Caracterização do sistema de saúde na assistência a doentes diabéticos com base numa farmácia comunitária
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2005
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Edições Universitárias Lusófonas
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Introdução: O Programa de Controlo da Diabetes Mellitus de 1998 tem como objectivo procurar a integração dos vários
profissionais de saúde num ambicioso projecto cujo objectivo final é dar mais qualidade de vida aos doentes diabéticos. Neste
programa, ao lado do médico de medicina geral e familiar, da enfermeira, do médico hospitalar é integrado o farmacêutico.
Método: Estudo transversal (epidemiologia descritiva) realizado numa farmácia comunitária, durante dois meses realizado sobre todos os indivíduos utentes de uma farmácia comunitária portadores de uma prescrição médica para o próprio com pelo menos um antidiabético oral, insulina ou material de autovigilância. Os doentes foram questionados quanto à utilização do Guia do Diabético (GD), número de consultas médicas nos últimos 3 meses, realização de exames oftalmológicos alguma vez na vida
e nos últimos 12 meses, vacinação da gripe no último inverno e sobre qual o papel dos vários profissionais de saúde da educação
terapêutica do doente diabético.
Resultados: Na resposta à pergunta se têm o GD, 82,9% (68/82) afirmou que o tinha. Dos 56 doentes que realizam dieta alimentar, em 87,5% (49/56) a dieta foi instituída pelo médico, em 32,1% (18/56) pelo farmacêutico, em 7,1% (4/56) pelo
enfermeiro e em 19,6% (11/56) pelo dietista. Apenas 56% dos doentes tiveram consulta de oftalmologia no último ano. Apenas 37% dos doentes receberam a vacina para a gripe no último inverno.
Discussão: Melhorias na articulação entre as diversas entendidas envolvidas na prevenção e no tratamento da diabetes devem
ser introduzidas, visando o alcance de resultados clínicos positivos nos doentes diabéticos.
Conclusão: Apenas 56% dos doentes tiveram consulta de oftalmologia no último ano. Apenas 37% dos doentes receberam a vacina para a gripe no último Inverno. As farmácias são locais adequados para a realização de estudos sobre a qualidade dos serviços de saúde prestados.
Introduction: The 1998 Program of Control of the Diabetes Mellitus has as aims the integration of the several professionals of health in an ambitious project whose final objective is to give more quality of life to the diabetic people. In this program, to the group of the general practitioner, of the nurse, of the hospital doctor the pharmacist is integrated. Method: Transversal study (descriptive epidemiology) carried out through a community pharmacy, during two months done over all the customers of the pharmacy bearing a medical prescription with at least one oral antidiabetic, insulin or autocontrole material. The diabetics had been questioned about the use of the Diabetic Guide, number of medical consultations in the last 3 months, accomplishment of ophthalmologic examinations some time in the life and in the last 12 months. Results: In the reply to the question if they have the Diabetic Guide, 82,9% (68/82) affirmed that it had it. Of the 56 diabetics who carry through alimentary diet, in 87,5% (49/56) the diet was instituted by the doctor, in 32,1% (18/56) for the pharmacist, in 7,1% (4/56) for the nurse and in 19,6% (11/56) for the dietician. Discussion: Improvements in the coordination for the diverse ones involved in the prevention and in the treatment of diabetes they must be introduced, aiming at the reach of positives outcomes in the diabetics. Widened studies must be carried through. Conclusion: Only 56% of the diabetics had had ophthalmologic consultation in the last year. Only 37% of the diabetics had received the vaccine for the influenza in the last winter. The pharmacies are suitable places for the accomplishment of study on the quality of the given services of health.
Introduction: The 1998 Program of Control of the Diabetes Mellitus has as aims the integration of the several professionals of health in an ambitious project whose final objective is to give more quality of life to the diabetic people. In this program, to the group of the general practitioner, of the nurse, of the hospital doctor the pharmacist is integrated. Method: Transversal study (descriptive epidemiology) carried out through a community pharmacy, during two months done over all the customers of the pharmacy bearing a medical prescription with at least one oral antidiabetic, insulin or autocontrole material. The diabetics had been questioned about the use of the Diabetic Guide, number of medical consultations in the last 3 months, accomplishment of ophthalmologic examinations some time in the life and in the last 12 months. Results: In the reply to the question if they have the Diabetic Guide, 82,9% (68/82) affirmed that it had it. Of the 56 diabetics who carry through alimentary diet, in 87,5% (49/56) the diet was instituted by the doctor, in 32,1% (18/56) for the pharmacist, in 7,1% (4/56) for the nurse and in 19,6% (11/56) for the dietician. Discussion: Improvements in the coordination for the diverse ones involved in the prevention and in the treatment of diabetes they must be introduced, aiming at the reach of positives outcomes in the diabetics. Widened studies must be carried through. Conclusion: Only 56% of the diabetics had had ophthalmologic consultation in the last year. Only 37% of the diabetics had received the vaccine for the influenza in the last winter. The pharmacies are suitable places for the accomplishment of study on the quality of the given services of health.
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Revista Lusófona de Ciências e Tecnologias da Saúde
Palavras-chave
CIÊNCIAS FARMACÊUTICAS, DIABETES, PRÁTICAS FARMACÊUTICAS, FARMÁCIAS, SISTEMAS DE SAÚDE, ESTUDOS DE CASO, PHARMACEUTICAL SCIENCES, DIABETES, PHARMACEUTICAL PRACTISES, PHARMACIES, HEALTH SYSTEMS, MEDICINA, MEDICINE, CASE STUDIES