Background and objective: Elderly people are at greater risk for falls and, therefore, need effective interventions to prevent them. The aim of the study was to develop an assessment tool for nursing intervention fall prevention to elderly with arterial hypertension and with nursing diagnosis Risk of falls.Methods: A methodological study, accomplished in four stages: activities selection of the fall Prevention intervention from Nursing Interventions Classification (NIC); 2) construction of constructive definitions and operational for selected activities; 3) expert validation of constructed definitions; 4) pretest of the final assessment tool.Results: The experts selected 50 activities out of 65 presented by NIC. The constitutive and operational definitions of the 50 activities were elaborated. From the focus group, some activities were grouped and the content of others changed. The pretest showed that, although the application of the assessment tool with the definitions take longer, it was more complete and targeted. The final assessment tool contains 28 activities with constitutive definitions and operational.Conclusions: The produced assessment tool has nursing activities with constitutive and operational definitions suitable for clinical nursing practice. It is believed that it can lead the intervention of the nurses in preventing falls in elderly people with SAH and with the nursing diagnosis Risk of falls.

Purpose: To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA-I Risk for falls' risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background: Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods: Clinical, randomized, open, parallel, and multicenter trial following the CON-SORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants' homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions.Findings: Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather-related condition, insufficient anti-slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions:The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. Implications for nursing practice:The tested intervention is important and should be instituted, mainly by nurses from primary care services who make home visits to older adults.

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Objetivo: analisar estudos referentes à avaliação da qualidade de vida e as condições de saúde de pacientes hipertensos e diabéticos com disposição para controle da saúde melhorado. Método: revisão integrativa da literatura, realizada no período de junho a julho de 2018. Foram coletados dados nas seguintes bases de dados: PUBMED, LILACS e SciELO. Consoante os critérios de inclusão, estabeleceu-se uma amostra final de 22 artigos. Resultados: Foram encontradas pesquisas que exploraram as medidas de qualidade de vida de pacientes com hipertensão arterial e diabetes. Notou-se que os profissionais da atenção básica atuam como agentes relevantes para o controle dessas doenças. Observou-se a importância da adesão medicamentosa e do perigo que os fatores de risco podem causar nesses pacientes. Conclusão: os principais fatores que influenciam na qualidade de vida e condições de saúde são: maior renda per capita, nível de escolaridade, adesão a medicação, visitas aos profissionais da atenção primária, obesidade, transtornos mentais e idade.Descritores: Qualidade de vida; Hipertensão; Diabetes Mellitus; Nível de Saúde; Enfermagem. QUALITY OF LIFE AND HEALTH CONDITIONS OF PATIENTS WITH HYPERTENSION ARTERIAL AND DIABETES MELLITUS Objective: to analyze studies related to the assessment of quality of life and health conditions of hypertensive and diabetic patients with a willingness to improve health control. Method: integrative literature review, carried out from June to July 2018. Data were collected in the following databases: PUBMED, LILACS and SciELO. Depending on the inclusion criteria, a final sample of 22 articles was established. Results: Researches were found that explored the quality of life measures of patients with arterial hypertension and diabetes. It was noted that primary care professionals act as relevant agents for the control of these diseases. It was observed the importance of medication adherence and the danger that risk factors can cause in these patients. Conclusion: the main factors that influence quality of life and health conditions are: higher per capita income, education level, medication adherence, visits to primary care professionals, obesity, mental disorders and age.Descriptors:  Quality of life; Hypertension; Diabetes Mellitus; Health level; Nursing. CONDICIONES DE CALIDAD DE VIDA Y SALUD DE PACIENTES CON HIPERTENSIÓN ARTERIAL Y DIABETES MELITUSObjetivo: analizar estudios relacionados con la evaluación de la calidad de vida y las condiciones de salud de pacientes hipertensos y diabéticos con voluntad de mejorar el control de la salud. Método: revisión integrativa de la literatura, realizada de junio a julio de 2018. Los datos fueron recolectados en las siguientes bases de datos: PUBMED, LILACS y SciELO. Dependiendo de los criterios de inclusión, se estableció una muestra final de 22 artículos. Resultados: Se encontraron investigaciones que exploraron las medidas de calidad de vida de pacientes con hipertensión arterial y diabetes. Se señaló que los profesionales de atención primaria actúan como agentes relevantes para el control de estas enfermedades. Se observó la importancia de la adherencia a la medicación y el peligro que pueden ocasionar los factores de riesgo en estos pacientes. Conclusión: los principales factores que influyen en la calidad de vida y las condiciones de salud son: mayor ingreso per cápita, nivel educativo, adherencia a la medicación, visitas a profesionales de atención primaria, obesidad, trastornos mentales y edad.Descriptores: Calidad de vida; Hipertensión; Diabetes mellitus; Nivel de salud; Enfermería.

