Ser portador de Diabetes Mellitus: do conhecimento ao exercício do direito à saúde.

Abstract

Diabetes Mellitus (DM), while chronic metabolic syndrome that affects a growing number of people in developing countries and brings a surplus of demand attendances in the public health system due to acute and chronic complications, requires an effective practice of primary care the patients, in order to produce a comprehensive view of the individual and his family, who is able to identify the need to explore the nature and education, inextricably, the politics of care. Due to the low number of records and references on the subject and in view of the large number of patients with DM and Paraiba in Brazil, discussing the relevance of the right to health from the perspective of the patient portrays how these people are dealing with the problem health on the political dimension, especially when it comes to service and SUS services. This study aimed to understand the relationship between knowledge and the right to health of DM in the treatment and control of disease. The research technique used was the direct documentation, the type field research was a descriptive, qualitative approach, based on data collected with DM, by applying semi-structured interview. The sample consisted of 20 individuals whose predominant age group was more than 41 years, majority owned by women, with education up to the elementary school and low-income, predominantly classification of type 2 diabetes and oral hypoglycemic drugs, obtained at USF. Indicate little knowledge about their rights as users of the NHS and sought solving their demands primarily in Primary, reducing their right to pharmaceutical care. The difficulties in accessing health were failures in the distribution of medicines and supplies for the treatment and control of diabetes and was noticeable that the professional staff is lacking in health care and other issues was the cost and adaptation to diet therapy due mainly to socioeconomic conditions of these individuals. The nursing care was described as predominantly humanized, but suggests changes in routine care for chronic diseases. In order to promote changes that enforce the right to health, it is necessary that professionals know the rights of their patients and lead to an emancipatory care, conducting skills bioethics of care, to provide information and modulate the citizenship of these people.