{"id":6933,"date":"2023-07-14T00:12:48","date_gmt":"2023-07-14T00:12:48","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/anticipatory-care-for-long-term-conditions-in-physiotherapy-fr\/"},"modified":"2023-07-14T12:59:06","modified_gmt":"2023-07-14T12:59:06","slug":"anticipatory-care-for-long-term-conditions-in-physiotherapy-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/anticipatory-care-for-long-term-conditions-in-physiotherapy-fr\/","title":{"rendered":"Anticipation et pr\u00e9vention des affections de longue dur\u00e9e en physioth\u00e9rapie"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Mariam_Hashem\" title=\"User:Mariam Hashem\">Mariam Hashem<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Mariam_Hashem\" class=\"mw-userlink\" title=\"User:Mariam Hashem\"><bdi>Mariam Hashem<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a href=\"\/User:Tony_Lowe\" class=\"mw-userlink\" title=\"User:Tony Lowe\"><bdi>Tony Lowe<\/bdi><\/a>, <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a href=\"\/User:Vidya_Acharya\" class=\"mw-userlink\" title=\"User:Vidya Acharya\"><bdi>Vidya Acharya<\/bdi><\/a> et <a href=\"\/User:Olajumoke_Ogunleye\" class=\"mw-userlink\" title=\"User:Olajumoke Ogunleye\"><bdi>Olajumoke Ogunleye<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Stats_and_Facts\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Statistiques et faits<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Causes_and_Risk_Factors\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Les causes et facteurs de risque<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Impacts_on_Individual_and_Society\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Les impacts sur l&rsquo;individu et la soci\u00e9t\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Healthcare_Policies\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Les politiques de sant\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Physiotherapy_and_Health_Promotion\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">La physioth\u00e9rapie et la promotion de la sant\u00e9<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Self-management:\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">L&rsquo;autogestion <\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les affections de longue dur\u00e9e, \u00e9galement appel\u00e9es maladies chroniques ou <a href=\"\/Non-Communicable_Diseases\" title=\"Non-Communicable Diseases\">maladies non transmissibles <\/a>(MNT), <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> sont d\u00e9finies comme des affections physiques ou mentales qui n\u00e9cessitent une prise en charge sur une longue p\u00e9riode.<sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Ces maladies sont actuellement incurables, mais peuvent \u00eatre g\u00e9r\u00e9es\/contr\u00f4l\u00e9es par des m\u00e9dicaments et d&rsquo;autres interventions.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> Ce sont des maladies chroniques qui ne se transmettent pas d&rsquo;une personne \u00e0 l&rsquo;autre. Elles sont caus\u00e9es par diff\u00e9rents facteurs, notamment la g\u00e9n\u00e9tique, la physiologie, l&rsquo;environnement et le comportement d&rsquo;un individu.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<p><b>Des exemples sont :<\/b><\/p>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Cardiovascular_Disease\">Les maladies cardiaques<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Stroke\">Les accidents vasculaires c\u00e9r\u00e9braux<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Physiotherapy_and_cancer_treatment\">Le cancer<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Diabetes\">Le diab\u00e8te<\/a><\/li>\n<li>Les maladies pulmonaires chroniques telles que la <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Asthma\">broncho-pneumopathie chronique obstructive<\/a> et l&rsquo;<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Asthma\">asthme<\/a><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Stats_and_Facts\">Statistiques et faits <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Stats and Facts\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=2\" title=\"Edit section: Stats and Facts\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Proportional_mortality.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Proportional mortality.