Atenção à saúde de pessoas vivendo com o diabetes mellitus tipo 2 em uma Unidade de Saúde da Família

Abstract

This is an epidemiological study, the type or cross sectional. Objectives: To describe the profile of individuals with type 2 DM according to sociodemographic variables, disease history, lifestyle habits, morbidity, access to health services, to identify the types of drug treatment in place to care for the disease; describe adherence to medication in people with type 2 diabetes; describe the profile of care offered at the clinic for patients with type 2 DM. The study population comprised the universe of 102 patients with type 2 DM, enrolled in a USF in São Carlos, SP. Three instruments were used for data collection, one being the instrument to measure treatment adherence - MAT. The first stage of information gathering were the records of patients with type 2 DM and the second included interviews with users suffering from type 2 diabetes. The results showed that the study population was predominantly female (63%), and the age group 71-91 years (28.9%), most (47.8%) had education between 1 to 5 years of study and (54.4%) are retired. The majority (52.3%) found the DM within 5 years, (84.4%) diagnosed in the clinic. Regarding the habit of living 72% do not exercise and exhibit more significant comorbidities as hypertension and dyslipidemia. With regard to health status, 70% of women considered it fair / bad. Most participants (86.7%) use medications to control type 2 diabetes. Regarding the use of medications, most (64.5%) ingests up to four medications daily, and the therapeutic class of antidiabetic Biguanides most used (36.7%) and 21.1% use insulin. Regarding medications for comorbidities 35.5% use only antihypertensives. Regarding the description of adherence to treatment 64.1% had adherence to medication. Found higher frequency of diabetes in medical consultations (85%) compared to the consultation with the nurse (50%), 17.4% of subjects were in multidisciplinary care, and 31.4% were referred to a specialist. There are records of dental care in 16.3% of records. As to laboratory median total cholesterol (mg / dl) in women are higher (near 200), as the value of HDL-C in males there is a higher percentage of individuals (50%) with a median below 45 mg / dl, the average value of LDL-C (mg / dl) is closest to 100 mg / dL in male patients, the median TG (mg / dL) in both sexes showed values above 150 mg / dl, fasting glucose in female median value closer to 100 mg / dl, values Hb1Ac showed poor glycemic control. There are records of diabetic foot evaluation in 24.4% of records. We conclude that there is need for ongoing training of health professionals that are part of the Family Health Teams in order to achieve greater implementation of education programs in diabetes and clinical protocols intensify strategies to improve adherence to drug treatment, and control metabolic health monitoring.