Resumen de Educational diagnosis of asthmatic outpatients at a pneumophtisiology department in Abidjan, ivory coast
Pascal Abrogoua Danho, Claire Doh Anicette Kouaye, Aime Brou N'Guessan, Elisée Doffou, Elisabeth Aka Danguy
Rationale: Some patient-related factors have significant negative impact on asthma control. Educational diagnosis helps to define the expectations of a therapeutic patient education (TPE) reinforcement program and its required tools. Objectives: This study aims to determine the level of knowledge of asthmatic patients on treatment and key elements of therapeutic monitoring. Method: It was conducted a cross-sectional descriptive study from March to July 2015 in an outpatients unit of pneumophtisiology in Abidjan, Ivory Coast. We used a questionnaire during an interview with patients to collect information. We considered six components of TPE: Assessment of asthma and understanding of the disease (AAUD), pharmacological treatment and compliance with precautions for drugs use (PTCP), adherence (AD), methods of administration of drugs (MAD), environmental monitoring (EM), practice of physical activity (PPA). A benchmarking analysis was conducted between these components. Results: The mean age was 39.4 ±8.2 years with 64% of men. The most prescribed anti-Asthmatic drugs were beta2-Agonists (50.6%) and inhaled corticosteroids (41.9%). The components adherence and practice of physical activity had the lowest average benchmark weighting (31.2 and 37.5 respectively) compared to the other components of TPE). Among the least rated items of all TPE components we can list regular taking of the background therapy (20.7%), ((knowledge of not recommended or contraindicated drugs in asthmatics (17.3%), ((adaptation of physical activity in relation with the disease (20.7%). Conclusion: The program of TPE requires to target information on adherence and physical activity for asthmatic patients in Abidjan