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Proportional_mortality.jpg\/300px-Proportional_mortality.jpg\" decoding=\"async\" width=\"300\" height=\"285\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Proportional_mortality.jpg\/450px-Proportional_mortality.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Proportional_mortality.jpg\/600px-Proportional_mortality.jpg 2x\" data-file-width=\"630\" data-file-height=\"599\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Proportional_mortality.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Les affections de longue dur\u00e9e sont responsables de 41 millions de d\u00e9c\u00e8s chaque ann\u00e9e, soit 70 % de l&rsquo;ensemble des d\u00e9c\u00e8s dans le monde. <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> On estime que ce chiffre atteindra 52 millions d&rsquo;ici 2030 <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>D&rsquo;apr\u00e8s les informations fournies par l&rsquo;Organisation mondiale de la sant\u00e9, les <a href=\"\/Cardiovascular_Disease\" title=\"Cardiovascular Disease\">maladies cardiovasculaires<\/a> sont \u00e0 l&rsquo;origine de la plupart des d\u00e9c\u00e8s dus aux maladies non transmissibles, soit 17,9 millions de personnes par ann\u00e9e, suivies par les cancers (9 millions), les maladies respiratoires (3,9 millions) et le diab\u00e8te (1,6 million) <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<li>15% des jeunes adultes \u00e2g\u00e9s de 11 \u00e0 15 ans sont atteints d&rsquo;une affection de longue dur\u00e9e <sup id=\"cite_ref-:1_6-0\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup><\/li>\n<li>15 millions des d\u00e9c\u00e8s attribu\u00e9s aux maladies non transmissibles surviennent entre l&rsquo;\u00e2ge de 30 et 69 ans. <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<li>On estime que 1 \u00e0 7 millions de ces d\u00e9c\u00e8s (4 % des d\u00e9c\u00e8s attribu\u00e9s aux maladies non transmissibles) sont survenues chez des personnes \u00e2g\u00e9es de moins de 30 ans <sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li>En \u00c9cosse, les affections de longue dur\u00e9e repr\u00e9sentent 80 % de l&rsquo;ensemble des consultations en m\u00e9decine g\u00e9n\u00e9raliste et les patients atteints de ces affections sont deux fois plus susceptibles d&rsquo;\u00eatre admis \u00e0 l&rsquo;h\u00f4pital <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>En Angleterre, on estime que 59 % seulement des personnes atteintes d&rsquo;une affection de longue dur\u00e9e travaillent, contre 72 % de la population g\u00e9n\u00e9rale. <sup id=\"cite_ref-:1_6-1\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup><\/li>\n<li>Les maladies non transmissibles touchent de mani\u00e8re disproportionn\u00e9e les populations des pays \u00e0 revenu faible ou interm\u00e9diaire. <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:3_7-1\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7) <\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9) <\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Selon les projections, d&rsquo;ici 2040, les pays \u00e0 revenu faible et interm\u00e9diaire conna\u00eetront une augmentation significative des handicaps, des maladies et des d\u00e9c\u00e8s pr\u00e9matur\u00e9s dus aux maladies non transmissibles. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Causes_and_Risk_Factors\">Les causes et facteurs de risque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Causes and Risk Factors\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=3\" title=\"Edit section: Causes and Risk Factors\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Des comportements nocifs tels que la s\u00e9dentarit\u00e9, une mauvaise alimentation, l&rsquo;exposition \u00e0 la fum\u00e9e de tabac ou l&rsquo;usage nocif de l&rsquo;<a href=\"\/Alcoholism\" title=\"Alcoholism\">alcool<\/a> sont autant de facteurs qui contribuent aux affections de longue dur\u00e9e.<sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Une \u00e9tude de cohorte de 2019 bas\u00e9e sur la population a montr\u00e9 que l&rsquo;absence de trois facteurs de risque (tabagisme, hypertension et surpoids) retardait de neuf ans l&rsquo;apparition des maladies non transmissibles chez les personnes \u00e2g\u00e9es de plus de 45 ans.