ABSTRACT
Fundamento: la diabetes tipo 2 en Cuba constituye un creciente problema de salud. Para la mejora continua de la calidad de la atención prestada a estas personas es necesario identificar los problemas de salud del paciente, a partir de evaluaciones, donde también se tenga en cuenta la estructura y las mejoras en el acceso a los recursos. Objetivo: evaluar la estructura que posee el Policlínico Comunitario José Antonio Echeverría de Cárdenas para la atención a los pacientes diabéticos. Método: se realizó una investigación en sistemas y servicios de salud de tipo evaluativa. Se utilizó un muestreo por conglomerado bietápico estratificado. Las variables estudiadas se relacionaron con la cobertura de los recursos humanos, capacitación y disponibilidad de recursos materiales. Los instrumentos aplicados fueron construidos y validados por expertos. Se calcularon números y porcientos como medida de resumen para variables cualitativas. El procesamiento se realizó por medo del paquete estadístico SPSS versión 21,0. Resultados: resultaron ser satisfactorios 11 de 19 indicadores, para un 57,9 %, por lo que se evaluó dicha dimensión de insuficiente. Conclusiones: la estructura resultó insuficiente, existieron deficiencias de índole material, estructural, organizacional, funcional y metodológica que repercutieron en la calidad de las prestaciones de los servicios brindados a los pacientes diabéticos.
Foundation: type 2 diabetes in Cuba constitutes an increasing health problem. For the continued improvement of the assistant quality provided to these patients, it is necessary to identify the patients health problems, upon the evaluations, where the structure and the improvements in the access to resources are also taken into account. Objective: to assess the structure of the Community Polyclinic José Antonio Echeverría of Cárdenas for assisting diabetic patients. Method: an evaluation research in health systems was developed using a sampling by stratified two stage conglomerate. The studied variables were related to coverage of human resources, training and availability of material resources. The instruments applied were built and validated by experts. Numbers and percentages were calculated in percentages as a summary measure for qualitative variables by statistic package SSPS. Results: eleven out of nineteen indicators were satisfactory, representing 57 %, so this dimension was evaluated as insufficient. Conclusion: the structure resulted insufficient, there were material, structural, functional and methodological problems which influenced the quality of the services provided to diabetic patients.
ABSTRACT
Background: Family interventions may improve glycemic control among diabetic patients Aim: To evaluate the association of glycemic control with family support and level of knowledge in patients with type 2 diabetes. Material and Methods: Patients with type 2 diabetes completed a demographic survey. Glycosylated hemoglobin (HbA1c) was determined and glycemic control was defined as a value < 6,5%. Two validated instruments were applied to evaluate family support, stratifying it in three categories (low, medium and high) and the level of knowledge about diabetes. Results: We studied 81 patients aged 32 to 65 years (53 females). Thirty six percent had an adequate glycemic control. Participants with a medium family support had three times greater risk of having an uncontrolled blood glucose than subjects with high family support. No significant association was found between the level of knowledge and glycemic control. Conclusions: Family support but not knowledge about the disease is associated with a better glycemic control of patients with type 2 diabetes.