Continuous six-month follow-up of patients with diabetes and hypertension: how to bring those people to the health unit?

Abstract

Affecting almost 20% of the population, Systemic Arterial Hypertension is a chronic disease characterized by high blood pressure levels, influenced by genetic, epigenetic, social and environmental factors. Diabetes Mellitus (DM) is characterized by insufficient production and/or malabsorption of insulin. Both are directly related, especially when without good control, with poor outcomes in several other pathologies. This is a descriptive study, of the experience report type, developed at the Basic Health Unit Metódio de Araújo Leitão, in the Municipality of Patos-PB, in the second half of 2022, using the problematizing method proposed by Arco de Charles Maguerez as a guide. After applying the method, it was seen that there was a deficit in the unit in the performance indicators proposed by the Ministry of Health, regarding the monitoring of hypertensive and diabetic patients, and this was the key point of application of the work, in order to bring these patients for follow-up in the unit. Focusing mainly on our initial problem, related to hypertensive and diabetic patients, we saw a jump in the period in question with the application, leaving a follow-up percentage of 30% for hypertensive and 34% for diabetics in the month of June 6/2022, with a peak in the month of August 8/2022, when we reached 53% of hypertensives and 56% of hypertensives, maintaining good levels until the end of the year. Thus, the Arch of Maguerez proved to be, as a method, resolving issues such as the one we applied, mainly due to its steps of easy application and systematization. As well as we saw that the active search is the main way to bring these patients to age for follow-up, as well as the need for participation of the entire team.