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<p><u>L&rsquo;Organisation mondiale de la sant\u00e9 a class\u00e9 les facteurs contribuant aux affections de longue dur\u00e9e en deux cat\u00e9gories <\/u><sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><u>:<\/u><\/p>\n<p><b>Les facteurs de risque comportementaux modifiables :<\/b><\/p>\n<ul>\n<li><a href=\"\/Smoking_Cessation_and_Brief_Intervention\" title=\"Smoking Cessation and Brief Intervention\">Tabagisme<\/a> (y compris le tabagisme passif)<\/li>\n<li>Consommation excessive de sel\/sodium<\/li>\n<li>Consommation d&rsquo;<a href=\"\/Alcoholism\" title=\"Alcoholism\">alcool<\/a><\/li>\n<li>Manque d&rsquo;activit\u00e9 physique ou <a href=\"\/Physical_Inactivity\" title=\"Inactivit\u00e9 physique\">activit\u00e9 physique insuffisante<\/a><\/li>\n<\/ul>\n<p><b>Les facteurs de risque m\u00e9taboliques :<\/b><\/p>\n<ul>\n<li><a href=\"\/Blood_Pressure\" title=\"Blood Pressure\">Hypertension<\/a><\/li>\n<li>Surpoids\/<a href=\"\/Obesity\" title=\"Ob\u00e9sit\u00e9\">ob\u00e9sit\u00e9<\/a><\/li>\n<li><a href=\"\/Hyperglycemia\" title=\"Hyperglycemia\">Hyperglyc\u00e9mie<\/a> (taux \u00e9lev\u00e9 de glucose dans le sang)<\/li>\n<li><a href=\"\/Hyperlipidemia\" title=\"Hyperlipidemia\">Hyperlipid\u00e9mie<\/a> (taux \u00e9lev\u00e9 de graisses dans le sang)<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Impacts_on_Individual_and_Society\">Les impacts sur l&rsquo;individu et la soci\u00e9t\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Impacts on Individual and Society\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=4\" title=\"Edit section: Impacts on Individual and Society\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les affections de longue dur\u00e9e sont associ\u00e9es \u00e0 des <a href=\"\/Multimorbidity\" title=\"Multimorbidity\">multimorbidit\u00e9s<\/a> qui ont un impact sur la <a href=\"\/Quality_of_Life\" title=\"Quality of Life\">qualit\u00e9 de vie<\/a> de l&rsquo;individu et p\u00e8sent sur le syst\u00e8me de sant\u00e9.<\/p>\n<p>Les personnes atteintes de multimorbidit\u00e9 ont un \u00e9tat fonctionnel, une qualit\u00e9 de vie, une capacit\u00e9 de travail et des r\u00e9sultats en mati\u00e8re de sant\u00e9 moins bons que les personnes sans multimorbidit\u00e9. <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p>Les affections de longue dur\u00e9e peuvent affecter n\u00e9gativement la mobilit\u00e9 de l&rsquo;individu et avoir des cons\u00e9quences <b>sociales<\/b> telles que le maintien \u00e0 domicile, l&rsquo;incapacit\u00e9 \u00e0 prendre soin de soi et le confinement au lit, les cons\u00e9quences ultimes \u00e9tant l&rsquo;isolement social, les conflits familiaux et m\u00eame la stigmatisation. <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<p>Il peut \u00eatre difficile de faire face aux affections de longue dur\u00e9e, qui peuvent \u00eatre <b>stressantes ou invalidantes<\/b>. La perte d&rsquo;int\u00e9r\u00eat, le sentiment de culpabilit\u00e9 ou de responsabilit\u00e9 et une faible estime de soi peuvent aggraver le d\u00e9veloppement de la maladie. La personne peut \u00e9galement perdre la capacit\u00e9 de s&rsquo;engager dans des activit\u00e9s qui donnent un sens et un but \u00e0 sa vie. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<p>Le <b>fardeau \u00e9conomique<\/b> des affections de longue dur\u00e9e est consid\u00e9rable. Les Nations unies ont estim\u00e9 que les pertes cumul\u00e9es pour l&rsquo;\u00e9conomie mondiale pourraient atteindre 47 000 milliards de dollars d&rsquo;ici 2030 en raison des affections de longue dur\u00e9e. <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<p>Le co\u00fbt estim\u00e9 des soins li\u00e9s aux affections de longue dur\u00e9e au Royaume-Uni s&rsquo;\u00e9levait \u00e0 320 millions de livres sterling en 2017. <sup id=\"cite_ref-:2_2-1\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> <\/p>\n<h2><span class=\"mw-headline\" id=\"Healthcare_Policies\">Les politiques de sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Healthcare Policies\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=5\" title=\"Edit section: Healthcare Policies\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le r\u00f4le des facteurs comportementaux dans le d\u00e9veloppement des affections de longue dur\u00e9e est significatif. La modification de ces facteurs peut contribuer \u00e0 la pr\u00e9vention et \u00e0 une bonne prise en charge de ces affections.