Evaluación al programa de atención con pacientes de diabetes mellitus de la IPS cardío diagnóstico del chocó

Abstract

Type 2 Diabetes Mellitus is a public health problem, with a tendency to increase, therefore in programs of attention to Diabetes Mellitus type 2 should be evaluated systemically and continuously compliance standards, in its dimensions of structure, process and results to ensure timely and efficient care. The objective of this research was to evaluate the program of chronic patients with Type 2 Diabetes Mellitus by triangulating methods in the IPS Cardiodiagnosis of Chocó in 2015.

For this purpose, a recurrent triangulation design and a mixed analysis were carried out. Quantitative stage: descriptive analysis, with information from the database of the Diabetes Mellitus type 2 program of the IPS Cardiodiagnostico del Chocó in 2015, taking as a reference sociodemographic, behavioral, risk and clinical follow-up aspects to the third, sixth and ninth month. Qualitative Stage: was divided into 2 phases, the first consisted of semi-structured interviews and focus groups to patients, family members and the staff working in the health institution, the second was based on the evaluation of compliance with the structure standards, process and results from the perspective of the author and the participants.

The predominant population was female, the age group with the highest representation in the evaluation was 55-65 years, with an average age of 59 years, with a secondary level of education, the population had a high percentage of sedentary lifestyle, of tobacco and alcohol was more frequent in men, the most common morbidity was hypertension, overweight was observed throughout the follow-up, the cardiovascular risk was moderate, the clinical variables of systolic and diastolic blood pressure, creatinine and glycosylated hemoglobin, were in Normal figures unlike glycemia, LDL cholesterol were altered. In the qualitative stage, clinical attention was observed from a biomedical approach, leaving aside relational aspects and little knowledge of the patients regarding the clinical parameters and the structure and functioning of the Diabetes Mellitus type 2 program, in relation to the evaluation of the standards, the classification was deficient. All this process allowed the triangulation of information through the use of qualitative methodology. The study findings show that the care provided to patients in the Diabetes Mellitus type 2 program is approached from a biomedical approach, and not in an integral manner. There are structural, methodological and organizational deficiencies in the operation of the program.