These results provide support for a blended FCR model.

Objective: conducting a survey about delirium in the elderly in an Intensive Care Unit (ICU). Method: an integrative review of the literature held in databases MEDLINE and IBECS, in May 2012, whose inclusion criteria were: to be published between May 2007 to May 2012, available in full and in Portuguese, English and Spanish. Results: there were found 68 productions and selected 16, which were categorized into: 1) Incidence and prevalence of delirium in the elderly in ICU; 2) Factors predisposing and precipitating risk of delirium in the elderly in ICU and 3) Strategies for preventing modifiable risk factors of delirium in the elderly patients in the ICU. Conclusion: the scientific production about delirium is incipient in Brazil, health professionals, especially nurses, need to improving the recognition of this syndrome and implementing strategies for risk prevention factors for delirium

Objective: To estimate the prevalence of multimorbidity arising from chronic noncommunicable diseases among older residents of the northeast of Brazil and to analyze its association with sociodemographic, behavioral and anthropometric factors. Method: A cross-sectional study was carried out with 3,141 older participants of the National Health Survey (2013). The dependent variable was multimorbidity, and the independent variables were sociodemographic, behavioral and anthropometric indicators. Descriptive, bivariate analyzes and logistic regression models were applied. Results: The prevalence of multimorbidity was 23.7%, with the state of Alagoas having the highest prevalence (27.2%). The occurrence of multimorbidity was associated with the female sex (OR=1.33; p=0.002), age over 80 years (OR=1.35; p=0.019) and being overweight (OR =1.37 p= 0.001). The protective factors were brown skin color (OR=0.79; p=0.013) and low weight (OR =0.71; p=0.017). Conclusion: The prevalence of multimorbidity in community-dwelling older adults in the northeast of Brazil was almost one quarter of the study population, with the state of Alagoas having the highest prevalence. Sex, age, skin color and being overweight were associated with the outcome. Knowledge of these factors can guide health care in the prevention, control and reduction of complications of these diseases, and support the strengthening of health education strategies and policies.

Objective: to verify the prevalence of functional disability to perform basic and instrumental activities of daily living in the elderly. Methods: this is a cross-sectional study using data from the National Health Survey, whose sample was 7,373 elderly. Results: the prevalence of functional incapacity for basic and instrumental activities was 8.4% (Confidence Interval 95.0%: 7.4-9.4) and 22.0% (Confidence Interval 95.0%: 20 , 4-23.6), respectively, being higher in females, in those older (>75) and without levels of education. Demographic aspects, such as lower age and male sex, attenuated the prevalence of disability. Conclusion: the elderly showed a higher prevalence of functional disability for instrumental activities such as shopping, administering finances, taking medicines and going out on their own. Descriptors: Frail Elderly; Activities of Daily Living; Prevalence; Health Surveys. Objetivo: verificar a prevalência de incapacidade funcional para realização de atividades básicas e instrumentais de vida diária em idosos. Métodos: estudo transversal que utilizou dados da Pesquisa Nacional de Saúde, cuja amostra foi de 7.373 idosos. Resultados: a prevalência de incapacidade funcional para atividades básicas e instrumentais foi de 8,4% (Intervalo de Confiança 95,0%: 7,4-9,4) e 22,0% (Intervalo de Confiança 95,0%: 20,4-23,6), respectivamente, sendo maior no sexo feminino, naqueles mais longevos (>75) e sem níveis de instrução. Aspectos demográficos, como menor faixa etária e sexo masculino, atenuaram a prevalência de incapacidade. Conclusão: os idosos apresentaram maior prevalência de incapacidade funcional para as atividades instrumentais tais como, fazer compras, administrar finanças, tomar remédios e sair sozinho.