<\/p>\n<p>Le mod\u00e8le de soins de sant\u00e9 soutient les soins d&rsquo;anticipation et de pr\u00e9vention des affections de longue dur\u00e9e par des mesures pr\u00e9ventives, la promotion de la sant\u00e9 et l&rsquo;encouragement de la d\u00e9fense des int\u00e9r\u00eats des patients. <sup id=\"cite_ref-:2_2-2\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/p>\n<p>Making every contact count (MECC) est une approche du changement de comportement qui encourage les professionnels de la sant\u00e9 \u00e0 utiliser les interactions quotidiennes pour promouvoir des changements de comportement qui ont un effet positif sur la sant\u00e9 et le bien-\u00eatre des individus, des communaut\u00e9s et des populations. <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17) <\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<p>MECC se concentre sur les changements de mode de vie qui peuvent influencer la sant\u00e9 des individus tels que :<\/p>\n<ul>\n<li>Arr\u00eater de fumer<\/li>\n<li>Limiter la consommation d&rsquo;alcool aux limites recommand\u00e9es<\/li>\n<li>S&rsquo;alimentation sainement &#8211; des <a href=\"\/Gut_Brain_Axis_(GBA)\" title=\"Gut Brain Axis (GBA)\">r\u00e9gimes alimentaires sains<\/a>, tels que le r\u00e9gime m\u00e9diterran\u00e9en et le nouveau r\u00e9gime nordique, ont \u00e9t\u00e9 propos\u00e9s comme moyens de r\u00e9duire les facteurs de risque associ\u00e9s aux maladies non transmissibles <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li><a href=\"\/Physical_Activity\" title=\"Physical Activity\">Faire de l&rsquo;activit\u00e9 physique<\/a><\/li>\n<li>Garder un poids sant\u00e9<\/li>\n<li>Prendre soin de sa sant\u00e9 mentale et de son <a href=\"\/The_Concept_of_Wellness\" title=\"The Concept of Wellness\">bien-\u00eatre<\/a><\/li>\n<\/ul>\n<p>Pour en savoir plus sur MECC, <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.makingeverycontactcount.co.uk\/\">cliquez ici<\/a>.<\/p>\n<p>Le mod\u00e8le MECC a \u00e9t\u00e9 int\u00e9gr\u00e9 dans la pratique de la physioth\u00e9rapie par plusieurs organisations et a eu des r\u00e9sultats positifs sur l&rsquo;am\u00e9lioration de la conversation sur la sant\u00e9 et la promotion de l&rsquo;activit\u00e9 physique.<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Physiotherapy_and_Health_Promotion\">La physioth\u00e9rapie et la promotion de la sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy and Health Promotion\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=6\" title=\"Edit section: Physiotherapy and Health Promotion\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><b>La physioth\u00e9rapie joue un r\u00f4le important dans la pr\u00e9vention des affections de longue dur\u00e9e \u00e0 diff\u00e9rents stades. <\/b><sup id=\"cite_ref-:2_2-3\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><b>:<\/b><\/p>\n<ol>\n<li>Pr\u00e9vention m\u00e9dicale par l&rsquo;utilisation de diff\u00e9rentes interventions dans le cadre de la r\u00e9adaptation cardiaque pour les maladies cardiaques<\/li>\n<li>Pr\u00e9vention comportementale en soutenant les individus et en encourageant un mode de vie sain<\/li>\n<li>Pr\u00e9vention sociale\/environnementale par l&rsquo;\u00e9ducation aux mesures environnementales et le soutien aux politiques professionnelles<\/li>\n<\/ol>\n<p><b>Le mod\u00e8le \u00ab\u00a0Making Every Contact Count\u00a0\u00bb peut \u00eatre int\u00e9gr\u00e9 dans la pratique de la physioth\u00e9rapie en quatre \u00e9tapes <\/b><sup id=\"cite_ref-:2_2-4\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><b>:<\/b><\/p>\n<ol>\n<li>D\u00e9pistage de l&rsquo;\u00e9tat de sant\u00e9 et identification des domaines n\u00e9cessitant changement<\/li>\n<li>\u00c9tablissement d&rsquo;un programme en discutant des changements n\u00e9cessaires avec le patient<\/li>\n<li>Pr\u00e9paration au changement en discutant et en \u00e9valuant les obstacles au changement<\/li>\n<li>Fixation d&rsquo;objectifs en utilisant des <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Goal_Setting_in_Rehabilitation\">objectifs SMART (Specifique &#8211; Mesurable &#8211; Atteignable &#8211; R\u00e9aliste &#8211; Temporel)<\/a><\/li>\n<\/ol>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:502px;\"><a href=\"\/File:SMART-goals.png\" class=\"image\"><img loading=\"lazy\" alt=\"SMART-goals.