Avaliação da assistência prestada aos diabéticos pelas equipes de Saúde da Família em Montes Claros - MG

Abstract

Assessing the performance of the services the primary health care in the diabetic patients care, is an important necessity to the purposes from the ones who seek to improve the quality of care to these patients. Facing this, it was performed a crosssectional study, quantitative, whit the objective to evaluate the conditions of the structure, the process and result of the care given to diabetic patients by the Family Health Strategy Teams. Where 31 teams from the Family Health were researched, the doctors that were treating diabetic patients in these teams and a randomized sample of 313 diabetic patients registered in the teams. The components of this structure and from the process of treatment were compared to the recommendations to the diabetic patients management. The patients were interviewed in their houses and had their capillary glucose level, blood pressure, abdominal circumference and IMC evaluated and compared to standards. The results showed that unsatisfactory glycemic control was present in 45% of the interviewed. Although the related results to the structure and process had shown some items that were out of the standardized, it was not evident any association with those factors with the non controlled glycemic. After a multivariated analysis, it was observed an association with the unsatisfactory glycemic control with the characteristics of the patient: Illiteracy, insulin use, not use of an appropriate diet and IMC higher or the same as 30. The study concluded the association with the non- glycemic control was present only in the own characteristic of the patient, and shows mainly, the necessity of improvement in dealing with patients users of insulin and intensifying the actions to encourage the diet completion and the weigh control.