposed to evaluate the program and acquired skills. Therapeutic education is an efficient way to help patients to adopt skin protection measures essential to healing. We propose a guideline of therapeutic education in HD including skills and educative tools and intended for health professionals to serve as working basis.
authors: Service d'oncodermatologie, CHU de Nantes-Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: P
authors: P
authors: Gelot
authors: Service de dermatologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors: M
authors: M
authors: Avenel-Audran
authors: Service de dermatologie, CHU de Toulouse - université Paul-Sabatier, 118, route de Narbonne, 31062 Toulouse cedex 9, France.
authors: S
authors: S
authors: Balica
authors: Service de pathologie professionnelle, centre Cochin-Broca-Hôtel-Dieu, hôpitaux universitaires Paris (AP-HP), 27, rue du Faubourg-Saint-Jacques, 75679 Paris cedex 14, France.
authors: L
authors: L
authors: Bensefa
authors: Service de pathologie professionnelle, centre Cochin-Broca-Hôtel-Dieu, hôpitaux universitaires Paris (AP-HP), 27, rue du Faubourg-Saint-Jacques, 75679 Paris cedex 14, France.
authors: M-N
authors: MN
authors: Crépy
authors: Cabinet de dermatologie, 13, rue de la Marne, 44000 Nantes, France.
authors: M
authors: M
authors: Debons
authors: Service de dermatologie, CHU hôpital Jean-Minjoz, 3, boulevard Flemming, 25030 Besançon cedex, France.
authors: H
authors: H
authors: Ammari
authors: Service de dermatologie, hôpital Saint-André, CHU de Bordeaux, 1, rue Jean-Burguet, 33075 Bordeaux cedex, France.
authors: B
authors: B
authors: Milpied
authors: Service de dermatologie, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier, France.
authors: N
authors: N
authors: Raison
authors: Service de dermatologie, CHU hôpital Jean-Minjoz, 3, boulevard Flemming, 25030 Besançon cedex, France.
authors: M
authors: M
authors: Vigan
authors: Service de dermatologie, Kinderspital, Steinwiesstrasse 75, 8032 Zurich, Suisse.
authors: N
authors: N
authors: Weibel
authors: Service de dermatologie, CHU de Nantes-Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: J-F
authors: JF
authors: Stalder
authors: Service de dermatologie, CHU de Nantes-Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France. Electronic address: claire.bernier@chu-nantes.fr.
authors: C
authors: C
authors: Bernier
mesh_terms: D000485:Allergens / Q000009:adverse effects; D001071:Appointments and Schedules; D002908:Chronic Disease; D003879:Dermatologic Agents / Q000627:therapeutic use; D017575:Gloves, Protective; D006229:Hand Dermatoses / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology / Q000628:therapy*; D006235:Hand Disinfection; D015438:Health Behavior; D006801:Humans; D007509:Irritants / Q000009:adverse effects; D010348:Patient Care Team; D010349:Patient Compliance; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires
chemical_list: D000485:Allergens; D003879:Dermatologic Agents; D007509:Irritants
keywords: Chronic hand eczema; Eczéma chronique des mains; Guidelines; Hand dermatitis; Référentiel; Therapeutic education; Éducation thérapeutique