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/SMART-goals.png\/500px-SMART-goals.png\" decoding=\"async\" width=\"500\" height=\"215\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/SMART-goals.png\/750px-SMART-goals.png 1.5x, https:\/\/www.physio-pedia.com\/images\/2\/28\/SMART-goals.png 2x\" data-file-width=\"792\" data-file-height=\"341\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:SMART-goals.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><b>La pr\u00e9paration mentale peut \u00eatre un obstacle aux changements de mode de vie. Il existe six \u00e9tapes de pr\u00e9paration mentale que les physioth\u00e9rapeutes doivent conna\u00eetre pour aider leurs patients \u00e0 am\u00e9liorer leur sant\u00e9 et leur bien-\u00eatre.<\/b><sup id=\"cite_ref-:2_2-5\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><b>:<\/b><\/p>\n<ul>\n<li>La pr\u00e9contemplation : le patient est conscient du probl\u00e8me mais n&rsquo;est pas pr\u00eat \u00e0 agir.<\/li>\n<li>La contemplation : le patient est conscient du chemin \u00e0 parcourir pour changer.<\/li>\n<li>La pr\u00e9paration : le physioth\u00e9rapeute peut aider en utilisant des objectifs SMART<\/li>\n<li>Le plan d&rsquo;action : bas\u00e9 sur les objectifs identifi\u00e9s<\/li>\n<li>L&rsquo;entretien : l\u00e0 o\u00f9 la plupart des gens \u00e9chouent. Le physioth\u00e9rapeute peut aider en encourageant et en soutenant l&rsquo;engagement du patient<\/li>\n<li>Rechute : si cela se produit, le physioth\u00e9rapeute peut aider en r\u00e9\u00e9valuant la situation et en fixant de nouveaux objectifs.<\/li>\n<\/ul>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:602px;\"><a href=\"\/File:Transtheoretical_Model-The_Stages_of_Change.png\" class=\"image\"><img loading=\"lazy\" alt=\"Transtheoretical Model-The Stages of Change.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b6\/Transtheoretical_Model-The_Stages_of_Change.png\/600px-Transtheoretical_Model-The_Stages_of_Change.png\" decoding=\"async\" width=\"600\" height=\"416\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/b\/b6\/Transtheoretical_Model-The_Stages_of_Change.png 1.5x\" data-file-width=\"731\" data-file-height=\"507\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Transtheoretical_Model-The_Stages_of_Change.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3><span class=\"mw-headline\" id=\"Self-management:\">L&rsquo;autogestion :<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Self-management:\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=7\" title=\"Edit section: Self-management:\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;autogestion est un outil puissant qui permet aux patients de prendre le contr\u00f4le de leur traitement en coop\u00e9rant activement \u00e0 la mise en \u0153uvre d&rsquo;actions en vue de leur gu\u00e9rison.<sup id=\"cite_ref-:2_2-6\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/p>\n<p><b><u>Le r\u00f4le de la physioth\u00e9rapie dans l&rsquo;autogestion : <\/u><\/b><sup id=\"cite_ref-:2_2-7\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>aider les patients \u00e0 obtenir un diagnostic correct et \u00e0 comprendre clairement la pathologie<\/li>\n<li>communiquer avec les patients en utilisant des questions ouvertes qui encouragent les patients \u00e0 s&rsquo;engager et \u00e0 r\u00e9fl\u00e9chir \u00e0 leur mode de vie et \u00e0 leur comportement<\/li>\n<li>fixer des objectifs pour montrer aux patients leur potentiel<\/li>\n<li>Utiliser la t\u00e9l\u00e9sant\u00e9 num\u00e9rique : pour sympathiser et entrer facilement en contact avec les patients, en particulier lorsque les d\u00e9placements sont difficiles. La disponibilit\u00e9 de vid\u00e9os et d&rsquo;images peut rendre le traitement plus simple et plus facile \u00e0 comprendre. Les applications pour smartphones offrent une interface facile et accessible et proposent une s\u00e9rie de technologies qui facilitent la participation au plan de traitement, telles que des mod\u00e8les d&rsquo;exercices, un agenda en ligne, un retour d&rsquo;information en temps r\u00e9el et un suivi des signes vitaux. Toutefois, l&rsquo;utilisation de la sant\u00e9 num\u00e9rique pr\u00e9sente certains inconv\u00e9nients, tels que le risque de violation des donn\u00e9es et de compromission de la vie priv\u00e9e des patients, ainsi que le co\u00fbt \u00e9lev\u00e9 qui peut y \u00eatre associ\u00e9, en particulier dans les environnements \u00e0 faibles ressources.