Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Resultados: Obteve-se uma amostra de 62 estudos e um total de 50 fatores de risco, dos quais, apenas 38 estão presentes na classificação. Conclusões:São propostas duas novas categorias de fatores: os psicológicos e socioeconômicos. Foram identificados novos fatores de risco de queda dos idosos residentes na comunidade, o que contribui para a atualização deste diagnóstico na taxonomia II da NANDA Internacional. Resultados: Fueron seleccionados 62 artículos en los cuales se identificaron 50 factores de riesgo, de los que apenas 38 están presentes en la NANDA Internacional. Palavras Conclusiones:Se proponen dos nuevas categorías de factores: los psicológicos y los socioeconómicos. Se identificaron nuevos factores de riesgo de caídas en los ancianos residentes en la comunidad, lo que contribuyó para la actualización de la taxonomía II NANDA Internacional.Palabras clave: Accidentes por caídas. Factores de riesgo. Diagnóstico de enfermería. Anciano.

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Objective: To describe the factors influencing the use of humor in nursing care, its applicability and benefits. Method: A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar. Results: From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention. Conclusion: The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.

Introdução: O interesse da Enfermagem pela metodologia de revisões da literatura tem vindo a aumentar, constituindo-se métodos que permitem uma prática baseada na evidência científica. Objetivo: Caracterizar os diferentes tipos de revisões da literatura e descrever etapas principais de uma revisão sistemática da literatura. Material e métodos: Revisão narrativa da literatura. Pesquisa em bases de dados nas seguintes plataformas Google Académico, Scientific Electronic Library Online (SciELO), EBSCO Host, e Biblioteca Virtual em Saúde (BVS). As palavras-chave: metanálise; medicina baseada em evidências; literatura de revisão como assunto; metodologia, nos idiomas inglês e português. Resultados: Foram descritas 14 tipos de revisões e analisadas de acordo com o tipo de pesquisa, avaliação da qualidade metodológica dos artigos incluídos, síntese da informação colhida e análise global dos dados. Foram apresentadas as vantagens e desvantagens de cada tipo e descritos os principais passos de uma revisão sistemática da literatura. Conclusões: A revisão sistemática da literatura é um dos alicerces para prática baseada em evidência, uma vez que agrega uma grande quantidade de informações num único estudo. Palavras-chave: metanálise; medicina baseada em evidências; literatura de revisão como assunto; metodologia; enfermagem de reabilitação.

Multidimensional Sense of Humor Scale (MSHS) was developed by Thorson and Powell and it was validated in Portuguese, but not in people with chronic kidney disease (CKD). This study examined the psychometrics of the MSHS in people with CKD on hemodialysis. A random sample of 171 people with CKD undergoing hemodialysis was selected. Exploratory Factor Analysis revealed a structure with three factors, "Humor Production and Social Use of Humor", "Adaptive Humor and Appreciation Humor" and "Attitude Towards Humor", with Alpha Cronbach values of 0.93, 0.90 and 0.83 respectively. It revealed stability in both interview and questionnaire methods. It showed moderate positive correlations with Positive Affect, Subjective Happiness and Wellbeing Personal Index, and moderate negative correlation with Negative Affect. Therefore, MSHS shows evidence of being a valid, reliable and reproducible scale either by questionnaire or interview.

Background Falling is the leading cause of physical disability, mortality and social exclusion in older adults. In Brazil and Portugal, falls cause thousands of hospitalisations every year. Fear of falling (FOF) causes loss of confidence in accomplishing daily tasks, restriction in social activities and increased dependence. Aim To compare the prevalence of FOF between Brazilian and Portuguese community‐dwelling older adults and the factors associated with FOF. Methods A secondary analysis of cross‐sectional survey data collected from older adults residing in Brazil (n = 170; M age=70.44 years) and Portugal (n = 170; M age=73.56 years). Results The prevalence of FOF was significantly higher (p = 0.015) among Portuguese (n = 133, 54.1%) versus Brazilian (n = 113, 45.9%) older adults. FOF among Brazilian older adults was associated with being 76 + years of age and female. Among Portuguese older adults, factors associated with FOF were intake of daily medications, having fallen within the past year, and visual difficulties. Conclusions Fear of falling is linked with modifiable and non‐modifiable factors. Timely assessments of FOF and factors associated with FOF are essential. Implications for practice Primary care nurses should assess and address FOF in older people with interdisciplinary practitioners.

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