Banca de DEFESA: AMARA KIZZI DE ALMEIDA ALVES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : AMARA KIZZI DE ALMEIDA ALVES
DATE: 20/12/2022
TIME: 14:00
LOCAL: Google meet
TITLE:

Evaluation of the quality of the Family Health Strategy in the Care of the subject with diabetes mellitus during the COVID-19 pandemic.

KEY WORDS:

Primary Health Care, Diabetes mellitus, Quality of Health Care, Health assessment

PAGES: 150
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Diabetes mellitus is a chronic metabolic syndrome, which has a high worldwide prevalence and is related to high rates of morbidity and mortality, being a threat to public health. Health services, especially Primary Health Care, must be prepared for quality monitoring of people with this condition. In the context of the COVID-19 Pandemic, the essential attributes and derivatives of Primary Health Care become even more necessary to be achieved and evaluation in the emerging context is essential. Thus, we sought to evaluate the quality of the Family Health Strategy in the interior of Rio Grande do Norte in the care of individuals with Diabetes mellitus in the context of the COVID-19 pandemic. For this, a cross-sectional observational study with a quantitative approach was carried out in which 120 subjects were evaluated through the application of the general structured questionnaire and the instrument for evaluating the quality of Primary Care (PCATool-Brasil), in addition to the retrospective analysis of the records made in medical records of users diagnosed with Diabetes mellitus. The Poisson model, with robust variation, was used for multivariate analysis. The result of the general score of the PCAToll-Brasil indicated that 70% of the sample evaluated the quality of the Family Health Strategy as satisfactory, with a score ≥ 6.6. However, it showed an unsatisfactory assessment of the attributes available services, services provided and community guidance. Inadequate glycemic control was present in 64.2% of the subjects. However, having a service with a high degree of orientation towards Primary Care did not show a significant difference in relation to services with a low degree of orientation regarding glycemic control. After the adjusted multivariate analysis of the managements, the request for the lipid profile maintained a statistical difference (PR=0.762; 95%CI 0.630-0.921); guidance on the correct use of medication (PR=0.693; 95%CI 0.502-0.956); encouraging the practice of physical activity (PR=0.862; 95%CI 0.781-0.951); referral to an ophthalmologist (PR=1.169; 95%CI 1.016-1.344); consultation with an ophthalmologist (PR=1.209; 95%CI 1.063-1.376) and follow-up with a nutritionist (PR=0.864; 95%CI 0.768-0.972). The results found showed a strong orientation to Primary Health Care from the perspective of diabetic users, although it is necessary to invest in promotion and prevention actions, and in the recognition of the family context and the encouragement of community participation. While the practice of guidance in Primary Health Care on the topics correct use of medications and practice of physical activity, in addition to nutritional monitoring with a specialized professional, were highlighted as a protective factor for glycemic control.

COMMITTEE MEMBERS:
Externa ao Programa - 3151534 - HELENI AIRES CLEMENTE - nullExterna à Instituição - JANAINA PAULA COSTA DA SILVA - UFU
Presidente - 1204045 - JOSE ADAILTON DA SILVA
Interna - 1529290 - PAULA FERNANDA BRANDAO BATISTA DOS SANTOS