Objective: To identify the prevalence of anxiety and depression and its association with psychoaffective, family-related, and daily-life variables of celiac individuals. Methods: Crosssectional study, developed with 83 celiac patients in Fortaleza. An instrument was applied with variables grouped in the categories: psychoaffective, family-related, and daily-life. Results: It was found that 52 celiac patients (62.7%) had anxiety and 29 (34.9%) had depression. The clinical conditions found and the number of symptoms increased the chance of anxiety/depression. The predominant factors in those with anxiety were Lack of control of the celiac disease (98.1%), Perceived clinical condition (75.0%), Daily obstacles for maintaining a gluten-free diet (63.4%), and Daily activities (55.8%). In those with depression, there was a higher prevalence of Lack of control of the celiac disease (100.0%), Perceived clinical condition (82.2%), and Daily obstacles for maintaining a gluten-free diet (69.0%). Conclusion: Celiac individuals with anxiety and depression frameworks presented a higher frequency of Perceived clinical condition, Insufficient social support (psychoaffective factors) and Daily obstacles for maintaining a gluten-free diet (daily-life factor).

Objective: to analyze the accuracy of clinical indicators of “Ineffective health management” in celiac patients and to verify associations between sociodemographic characteristics and clinical indicators. Method: a cross-sectional study, conducted from May to September 2017, with 83 celiac patients, through an interview. Accuracy measures were defined by latent class model. Results: there was a prevalence of “Ineffective health management” of 55.69%. “Failure to take action to reduce risk factor” and “Failure to include treatment regimen in daily living” better predict this diagnosis. Paid occupation reduces the chance of the presence of “Difficulty with prescribed regimen”. Participation in support association reduces the chance of the presence of “Difficulty with prescribed regimen”, “Ineffective choices in daily living for meeting health goal” and “Failure to take action to reduce risk factor”. Conclusion: accurate clinical indicators identification assists clinical reasoning for diagnostic inference in specific health contexts.

Objectives: to describe the health control habits that influence the daily life of celiac patients and to analyze the practice of actions related to health control and its determinants, from the perspective of the first component of the Pender Health Promotion Model. Method: a cross-sectional study conducted through interviews with instrument with 83 individuals from Ceará and diagnosed with celiac disease. Data was analyzed using the characteristics and individual experiences component of Pender's theoretical model. Results: of the celiac patients, 96.4% did not follow the gluten-free diet; 80.7% had inappropriate behaviors to reduce risk factors; 72.3% made ineffective choices in daily life to achieve health goals and; and 25.3% could not keep the gluten free diet in their daily life. Conclusion: according to the theoretical model, celiac patients did not adhere to the proper diet and presented factors inherent to daily life and social issues, characterized as barriers to an effective health control.

Objective: to validate clinically the factors associated with nursing diagnosis sedentary lifestyle in adolescents. Methods: a cross-sectional study, developed with 158 adolescent students. The chi-square test was used to identify the association between the presence of sedentary lifestyle and associated factors. The level of significance was set at p<0.05. Results: the prevalence of sedentary lifestyle was 68.3%. The presence of associated factors such as poor knowledge about the benefits that physical activity brings to health and/or the consequences of physical inactivity, lack of resources for the practice of physical exercise, insufficient training to exercise and intolerance to activity increased the likelihood of presence of sedentary lifestyle (p<0.05). Conclusion: the nursing diagnosis sedentary lifestyle was prevalent among adolescents and there are specific factors that intensify the probability of developing this diagnosis. Descriptors: Nursing Diagnosis; Sedentary Lifestyle; Adolescent Health. Objetivo: validar clinicamente os fatores associados ao diagnóstico de enfermagem Estilo de vida sedentário em adolescentes. Métodos: estudo transversal, desenvolvido com 158 estudantes adolescentes. Aplicou-se o teste qui-quadrado para identificar a associação entre a presença de Estilo de vida sedentário e respectivos fatores associados. O nível de significância adotado foi p<0,05. Resultados: a prevalência de Estilo de vida sedentário foi de 68,3%. A presença dos fatores associados Conhecimento deficiente sobre os benefícios que a atividade física traz à saúde e/ou sobre as consequências do sedentarismo, Falta de recursos para a prática de exercício físico, Treinamento insuficiente para fazer exercício físico e Intolerância à atividade aumentou a probabilidade da presença de Estilo de vida sedentário (p<0,05). Conclusão: o diagnóstico de enfermagem Estilo de vida sedentário foi prevalente entre os adolescentes e existem fatores específicos que intensificam a probabilidade de desenvolvimento desse diagnóstico. Descritores: Diagnóstico de Enfermagem; Estilo de Vida Sedentário; Saúde do Adolescente.

Objetivo: descrever a implementação do Núcleo de Segurança do Paciente em um serviço de atenção domiciliar. Método: relato de experiência acerca da implantação do núcleo de segurança do paciente em serviço de atenção domiciliar situado em Fortaleza, Ceará. Realizado no período de janeiro a dezembro de 2017. Foram descritos os processos e a implementação do protocolo visando a cultura de segurança do paciente. Resultados: o membro executor do núcleo de segurança foi composto por um enfermeiro inicialmente, mas contou com a participação dos membros gestores e coordenadores de diferentes áreas para a implementação, compondo assim uma equipe multiprofissional. Para realização dos fluxos foram realizadas reuniões semanais, com discussões em grupo acerca do processo de implementação e regimento interno. Além disso, foram levantadas as fragilidades identificadas no serviço e o plano de ação com os protocolos básicos para cada área de atendimento. Conclusão: o estudo permitiu conhecer os processos e os fluxos realizados por um serviço de atenção domiciliar para implementação do núcleo de segurança do paciente, visando um cuidado com qualidade, executado de forma padronizada e segura por todos os profissionais envolvidos no serviço.

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