Tecnologia social para rastreamento de risco de úlceras em pés de pessoas diabéticas no contexto da Atenção Primária à Saúde

Abstract

The objective was to build, with nurses, a social technology for tracking the risk of foot ulcers in diabetic people, in the context of Primary Health Care and with specific objectives: Knowing how nurses have carried out screening for the risk of ulcers on foot of diabetic people; To reveal which care(s) have been provided by nurses regarding the prevention of foot ulcers in diabetic people; Discuss with nurses about possible social technologies for tracking the risk of foot ulcers in diabetic people; To plan with nurses the construction of a social technology for tracking the risk of foot ulcers in diabetic people. This is an action-research, with an exploratory-descriptive character and a qualitative approach, in 11 Family Health Units in the Sanitary District of Subúrbio Ferroviário in the city of Salvador – BA. Developed in 4 phases: the first, through conducting an interview guided by a semi-structured form, containing objective and subjective questions, about knowledge about the prevention of foot at risk in diabetic people; the second phase, of planning, was the moment of defining the actions that contributed to the analysis and solution of the detected problems; the third phase refers to the actual execution of previously planned actions, which were carried out online and in person, considering the Covid-19 pandemic; in the evaluation, considered the last phase of the action research, the organization and the preliminary analysis on positive changes in the tracking of the foot at risk in diabetic people were verified; a survey of suggestions was also carried out for the following meetings and/or to correct th1e direction of the action-research, in order to improve the developed method. In the data analysis, a comprehensive evaluation of the results achieved was carried out, focusing on the situational diagnosis; of the process, with the support of the NVIVO® and based on the categorical thematic content analysis proposed by Bardin, at that moment, the findings that guide the comprehensive screening of the foot at risk in diabetic people were also identified.