Abstract
ABSTRACT Objective to identify outcome indicators of the multi-professional Diabetes Mellitus care of a reference outpatient service. Method a descriptive study of evaluative nature, according to the health evaluation framework, carried out by documentary analysis of 173 medical charts, from August to October 2018. The variables were analyzed in the Statistical Package for the Social Science (SPSS), version 22.0, by descriptive statistics, as well as the association of variables, with the Chi-square, Mann-Whitney, and Wilcoxon tests being used, considering p-values ≤ 0.05 as statistically significant. Results predominance of older adult women, with a mean diagnosis time of 11.9 years. The tracking of complications due to Diabetes Mellitus occurred in 90.2% of the users, with a prevalence of 68.2%, of which 34.7% were diagnosed in the service. Absenteeism was 21.4%. The systolic and diastolic arterial pressure and total cholesterol parameters were in line with the proposed goals, while glycated hemoglobin (A1c), fasting glycaemia, HDL-c, LDL-c, triglyceride fractions, and BMI did not reach the target range. There was a significant reduction in final A1c, comparing to initial A1c, as well as an increase in the proportions of users who reached the goals in glycemic control. Conclusion a significant improvement in glycemic control, despite the fact that the parameters did not fully meet the goals, ratifying the importance of an effective assistance model for successful care strategies of Diabetes Mellitus.
Highlights
Diabetes Mellitus (DM) is a 21st century public health problem, becoming a disease with high incidence and prevalence at a global level
Regarding the complications related to DM, the most prevalent was sensory-motor neuropathy, with 70 (40.5%) affected users
The result indicators revealed mean parameters of Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Total Cholesterol (TC), in accordance with the goals proposed by the Brazilian of Diabetes Society, while A1c, fasting glycaemia, HDL-c fractions, LDL-c, triglycerides, and Body Mass Index (BMI) did not reach the proposed target range
Summary
Diabetes Mellitus (DM) is a 21st century public health problem, becoming a disease with high incidence and prevalence at a global level. In addition to the 425 million adults who are estimated to have diabetes in the world scene, there are 352 million adults with diminished glucose tolerance, which puts them at elevated risk of developing the disease in the future.[1,2]. Brazil occupies the fourth position on the world ranking, with regard to the number of adults who live with DM, with 12.5 million individuals. The number of people with the disease increases, resulting in life changes arising from the treatment and/or other complications deriving from the disease.[2]. DM imposes an onerous economic burden and generates an impact on the lives of individuals and families, as well as on the health systems, being a significant obstacle to economic sustainable development.[3]
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