Management and prevention of diabetes in primary health care in Amazonas

Authors

  • Elisa Brosina de Leon Universidade Federal do Amazonas, Programa de Pós-graduação Stricto Sensu em Ciências do Movimento Humano, Faculdade de Educação Física e Fisioterapia, Manaus, Amazonas, Brasil. https://orcid.org/0000-0002-2559-6897
  • Lucas Santos Fernandes Universidade Federal do Amazonas, Programa de Pós-graduação Stricto Sensu em Ciências do Movimento Humano, Faculdade de Educação Física e Fisioterapia, Manaus, Amazonas, Brasil. https://orcid.org/0000-0002-0673-6778
  • Hércules Lázaro Morais Campos Universidade Federal do Amazonas, Instituto de Saúde e Biotecnologia, Coari, Amazonas, Brasil. https://orcid.org/0000-0002-6919-8161
  • Fabio Araujo Almeida College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States. https://orcid.org/0000-0002-2404-0694

DOI:

https://doi.org/10.12820/rbafs.27e0271

Keywords:

Physical activity, Primary prevention, Secondary prevention, Community health care, Health services administration

Abstract

Actions for the prevention and management of type 2 diabetes (T2DM PM) are priorities within primary health care, from the dispensing of specific medications to non-pharmacological actions, such as physical activity and nutrition. The aim of the study was to describe prevention and management of type 2 diabetes actions and their components in primary health settings in the State of Amazonas, Brazil. An observational study based on RE-AIM framework. Preventions and managements actions approach were described by 5 dimensions: (R) reach, (E) effectiveness, (A) adoption, (I) implementation, and (M) maintenance. Data was collected in Primary Health Care Units from 6 cities from Amazonas, Brazil. The questionnaires were addressed to managers regarding current T2DM PM programs and their development. This study identified 17 different types of diabetes prevention and/or management actions currently implemented. Eleven actions included both prevention and management actions with 53.8% focusing on physical activity and nutrition orientation. However, zero actions reported any form of evaluation measuring changes in physical activity and nutrition behavior, and actions reported collecting feedback from participants, providers, and health professionals’ workers. A total of 310 health professionals participated in diabetes actions, including 4 physical educational professionals and 3 nutritionists, with 100% of the efforts coordinated by nurses. Actions were based on traditional health education practices such as lectures and did not have practical activities that help to change and maintain healthy habits. Despite this, primary care plays a fundamental role in caring for users with chronic illnesses in cities in the interior of Amazonas.

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Published

2022-08-15

How to Cite

1.
Leon EB de, Fernandes LS, Campos HLM, Almeida FA. Management and prevention of diabetes in primary health care in Amazonas. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2022 Aug. 15 [cited 2024 Jul. 3];27:1-13. Available from: https://rbafs.org.br/RBAFS/article/view/14755

Issue

Vol. 27 (2022)

Section

Original Articles

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