Objectives: to analyze factors associated with sepsis and septic shock in cancer patients in the Intensive Care Unit. Methods: cross-sectional, retrospective study with a quantitative approach, with a sample of 239 patients in an oncology hospital. Secondary data from medical records were used. The outcome variable was “presence of sepsis and/or septic shock”; and exposures: sex, length of stay, origin, use of invasive procedures and primary tumor site. Descriptive, bivariate analyzes and multiple logistic regression models were performed. Results: the prevalence of sepsis was 95% CI: 14.7-24.7 and septic shock of 95% CI: 37.7-50.3. In the multiple analysis, sepsis and/or septic shock were associated with hospital stay longer than seven days, being from the Emergency Department, presence of invasive procedures and hematological site. Conclusions: sepsis and/or septic shock in cancer patients were associated with clinical characteristics and health care factors.

Objective To analyze the factors associated with sedentary behavior in older adults. Method A cross-sectional study of data from the 2019 National Health Survey involving 22,728 older Brazilian adults was conducted. The outcome was sedentary behavior and the exposures included sociodemographic characteristics, lifestyle, household characteristics and chronic diseases. Multiple logistic regression was used. with a significance level of 5%. Results The prevalence of sedentary behavior was 32.8% (95%CI: 31.8-33.8) There was a greater chance for the outcome in individuals that were female (OR=1.20; 95%CI: 1.08-1.34); aged 70-79 years (OR= 1.22; 95%CI: 1.09-1.36); aged ≥80 years (OR=1.18; 95% CI: 1.02-1, 36); had no partner (OR= 1.27; 95%CI: 1.14-1.41); were diabetic (OR =1.17; 95%CI: 1.06-1.30), had systemic arterial hypertension (OR =1.34; 95%CI: 1.18-1.51). previous stroke (OR = 1.61; 95%CI: 1.32-1.96), and no place to perform physical activity close to home (OR=1.16; 95%CI: 1.05-1.29). Older adults with low education (OR= 0.71; 95%CI: 0.61-0.82), and that resided in rural areas (OR=0.53; 95%CI: 0.47-0.61) were less likely to be sedentary. Conclusion Individuals that were female, older(ager > 70 years), had diabetes, hypertension, previous stroke, and no place to perform physical activity close to home, were associated with high exposure to sedentary behavior. Living in rural areas and having less education were inversely associated with this risk behavior.

Objective: To analyze the contextual factors associated with type II diabetes mellitus in Belo Horizonte City. Methods: Cross-sectional study with 5,779 adults living in Belo Horizonte City, participating in the Risk and Protection Factors Surveillance System for Chronic Diseases through Telephone Survey (Vigitel), in 2008, 2009, and 2010. Multilevel regression models were used to test the association between contextual indicators of physical and social environments, and self-reported diagnosis of diabetes, adjusted for individual sociodemographic and lifestyle factors. Descriptive analyzes and multilevel logistic regression models were used, considering a 5% significance level. Results: The prevalence of diabetes was 6.2% (95%CI 5.54 – 6.92), and 3.1% of the variability of chance of presenting diabetes were explained by contextual characteristics. Living in areas with high density of private places for physical activity and high income was associated with a lower chance of having diabetes. The areas with high level of social vulnerability were strongly associated with the chance of presenting diabetes, adjusted for individual characteristics. Conclusion: Characteristics of physical and social environments were associated with the chance of diabetes occurrence. Urban centers with opportunities to adopt healthy behaviors can help to reduce the occurrence of diabetes and its complications.

Objective: to verify the factors related to the knowledge of nursing professionals about pharmacovigilance. Methods: cross-sectional study, carried out with 271 nursing professionals, with university and school level, through convenience sampling. A questionnaire, consisting of two parts, was used: one about the sociodemographic and professional profile, and the other about knowledge in pharmacovigilance and the practice of reporting adverse events related to medications. The data were analyzed in a descriptive and inferential manner, through comparison and correlation tests, considering a significance level of 5%. Results: the knowledge score showed statistical differences in relation to professional training, function performed in the institution and the age of the professionals, while the practice of notifications did not obtain significantly statistical differences. Conclusion: the factors related to the knowledge in pharmacovigilance of nursing professionals were professional training, the role played in the institution and the age of the professionals.