Avaliação da atenção em diabetes mellitus em uma unidade básica distrital de saúde

Abstract

EVALUATING DIABETES MELLITUS CARE IN A BRAZILIAN BASIC HEALTH DISTRICTABSTRACT: The objective of this cross-sectional quantitative study is to evaluate the structure and process components in Diabetes Mellitus user care given in a Basic Health District of Ribeirão Preto, SP, Brazil. We analyzed 138 medical records from users with Diabetes Mellitus in 2008. As a methodological reference, we used the Health Care Assessment using structure and process as the cut. A questionnaire containing 24 closed questions was used to collect data. Concerning the structure, the results showed that physical and material resources were adequate. As for the process, the actions implemented in assisting users with Diabetes Mellitus were fragmented. It follows that we must rethink the way such work is organized, helping health actions become committed to a fair quality practice, which promotes communication among the various professionals involved in Diabetes care and full compliance with their duties and responsibilities DESCRIPTORS: Health evaluation. Diabetes mellitus. Nursing. Human resources. EVALUACIÓN DE LA ATENCIÓN A PERSONAS CON DIABETES MELLITUS EN UNA UNIDAD BÁSICA DE SALUDRESUMEN: Estudio cuantitativo de corte transversal con el objetivo de evaluar los componentes, estructura y proceso en la atención a personas con Diabetes Mellitus en una Unidad Básica de Salud de la ciudad de Ribeirão Preto-SP. Se analizaron 138 historias clínicas de personas con Diabetes Mellitus, en 2008. Como metodología se utilizó la Evaluación de la Atención de la Salud, y como recorte, la estructura y el proceso. Para la colecta de datos se utilizó un cuestionario con 24 preguntas cerradas. Los resultados mostraron que los recursos físicos y materiales eran adecuados. Las acciones realizadas en la atención a personas con Diabetes se encontraban fragmentadas. Se concluye que es necesario repensar la forma de organizar el trabajo, para que las acciones de salud sean comprometidas con una práctica equitativa de calidad, que promueva la comunicación entre los profesionales implicados en la atención a personas con Diabetes y el cumplimiento pleno de sus deberes y responsabilidades. DESCRIPTORES:Evaluación en salud. Diabetes mellitus. Enfermería. Recursos humanos.

Adherence To Diabetes Mellitus Treatments In Family Health Strategy Units

“…Understanding the barriers involved in low adherence to the pillars of the DM treatment in public units enables the reorientation of health actions, with local resources for overcoming obstacles to the effectiveness of the goals advocated by the FHS (12) . Thus, it will be possible to implement strategies to improve the health of the community.…”

“…However, there is still lack of evaluation studies that allow us to know the outcomes self-related by the health care model in relation to the percentages of adherence to drug and non-drug treatments in the Family Health Units (FHS) (12) .…”

Perfil epidemiológico do diabetes mellitus em um estado do nordeste brasileiro Epidemiological profile of Diabetes Mellitus in a northeastern brazilian state

“…1,13 Educational practices in health in this context recognize the importance of new strategies that prioritize the autonomy of individuals with DM and conscious decision-making managers of their own health 3 , in which the attention to DM should return for the provision of clinical and educational interventions informed by scientific evidence. 17 Health education, offered by primary care services is one strategy that helps to decrease the high prevalence of complications in people with diabetes that get worse due to the lack of self-care realization, especially in aspects related to proper nutrition, physical exercise and proper use of antidiabetic medication, when prescribed. They should approach global perceptions about the disease, facilitating the development of self-care skills, and helping the patient himself and his/her family to cope with the illness.…”

Avaliação da atenção ao diabetes mellitus em Unidades de Saúde da Família de Petrolina, Pernambuco, 2011

“…A distribuição irregular dos hipoglicemiantes orais, também identificada em outros municípios, 11,14 incluindo a capital do estado, Recife, pode contribuir para o abandono do tratamento e para a instalação de complicações cardiovasculares e cerebrovasculares. Ciente do prejuízo em médio e longo prazo ao doente, à previdência social e ao sistema de saúde, o MS criou em maio de 2012 o Programa Aqui tem Farmácia Popular, 20 que garantiu, mediante convênio com algumas farmácias privadas em todo o Brasil, os medicamentos padronizados para controle do DM e da hipertensão arterial, que desde então passaram a ser dispensados gratuitamente, condicionado à apresentação da receita médica.…”