<\/li>\n<li>Promouvoir l&rsquo;utilisation de kits d&rsquo;autodiagnostic et de suivi des signes vitaux pour le diab\u00e8te et la tension art\u00e9rielle<\/li>\n<li>Utilisation de tests de d\u00e9pistage pour aider \u00e0 identifier les risques, tels que le <a href=\"\/Six_Minute_Walk_Test_\/_6_Minute_Walk_Test\" title=\"Six Minute Walk Test \/ 6 Minute Walk Test\">test de vitesse de marche<\/a> et le <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/Timed_Up_and_Go_Test_(TUG)\">test \u00ab\u00a0get up and go\u00a0\u00bb<\/a><\/li>\n<li>Travailler en \u00e9quipe de soins int\u00e9gr\u00e9s et utiliser un syst\u00e8me d&rsquo;orientation efficace pour mettre les patients en contact avec d&rsquo;autres services et les orienter vers un soutien selon leurs besoins <sup id=\"cite_ref-:2_2-8\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy&amp;action=edit&amp;section=8\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-6\">1.6<\/a><\/sup><\/span> <span class=\"reference-text\">World Health Organization. Noncommunicable diseases. Available from:<a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noncommunicable-diseases\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noncommunicable-diseases<\/a> (Accessed 20 May 2020)<\/span><\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-2\">2.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-3\">2.3<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-4\">2.4<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-5\">2.5<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-6\">2.6<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-7\">2.7<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-8\">2.8<\/a><\/sup><\/span> <span class=\"reference-text\">Haentjens M. Anticipatory Care for Long Term Conditions in Physiotherapy. Plus course 2020<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Ambrosio L, Hislop-Lennie K, Barker H, Culliford D, Portillo MC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/nop2.859\">Living with Long term condition Scale: A pilot validation study of a new person centred tool in the UK<\/a>. Nurs Open. 2021 Jul;8(4):1909-19. <\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Tabish SA. Lifestyle diseases: consequences, characteristics, causes and control. Journal of Cardiology &amp; Current Research. 2017;9(3): 326-9.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Kelland K. Chronic disease to cost $47 trillion by 2030: WEF. Reuters 2011. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.reuters.com\/article\/us-disease-chronic-costs-idUSTRE78H2IY20110918\">https:\/\/www.reuters.com\/article\/us-disease-chronic-costs-idUSTRE78H2IY20110918<\/a> (Accessed 20 May 2020)<\/span><\/li>\n<li id=\"cite_note-:1-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">Pharmaceutical Services Negotiating Committee. Essential facts, stats and quotes relating to long-term conditions. Available from:<a rel=\"nofollow\" class=\"external free\" href=\"http:\/\/psnc.org.uk\/services-commissioning\/essential-facts-stats-and-quotes-relating-to-long-term-conditions\/\">http:\/\/psnc.org.uk\/services-commissioning\/essential-facts-stats-and-quotes-relating-to-long-term-conditions\/<\/a> (accessed 20 May 2020)<\/span><\/li>\n<li id=\"cite_note-:3-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_7-1\">7.1<\/a><\/sup><\/span> <span class=\"reference-text\">NCD Countdown 2030 collaborators. NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. Lancet. 2018;392(10152):1072-88. <\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Scotland A. Managing long-term conditions. Edinburgh: Audit Scotland. 2007.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Kazibwe J, Tran PB, Annerstedt KS. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/s12961-021-00732-y\">The household financial burden of non-communicable diseases in low- and middle-income countries: a systematic review<\/a>. Health Res Policy Syst. 2021 Jun 21;19(1):96. <\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Bharatan T, Devi R, Huang PH, Javed A, Jeffers B, Lansberg P, et al. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7853412\/\">A methodology for mapping the patient journey for noncommunicable diseases in low- and middle-income countries<\/a>. J Healthc Leadersh. 2021 Jan 29;13:35-46. <\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Reeve B, Gostin LO. \u00ab\u00a0Big\u00a0\u00bb Food, Tobacco, and Alcohol: Reducing Industry Influence on Noncommunicable Disease Prevention Laws and Policies Comment on \u00ab\u00a0Addressing NCDs: Challenges From Industry Market Promotion and Interferences\u00a0\u00bb. <i>Int J Health Policy Manag<\/i>. 