Ações voltadas ao controle do Diabetes Mellitus na Atenção Básica: proposta de modelo avaliativo

Abstract

RESUMO O artigo corresponde à apreciação da viabilidade para avaliação das ações voltadas ao controle do Diabetes Mellitus (DM) na Atenção Básica (AB) e apresenta uma proposta de modelo avaliativo. Análises documentais, revisão de literatura e reuniões com especialistas orientaram a elaboração do modelo. Para sua validação, utilizou-se a técnica de conferência de consenso. A matriz de análise e julgamento é composta por 19 indicadores agregados em duas dimensões. As ações voltadas ao controle do DM na AB são passíveis de avaliação. A aplicação do modelo avaliativo proposto permitirá ampliar o conhecimento dos mecanismos e processos implicados na operacionalização das ações, contribuindo para seu aperfeiçoamento.

Internações, óbitos e custos hospitalares por diabetes mellitus

“…2019;13:e240388 https://doi.org/10.5205/1981-8963.2019.240388 the increased vulnerability, therefore, it is necessary to direct health actions to prioritize individuals who fit this category in order to achieve success in interventions. 12 However, although the Northeast region is marked by the economic characteristics mentioned, the scenario of hospitalizations and deaths presented a decreasing behavior over the years of study. It is suggested that these results may reflect a possible effectiveness of PHC in controlling the disease.…”

“…It is emphasized that another point that must be taken into consideration is the insufficient living conditions of Brazilian society that contribute to the emergence of individuals or groups with greater social vulnerability, as there is a feeling of exclusion from the system and basic rights such as health, education, work and leisure, evolving to the loss of freedom of choice in view of the narrow range of opportunities. 12 It is noteworthy that the increase in morbidity and mortality due to DM is directly proportional to DISCUSSION J Nurs UFPE on line. 2019;13:e240388 https://doi.org/10.5205/1981-8963.2019.240388 the increased vulnerability, therefore, it is necessary to direct health actions to prioritize individuals who fit this category in order to achieve success in interventions.…”

“…26 In this perspective, it is informed that the actions directed to the control of DM produced in PHC have the objective of assuring the right to health to users affected with the disease and to reduce morbidity and mortality related to the pathology and its complications. 12 It is noteworthy that such actions should elucidate general information about the disease, enabling the improvement of self-care skills, which facilitates coping with the pathology of both patients and their families. 29 Furthermore, it is warned that most factors associated with the high prevalence of DM are preventable.…”

“…It is pointed out that PHC has a resolution capacity of 85% of the population demands, resulting in lower health expenses and a decrease in morbidity and mortality rates, mainly due to cardio and cerebrovascular complications. 12,13 Moreover, DM is considered a sensitive condition for primary care, 12 and the increase in its morbidity and mortality rates may indicate low effectiveness of the service in terms of access, coverage and quality. 14 From this perspective, epidemiological studies of this nature constitute an indirect indicator of health services evaluation.…”

O enfermeiro na promoção da saúde frente ao pé diabético na atenção básica de saúde

“…Classificação fisiopatológica do Pé diabético Atenção Básica de Saúde é a referência de assistência para portadores de diabetes, pois coordena o cuidado no sistema de saúde. O cuidado deve ser prestado de forma que abranja os princípios doutrinários do SUS para evitar intercorrências que levem o paciente à hospitalização ou óbito[14].…”