Adesão à dieta em pacientes diabéticos na zona rural de Rio Negro (PR): uma intervenção pela equipe de Saúde da Família

Abstract

This study addresses dietary adherence in diabetic patients in the rural area of Rio Negro (PR), through an intervention carried out by the Family Health Team of the "Euclides José de Oliveira Braz" Primary Health Care Unit. Rio Negro is a municipality with a diverse population and an economy based on family farming. The rural area faces specific challenges, such as social isolation and limited access to health and education services. The Primary Health Care Unit serves approximately 400 patients per month and offers medical consultations, nursing care, vaccination, and public health programs. The health team is composed of various professionals who work together to serve the rural population. The choice of this theme is justified by the high prevalence of diabetes in the city's rural population and by the clinical observation of low adherence to the recommended diet. Studies indicate that the prevalence of the disease in rural areas can be as high as in urban areas, but with additional challenges related to access to healthcare and education. The proposed intervention includes the application of an anonymous questionnaire to assess adherence to the diet and the implementation of nutrition groups. The plan foresees the implementation of educational and social support actions. The intervention will be conducted by the Family Health Team and includes, in addition to the application of questionnaires, the holding of nutrition groups, the promotion of educational campaigns, and facilitating access to healthy foods. The Simplified Strategic Planning methodology will be applied to detail the operations, expected results, expected products, and necessary resources. The effectiveness of the intervention will be continuously monitored and evaluated using indicators of dietary adherence, glycemic control, and patient quality of life. It is expected that by improving this practice, there will be better management of blood glucose levels and a reduction in the incidence of acute and chronic complications associated with diabetes.