Organização do processo de trabalho da Equipe de Saúde da Família para redução de agravos ao paciente diabético tipo 2

Abstract

This study conducted at the Center for Health Havaí - BH aimed to propose a reorganization of the labor process of ESF- 03, to improve the monitoring of type 2 (DM2) diabetic patients and adherence to treatment, with a view to reducing complications . 108 Type 2 Diabetic patients accompanied by that team, in the period January 2011 to October 2012, the Information System of the Municipal Belo Horizonte were identified. From this survey , it was possible to identify patients who required greater investment team and suggest a multidisciplinary approach to better understanding of non- adherence and strategies to be implemented to ensure adherence and prevent future complications of the disease . Monitoring of patients through the Worksheet for Monitoring of Patients T2DM " was proposed. The results show that the total number of patients seen by ESF-03, 73 % takes oral hypoglycemic agents and 27 % are associated with insulin use, only 14 % were assessed by the dietitian and 15 % by the dentist. Comorbidities associated with T2DM were hypertension (47 %), obesity (43 %) and dyslipidemia (45.3 %). It could be observed that adherence to treatment by patients with T2DM is slow and procedural. These data reinforce the importance of ESF- 03 enhance the control of T2DM patients under their responsibility , acting health surveillance using tools for organizing the work process in health and planning of control. Monitoring of DM2 patients FHS - 03 Hawaii Health Center , through the " Grid Monitoring of Patients with DM2 " demonstrated that it is possible to realize the qualitative control of patients and reflect on the actions that require further improvement to avoid complications of the disease .