Evaluation of the Capillary Blood Glucose Self-monitoring Program

Abstract

OBJECTIVE: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city. METHOD: epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics. RESULTS: most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively. CONCLUSION: the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.

Adherence to diabetes mellitus care at three levels of health care

“…There is also a greater frequency of female individuals aged approximately 60 years old in the three units, which is similar to data reported in other descriptive studies conducted in Brazil 11,16,17,18 . The analysis of clinical data shows that the mean BMI found for all the units indicates obesity.…”

Self-care competence in the administration of insulin in older people aged 70 or over

“…To make matters worse, health professionals underutilized the results of CG self-monitoring performed by users. The authors emphasize that CG self-monitoring at home allows the development of autonomy and decision-making skills in order to achieve an adequate glycemic control, and consequently, a reduction of the acute and chronic complications of the disease and the improvement of quality of life 34 .…”

Aproximação dialógica às necessidades de saúde em usuários de insulina acompanhados no Programa de Automonitoramento Glicêmico

“…Na segunda etapa, o pesquisador realizou entrevistas semiestruturadas com todos os profissionais encarregados da operacionalização do PAMG na Unidade de Saúde. A construção desse roteiro, norteada pelo instrumento utilizado por Augusto et al 15 , buscou: explorar as percepções dos profissionais diante das necessidades de saúde dos usuários de insulina e evidenciar as limitações e potencialidades de seu processo de trabalho em responder a tais necessidades, já caracterizadas nas rodas de conversa.…”

“…O fortalecimento continuado da relação médico-paciente é imprescindível para o estabelecimento do vínculo com o serviço de saúde 15 . Elementos provenientes das dimensões verbal e não verbal são fundamentais para a modulação da experiência de cuidado 34 e foram evidenciados nas rodas de conversa.…”

“…Augusto et al 15 demonstraram a associação entre a atuação de trabalhadores pouco capacitados e a falta de orientação dos pacientes em promover seu autocuidado, mesmo quando profissionais e usuários avaliam positivamente o programa. Tal fenômeno pode ser explicado pela expectativa de serviços gerados pelo PAMG, ou seja, a satisfação se deu pela distribuição e acesso aos insumos, independentemente da realização de ações educativas ou terapêuticas em saúde.…”