Avaliação da assistência a pacientes diabéticos em Unidade Básica de Saúde.

Abstract

The diabetes mellitus type 2 is a chronic disease, incurable, with higly prevalente around the country. According to de data from the "Ministério da Saúde", the prevalente of self-reported diabetes in adultos with more than 35 years old is 11,7%. This illness culminates in disabling disorders, even mutilating ones, and significantly reduces the quality of life of the pacients. 80% of the diabetic pacients should be treated at the locals basic units of health, so this sector of care needs to be well trained and well prepared. The study's goals is to evaluate and describe the diabetic pacient care treated at the primary level of health care. It's a crosssectional study, that evaluated all 71 diabetic's medical records treated at the basic unit "Tambor I". The analysis was made referring to the guidelines from the "Sociedade Brasileira de Diabetes". The results revealed a predominance of the female gender, above 60 years old, with unknown level of school education. The study found that half the pacients presents a good metabolic control, which was evaluated by the glycated hemoglobin. There were no relevant differences between gender, school knowledge, time of diagnosis, or time between doctor's appointments. The average of glycated hemoglobin was 8,2 (± 1,9). There was statistical significance between the mesurement of BMI and female gender (p= 0,043). Therefore, the study concludes that the basic unit Tambor I is capable to assist most of the local diabetic population, achieving good control of the disease despite the dificulties of the health care system of the country. However, the study highlights the importance to register, identify and improve the failures at diabetic population care, aiming increase adherence to the treatment of diabetes, disease control, and to retard or prevent its complications.