2019;8(7):450-4. <\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Licher S, Heshmatollah A, van der Willik KD, Stricker BHC, Ruiter R, de Roos EW et al. Lifetime risk and multimorbidity of non-communicable diseases and disease-free life expectancy in the general population: A population-based cohort study. PLoS Med. 2019;16(2):e1002741. <\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Prevalence, expenditures, and complications of multiple chronic conditions in the elderly.<i>Arch Intern Med.<\/i> 2002; 162: 2269-2276<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Roca M, Mitu O, Roca IC, Mitu F. Chronic Diseases&#8211;Medical and Social Aspects. Revista de Cercetare si Interventie Sociala. 2015 Jun 1;49.<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Roberts L. Psychological Aspects of Chronic Illness. Sheffield APT.Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.sth.nhs.uk\/clientfiles\/File\/Mental%20Health%20Awareness%20presentation%20-%20based%20on%20Maria%20and%20Ian's%20POTS%20training.pdf\">https:\/\/www.sth.nhs.uk\/clientfiles\/File\/Mental%20Health%20Awareness%20presentation%20-%20based%20on%20Maria%20and%20Ian&rsquo;s%20POTS%20training.pdf<\/a> (Accessed 20 May 2020)<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Institute for Global Health Sciences. Non-communicable Disease Could Cost Global Economy $47 Trillion by 2030. Available from:<a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/globalhealthsciences.ucsf.edu\/news\/non-communicable-disease-could-cost-global-economy-47-trillion-2030\">https:\/\/globalhealthsciences.ucsf.edu\/news\/non-communicable-disease-could-cost-global-economy-47-trillion-2030<\/a> (Last Accessed 20 May 2020)<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Lawrence W, Black C, Tinati T, Cradock S, Begum R, Jarman M,et al. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4678584\/\">&lsquo;Making every contact count&rsquo;: Evaluation of the impact of an intervention to train health and social care practitioners in skills to support health behaviour change<\/a>. J Health Psychol. 2016 Feb;21(2):138-51.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Lussiez A, Hallway A, Lui M, Perez-Escolano J, Sukhon D, Palazzolo W, et al. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9614576\/\">Evaluation of an Intervention to Address Smoking and Food Insecurity at Preoperative Surgical Clinic Appointments<\/a>. JAMA Netw Open. 2022 Oct 3;5(10):e2238677.<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Iriti M, Varoni EM, Vitalini S. Healthy Diets and Modifiable Risk Factors for Non-Communicable Diseases-The European Perspective. Foods. 2020;9(7):940.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Cooper-Ryan AM, Ure CM. Making Every Contact Count: Evaluation of the use of MECC within the outpatient MSK Physiotherapy service and Bury Integrated MSK Service at Fairfield General Hospital, part of the Bury and Rochdale Care Organisation which is part of the Northern Care Alliance Group.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230710212533 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.085 seconds Real time usage: 0.091 seconds Preprocessor visited node count: 353\/1000000 Post\u2010expand include size: 85\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 12987\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 12.163 1 Special:Contributors\/Anticipatory_Care_for_Long_Term_Conditions_in_Physiotherapy 100.00% 12.163 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Mariam Hashem Principaux contributeurs &#8211; Mariam Hashem, Kim Jackson, Lucinda hampton, Jess Bell, Tony Lowe, Tarina van der Stockt, Vidya Acharya et Olajumoke Ogunleye Contenu 1 Introduction 1.1 Statistiques et faits 2 Les causes et facteurs de risque 3 Les impacts sur l&rsquo;individu et la soci\u00e9t\u00e9 4 Les politiques de sant\u00e9 5 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6933","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=6933"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6933\/revisions"}],"predecessor-version":[{"id":6937,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6933\/revisions\/6937"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=6933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}