RESUMOObjetivo: apresentar o conhecimento produzido sobre as intervenções de Enfermagem direcionadas aos pacientes com acidente vascular cerebral em reabilitação. Método: revisão integrativa, com abordagem qualitativa, realizada no período de abril de 2015 a maio de 2016, a partir do acesso on-line na Medline, na Lilacs e na Cochrane, com os descritores controlados Cuidados de Enfermagem and Acidente Vascular Cerebral and Reabilitação. Os estudos foram analisados segundo checklist para a avaliação da qualidade metodológica e classificados de acordo com os níveis de evidência. As intervenções de Enfermagem foram apresentadas em três categorias temáticas – intervenções de Enfermagem assistenciais, educacionais e gerenciais. Resultados: foram selecionadas 29 publicações e a maioria dos estudos possui níveis de evidência II e VI. Dentre as intervenções de Enfermagem assistenciais, destacou-se a reabilitação motora e funcional. Nas intervenções educacionais, observou-se a educação do paciente sobre a doença. Dentre as intervenções gerenciais, sobressaíram as relacionadas à coordenação do cuidado. Foram encontradas intervenções de Enfermagem direcionadas aos cuidadores. Conclusão: identificou-se, nos estudos, um maior número de intervenções de Enfermagem assistenciais direcionadas ao paciente. Aos cuidadores, as intervenções de Enfermagem se concentram na esfera educativa. Descritores: Enfermagem; Acidente Vascular Cerebral; Reabilitação; Cuidados de Enfermagem; Cuidadores; Educação em Saúde.                                                                                                               ABSTRACT Objective: to present the knowledge produced about the Nursing interventions directed at patients with stroke in rehabilitation. Method: integrative review, with a qualitative approach, carried out from April 2015 to May 2016, from the online access in Medline, Lilacs and Cochrane, with the controlled descriptors Nursing Care and Stroke and Rehabilitation. The studies were analyzed according to the checklist for the evaluation of the methodological quality and classified according to the levels of evidence. Nursing interventions were presented in three thematic categories - care, education and management Nursing interventions. Results: 29 publications were selected and most of the studies have levels of evidence II and VI. Among the Nursing care interventions, motor and functional rehabilitation were highlighted. In educational interventions, the patient's education about the disease was observed. Among the managerial interventions, the ones related to the coordination of care were highlighted. Nursing interventions aimed at caregivers were found. Conclusion: in the studies, a greater number of Nursing interventions were identified. To the caregivers, Nurses' interventions focus on the educational sphere. Descritores: Nursing; Stroke; Rehabilitation; Nursing Care; Caregivers; Health Education.       RESUMEN Objetivo: presentar el conocimiento producido sobre las intervenciones de Enfermería dirigidas a los pacientes con accidente vascular cerebral en rehabilitación. Método: revisión integrativa, con abordaje cualitativo, realizada en el período de abril de 2015 a mayo de 2016, a partir del acceso online en Medline, en la Lilacs y en la Cochrane, con los descriptores controlados Cuidados de Enfermería y Accidente Vascular Cerebral y Rehabilitación. Los estudios fueron analizados, según la lista de verificación para la evaluación de la calidad metodológica y clasificados de acuerdo con los niveles de evidencia. Las intervenciones de Enfermería se presentaron en tres categorías temáticas - intervenciones de Enfermería asistenciales, educativas y gerenciales. Resultados: se seleccionaron 29 publicaciones y la mayoría de los estudios tienen niveles de evidencia II y VI. Entre las intervenciones de Enfermería asistenciales, se destacó la rehabilitación motora y funcional. En las intervenciones educativas, se observó la educación del paciente sobre la enfermedad. Entre las intervenciones gerenciales, sobresalieron las relacionadas a la coordinación del cuidado. Se encontraron intervenciones de Enfermería dirigidas a los cuidadores. Conclusión: se identificó, en los estudios, un mayor número de intervenciones de Enfermería asistenciales dirigidas al paciente. A los cuidadores, las intervenciones de Enfermería se concentran en la esfera educativa. Descritores: Enfermería; Accidente Cerebrovascular; Rehabilitación; Atención de Enfermería; Cuidadores; Educación en Salud.

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.

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.

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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.

Purpose To analyze the Nursing Diagnosis Ineffective Health Management in people with type 2 diabetes. Methods Cross‐sectional correlational study conducted with 112 patients from August 2018 to April 2019 in a primary healthcare facility, Ceará, Brazil. Used a structured interview and a form created by the authors specifically for the study. Descriptive and inferential statistics were used in the data analysis. Findings The Nursing Diagnosis Ineffective Health Management was present in 63.4% of the patients. The defining characteristics with the highest prevalence were difficulty with prescribed regimen (61.6%) and failure to include a treatment regimen in daily living (60.7%). The following significant associations were found: gender and failure to take action to reduce risk factors (P = 0.003), medication and difficulty with prescribed regimen (P = 0.003), and high blood pressure and ineffective choices in daily living for meeting health goals (P = 0.005). The following defining characteristics were associated with the presence of Ineffective Health Management: difficulty with prescribed regimen (P = 0.001), failure to take action to reduce risk factors (P = 0.008), ineffective choices in daily living for meeting health goals (P = 0.001), and failure to include the treatment regimen in daily living (P = 0.001). Conclusions The Nursing Diagnosis Ineffective Health Management had a high prevalence in the sample. Its defining characteristics are associated with the nursing diagnosis itself and with sociodemographic and clinical variables. Implications for nursing practice Ineffective Health Management should be considered a priority for developing and implementing nursing care for people with type 2 diabetes, especially in primary health care settings.

Introduction: Several viruses, including CoVs, can affect the nervous system, causing neuropsychiatric signs and symptoms. Because this is an unknown disease widely spread, there are few studies that deal with the effects of the SARS-CoV-2 on the nervous system. Objective: To describe the relationship between neuropsychiatric signs and symptoms and SARS-Cov-2 virus infection. Methods: integrative review conducted in the Pubmed Portal, Virtual Health Library, Cochrane and the academic researcher Science Direct. The works were analyzed qualitatively, with the narrative description divided into four thematic categories. Results: 1024 studies were found and 48 studies selected to compose this integrative review. There is a pathophysiological relationship of SARS-Cov-2 infection and the involvement of the Central Nervous System and Peripheral Nervous System through different pathways and mechanisms. Conclusion: Monitoring patients during and after COVID-19 can minimize the neuropsychiatric sequelae resulting from this disease, especially in elderly patients with comorbidities.

Objectives: to identify cardiovascular risk and cardiovascular risk factors in adolescents and verify correlations between these variables and biochemical markers, and between blood pressure percentiles, Body Mass Index, and biochemical markers. Methods: a cross-sectional study, conducted at a Brazilian school, from August to September 2019, including 205 participants who were interviewed. After the interview, anthropometric assessments, including weight, height, arm circumference, blood pressure checking, and blood collection for laboratory tests were performed. Descriptive and inferential analysis using the chi-square test was conducted. Results: a total of 18.5% had blood pressure percentiles >95%, 25.4% were overweight, and 25.9% were at very high cardiovascular risk. Statistically significant associations were found between cardiovascular risk and sex, Body Mass Index and blood pressure percentiles, and between blood pressure percentiles and triglycerides. Conclusions: high prevalence of risk factors among school adolescents reinforces the need for interventions for cardiovascular risk reduction in this population.