Proyecto de factibilidad para la implementación de una guía clínica que fomente la educación del paciente diabético en el Hospital General Riobamba.

Abstract

The objective was to develop and evaluate the implementation of a Clinical Guide that promotes Diabetic patient education in the Riobamba’s General Hospital, to improve their quality of life. A field study was conducted through surveys in a sample of 326 people obtained from the calculation of the existing diabetic population in the Riobamba’s General Hospital, identifying that 98% of respondents require to have a support tool to strengthen knowledge and control of the disease; through the interview with the Coordinator of the Metabolic Chronic Clinic, the need for health experts to have support tools to motivate and educate the patient in adherence to treatment was evidenced; the analysis of the demand and expenses for medical care received by diabetic patients. It was evidenced that each patient on average in the 2014 – 2016 perid visited the hospital six or seven times a year, causing that expenses in care of patients with diabetic pathology increase considerably, from USD 1.352.263,79 in 2014, to USD 3.149.515,88 in 2016, increasing by 57%in two periods. Once that the Educational Guide proposed in this research was structured, its functionality was evaluated through a pilot test, after the analysis of obtained results and the application of the Chi-Square statistic, the feasibility of applying the Clinical Educational Guide for treatment of the diabetic patient was demonstrated. Based on these results, the implementation of the Guide for use in the patients with diabetes is recommend, as a tool to support health personnel in the control of the pathology, patient education and optimization of institutional resources.