O cuidado em diabetes mellitus: especialidade a serviço da atenção primária

• Autor(a) principal: Licciardi, Liliane Bobato
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/21704
• topic: Educação em Saúde; Diabetes Mellitus; Diabetes - Tratamento; Educação em saúde; Protocolos de tratamento; Diabetes Mellitus; Diabetes - Treatment; Health education; Treatment protocol; CNPQ::CIENCIAS DA SAUDE

Introduction: Diabetes mellitus (DM) is a highly prevalent disease with several repercussions for patients and public health. Diabetic patient care shared between the endocrinologist and primary care health professionals in the form of continuing education is highly desirable. Objectives: To implement a treatment protocol for DM based on national guidelines, adapted to the reality of unified health system, as part of the diabetic patient care process. To perform support by an endocrinologist with the health professionals, with emphasis on permanent and transformative education. To promote the education of diabetic patients with the use of conversation maps, analyzing self-care as well as their attitudes towards the disease. To analyze the indicators related to the control of diabetes after the intervention of the specialist and application of treatment protocol. Material and Method: Prospective, quantitative, analytical and educational study on health, in type 2 diabetes, in a basic health unit chosen by the municipal manager. The project was based on the implementation of a protocol of care by an endocrinologist in partnership with health care professionals and in educational records with the help of a health team, using talk programs, during three months of follow-up. Laboratory data on glycemic control and questionnaire responses were compared statistically before and after the clinical and educational motivation and were submitted to the normality test and the Wilcoxon test, being considered significant when p <0.05. Results: Increased knowledge about the disease and improvement of glycated hemoglobin (from 9.6 to 8.0%), both significants. Conclusions: The educational intervention shows effectiveness to control Diabetes type 2 in a short period of time