Melhora da qualidade na assistência ao usuário com Hipertensão Arterial Sistêmica e Diabetes Mellitus na UBS Santo Antônio em Veranópolis/RS.

Abstract

High blood pressure (HBP) and diabetes mellitus (DM) are two of the most prevalent chronic diseases in the world, being considered high-impact health problems that contribute to the development of cardiovascular diseases, which is the most common reason for loss of healthy years of life in Brazil and around the world. Low follow-up coverage for diabetic and hypertensive patients was observed at the Basic Health Unit (UBS) Santo Antônio in Veranópolis/RS, therefore, this intervention project proposes carrying out a situational diagnosis of the territory, with interventions for proper monitoring, monitoring and providing guidance to the population affected by SAH and DM, in order to optimize control and avoid complications, in addition to reducing morbidity and mortality associated with such comorbidities. The methodology used was a bibliographic review for theoretical foundation, with access to the Virtual Health Library Database, Scielo, PubMed and Federal Government websites, in addition to observation of the daily routine of the Health Unit. The situational diagnosis was obtained through the Rapid Estimation Method. To develop the Intervention Project, Situational Strategic Planning was used, with the proposal to carry out an active search for the population affected by SAH and DM in the territory assigned to the health unit; train the team to review hypertension and diabetes diseases to facilitate the transmission of correct guidance, tracking, prevention and management of complications when identified; provide a specific shift each week to care for people affected by these comorbidities, to check whether they are in good control and consequently review prescriptions, assess complications, provide guidance on lifestyle changes and, if necessary, refer them to other professionals in the multidisciplinary team (psychology, nutrition) and prepare informative pamphlets about the two diseases for distribution in the Unit and by community health agents (CHA). These approaches aim to improve the team’s care, providing educational content on the importance of patient adherence to treatment, strengthening the bond between users and the UBS, with regular monitoring of these diseases. Therefore, the project is expected to improve coverage of care for hypertensive and diabetic patients, increasing adherence to treatment and appropriate care, reducing complications and costs associated with hospitalizations due to poor blood glucose and blood pressure control.