OBJECTIVES:To analyze the Nursing Diagnosis risk for falls indicators in aged with hypertension and to verify the association of this diagnosis with sociodemographic variables and antihypertensive agents used by the aged. METHODS: Analytical study, cross-sectional with quantitative approach. It was carried out in three health units in the city of Redenção, Ceará, Brazil, in the Brazilian Northeast. A total of 153 elderly subjects participated in the study. Statistical analysis was performed using Fisher's exact test, Pearson's chi-square test and multinomial logistic regression of variables that presented association with the Nursing Diagnosis. RESULTS: Use of throw rugs, difficulties with gait, acute illness (p = .004), age greater than or equal to 65 years and impaired vision were associated with the Nursing Diagnosis risk for falls (00155). The work situation (retired) was the only sociodemographic variable that had a significant association with the risk for falls. Antihypertensive agents were not associated with the diagnosis. CONCLUSION: Age greater than or equal to 65 years, use of throw rugs, difficulties with gait, acute illness, and impaired vision can be useful to infer the risk for falls and to confirm their presence in the aged with hypertension. IMPLICATIONS FOR NURSING PRACTICE:This study provides data that can help nurses in the process of inferring the diagnosis risk for falls in the aged with hypertension, which streamlines the planning and implementation of preventive interventions.Objetivos: analisar os elementos estruturais do Diagnóstico de Enfermagem Risco de quedas em idosos com hipertensão arterial e verificar a associação desse diagnóstico com variáveis sociodemográficas e agentes anti-hipertensivos utilizados pelos idosos. Métodos: estudo analítico, transversal com abordagem quantitativa. Foi realizado em três unidades de saúde do município de Redenção, no Nordeste brasileiro. Um total de 153 idosos participaram deste estudo. A análise estatística foi pelo teste exato de Fisher, qui-quadrado de Pearson e a regressão logística multinominal de variáveis que apresentaram associação com o Diagnóstico de Enfermagem. Resultados: uso de tapetes soltos, dificuldades na marcha, doença aguda (p = 0,004), idade maior ou igual a 65 anos e visão prejudicada foram associados ao Diagnóstico de Enfermagem Risco de quedas (00155). A situação de trabalho (aposentado) foi a única variável sociodemográfica que teve associação significante com o Risco de quedas. Os agentes anti-hipertensivos não foram associados ao diagnóstico.

Objetivo: relatar a experiência de sessões educacionais sobre saúde cardiovascular no domicílio de idosos com hipertensão arterial e/ou Dibetes Mellitus. Método: trata-se de um estudo descritivo, tipo relato de experiência, que consistiu na realização de sessões educativas sobre saúde cardiovascular no domicílio de 164 idosos hipertensos e/ou diabéticos. Analisaram-se os dados de modo descritivo. Resultados: notou-se que as idosas aderiram mais às atividades do que os idosos. Destacou-se que a maioria dos idosos pensava que a alimentação saudável era dispendiosa, impressionando-se com a explicação sobre os aditivos do cigarro e seus malefícios. Verifica-se que os idosos que não praticavam atividade física justificaram a ausência dessa prática pelo desinteresse e pela falta de entusiasmo. Conclusão: conclui-se que a visita domiciliar é uma estratégia para se desenvolver sessões educativas sobre saúde cardiovascular de idosos hipertensos e/ou diabéticos, principalmente os do sexo masculino e com risco cardiovascular aumentado. Descritores: Idoso; Doenças Cardiovasculares; Educação em Saúde; Promoção da Saúde; Visita Domiciliar; Enfermagem.AbstractObjective: to report the experience of educational sessions on cardiovascular health in the home of elderly people with arterial hypertension and/or Diabetes Mellitus. Method: this is a descriptive study, of the experience report type, which consisted of educational sessions on cardiovascular health at home with 164 hypertensive and/or diabetic elderly people. The data were analyzed descriptively. Results: it was noted that the elderly adhered to the activities more than the elderly. It was highlighted that the majority of the elderly thought that healthy eating was expensive, being impressed with the explanation about cigarette additives and their harmful effects. It appears that the elderly who did not practice physical activity justified the absence of this practice due to lack of interest and lack of enthusiasm. Conclusion: it is concluded that home visit is a strategy to develop educational sessions on cardiovascular health of hypertensive and/or diabetic elderly, especially male and with increased cardiovascular risk. Descriptors: Aged; Cardiovascular Diseases; Health Education; Health Promotion; House Calls; Nursing.ResumenObjetivo: informar la experiencia en sesiones educativas sobre salud cardiovascular en el hogar de ancianos con hipertensión arterial y/o diabetes mellitus. Método: este es un estudio descriptivo, un informe de experiencia, que consistía en la realización de sesiones educativas sobre salud cardiovascular en el hogar con 164 ancianos hipertensos y/o diabéticos. Los datos fueron analizados descriptivamente. Resultados: se observó que las ancianas se adhirieron a las actividades más que los ancianos. Se destacó que la mayoría de los ancianos pensaba que una alimentación saludable era costosa; se quedaron impresionados por la explicación de los aditivos de cigarrillos y sus efectos nocivos. Los ancianos que no practicaban actividad física lo justificaban la ausencia de esta práctica por su falta de interés y falta de entusiasmo. Conclusión: se concluye que las visitas domiciliarias son una estrategia para desarrollar sesiones educativas sobre salud cardiovascular de ancianos hipertensos y/o diabéticos, especialmente hombres y personas con mayor riesgo cardiovascular. Descriptores: Anciano; Enfermedades Cardiovasculares; Educación en Salud; Promoción de la Salud; Visita Domiciliaria, Enfermería.

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