Análise da assistência prestada na atenção primária e fatores associados sob a perspectiva de idosos diabéticos

Abstract

Objective: To analyze the aspects associated to the satisfaction with the assistance provided in primary care from the perspective of elderly patients with diabetes. Method: Quantitative cross-sectional study conducted with 37 elderly patients with Type 2 Diabetes Mellitus registered in the Family Health Strategy in a city in the state of Paraná. An adapted instrument was applied, addressing the sociodemographic characterization and clinical data, assistance provided to the diabetic patient and satisfaction with the care received. The data were grouped in spreadsheets and submitted to descriptive analysis using absolute and relative frequencies. Results: The positive/intermediate evaluation of the assistance provided prevailed on 70.3% of the interviewees. The factors that presented an important relation were: checking blood pressure (100%) and capillary blood glucose (80.77%), cardiac auscultation (76.92%); receiving oral antidiabetics and/or insulin (84.62%), guidance on its use (69.23%), disease and forms of treatment (69.23%), complications (65.38%), importance of physical activity practice (61.54%) and proper diet (61.54%); being questioned about health and diabetes (76.92%); perception of the professional interest in questioning the drug treatment (92.31%) and its frequency (84.62%), understanding, welcoming and clarifying concerns, doubts or problems with diabetes (84.62%), giving enough time for the patient to express themselves (84.62%). Conclusion: The insertion of these users in the evaluative processes configures itself as a potential tool to monitor the activities of the services provided in primary care. This application allows the protagonism of individuals in opportunities of expression that promote the exercise of social control, through co-participation in the planning of actions that involve the health-illness binomial.