Avaliação das atitudes profissionais nas práticas educativas em diabetes Mellitus na atenção primária

Abstract

Introduction: Due to the increase of users with DM2, it is necessary to identify factors that influence positively in controlling the disease. These priorities anticipate the results focused on the attitudes of health professionals who must respond to complaints and emotional goals of the users for a smooth conduct of educational practices, acting as facilitators for a critical thinking and act with autonomy to define their goals as life context, leading users to be aware that their actions make a difference in the treatment of disease. Objective: To determine if the workshops developed with health professionals favor the attitudes based on problems, feelings and goals presented by users in educational practices in DM2. Methodology: This was a quasi-experimental study with a quantitative approach developed in an intervention group and a control group, in which we chose the experimental model of pre-test and post-test. The population was composed of 26 health professionals from eight UBS, the eastern region of Belo Horizonte (MG), 12 were assigned to the intervention group and 14 control group. We used a form of Professional Identification and protocol "Responding to Concerns Emotion" (REC), which assesses the psychological attitudes of health professionals in the face of complaints from users. The protocol was applied before the completion of professional training workshops and after the intervention and control groups. Statistical analyzes were performed in R statistical programming environment (R Development Core Team, 2012) and we used the Wilcoxon test. Results: Point out that health professionals before professional training workshops showed mostly favorable attitudes to the Judgment of the problems and the solution to the user, configuring, therefore, not a relationship based on dialogue. The professional training workshops conducted with the intervention group showed statistically significant changes in the attitudes of profissinais of health when compared with the control group. Among the five questions replicated in the post-test in the Intervention Group, two showed changes in attitudes favorable to the Operation of Concentration problems and feelings and goals of the users, in the control group there were no significant changes in attitudes profissionais. Conclusão: So the professionals health have the challenge of presenting attitudes in educational practices in DM2 consistent with the proposal of the Ministry of Health, they still are based on the model that does not value client autonomy and not conducive to dialogue. It is important to establish attitudes based on respect for the views of users, their feelings and goals, as well as illustrate respect for the autonomy of these to become involved in their care. Health professionals need the APS have continuous access to this information for the guarantee of educational quality, so we suggest professional training workshops, according to the study, showed positive results in the learning of health professionals APS considering dialogue with the prior knowledge and experiences to the incorporation of new knowledge.