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...

Enquadramento: os cuidadores familiares são aqueles que assumem em primeira linha o papel de cuidar do seu familiar com dependência. Sendo este um processo desgastante, repleto de obstáculos e gerador de stress e ansiedade, o cuidador recorre frequentemente a estratégias para lidar com estas situações, as estratégias de coping. Objetivo: caraterizar as estratégias de coping mais utilizadas pelos cuidadores familiares, antes e após a implementação de um Programa de Intervenção de Enfermagem. Metodologia: estudo quase-experimental, longitudinal, de metodologia quantitativa, com uma amostra de conveniência de 70 cuidadores familiares. Utilizados um questionário sociodemográfico e um instrumento de avaliação de estratégias de coping utilizadas, o Questionário Brief COPE. Análise estatística realizada com o recurso ao SPSS 23.0. Dados apresentam distribuição normal, pelo que foram utilizados testes paramétricos na sua análise. Resultados: cuidadores são maioritariamente idosos, do sexo feminino, baixa escolaridade, sem ocupação profissional e coabitam com o seu familiar dependente. Estratégias de coping mais utilizadas, tanto na avaliação inicial como final são Coping Ativo, Planear e Religião. Conclusão: verificou-se o recurso a um maior número de estratégias de coping, apesar de não se conseguir definir claramente um estilo de coping predominante. A importância do papel do enfermeiro na capacitação do cuidador familiar foi destacada.

This study explores illness representations within Familial Amyloidotic Polyneuropathy Portuguese Association newspaper . A content analysis was performed of the issue data using provisional coding related to the conceptual framework of the study. All dimensions of illness representation in Leventhal's Common Sense Model of illness cognitions and behaviors are present in the data and reflect the experience of living with this disease. Understanding how a person living with an hereditary, rare, neurodegenerative illness is important for developing community nursing interventions. In conclusion, we suggest an integration of common sense knowledge with other approaches for designing an intervention program centered on people living with an hereditary neurodegenerative illness, such as familial amyloidotic polyneuropathy.

RESUMOIntrodução: A Organização Mundial da Saúde (2015) apresenta como barreira, para melhorar o acesso aos cuidados paliativos, a falta de treino e consciencialização dos profissionais de saúde. Objetivos: Identificar qual a preparação que os enfermeiros apresentam para a prestação de ações paliativas em contexto hospitalar. Métodos: Revisão integrativa da literatura, através de pesquisa eletrónica na plataforma B-ON, utilizando a expressão: (nursing) AND (palliative care) AND (acute hospital setting) NOT (child* OR infant* OR adolescent*), obtendo seis artigos de estudos primários. Resultados: Os estudos obtidos são representativos de um total de 2220 enfermeiros. Os artigos evidenciaram que os enfermeiros dos hospitais de agudos, apesar de serem capazes de cuidar de doentes com necessidades de cuidados paliativos, sentiram que seria importante formação nesta área, de forma a compreender melhor as necessidades destes doentes. Conclusões: Os enfermeiros consideram que têm competências para prestar cuidados relativos a ações paliativas nas enfermarias de agudos, embora reconhecendo que deveriam ser dotados de mais formação. Palavras-chave:Enfermagem; Cuidados paliativos; Enfermaria de agudos. ABSTRACT Introduction:The World Health Organization (2015) presents as barriers to improving access to palliative care the lack of training and awareness of health professionals. Objectives: Identify the preparation of nurses who provide care, in the acute hospital setting, to develop palliative actions. Methods: Integrative literature review, through the electronic research in the B-ON platform, using the expression: (nursing) AND (palliative care) AND (acute hospital setting) NOT (child* OR infant* OR adolescent*), obtaining six articles of primary studies. Results: Obtained studies are representative of a total of 2220 nurses. The articles showed that nurses from acute hospitals, despite being able to care for patients with palliative care needs, felt that training in this area would be important in order to better understand the needs of these patients. Conclusion: Nurses consider that they have competencies to provide care related to palliative care in acute care, although recognizing that they should be provided with more formation.

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Ainda que se analise de forma breve o conceito de espiritualidade, o presente artigo/ensaio tem como objeto o estudo introdutório sobre a espiritualidade no pensamento bioético de Daniel Serrão. Para a concretização deste estudo realizou-se uma análise hermenêutica a um conjunto de artigos publicados e não publicados de Daniel Serrão sobre espiritualidade e religião. A partir da análise e interpretação dos textos foi possível determinar três notas ou caraterísticas importantes na concepção de espiritualidade em Daniel Serrão: mística, horizontal e transcêndência. Estas notas ou caraterísticas são fundamentais para sua compreensão e conincidem com a estrutura do seu pensamento trádico: metafísico, científico e cultural. Ao entrarmos no "coração do discurso serroniano" percebemos que o mesmo apresenta uma unicidade na diversidade. Isto é, não há cisão entre o discurso ético, entre o discurso transcendental e entre o discurso científico. No pensamento bioético a espiritualidade assenta numa metafísica existencial, na metafísica essencial e na metafísica em relação. Although the concept of spirituality is briefly analyzed, the principal aim of this article is to study spirituality in the bioethical thought of Daniel Serrão. For this purpose, a hermeneutical analysis was carried out on a collection of published and unpublished articles by Daniel Serrão on spirituality and religion. Results: The analysis and interpretation of the texts revealed three important notes or characteristics in the conception of spirituality in Daniel Serrão: mystical, horizontal and transcendence. These notes or characteristics are fundamental for understanding, and coincide with the structure of their triadic thinking: metaphysical, scientific and cultural. When we enter the "heart of the Serronian discourse" we perceive that it presents a uniqueness in diversity. That is to say, there is no split between ethical, transcendental and scientific discourse. In bioethical thinking, spirituality is based on existential metaphysics, on essential metaphysics and on metaphysics in relation.

Background: Personal and clinical experiences influence how nursing students cope with death. Objective: To assess nursing students' attitudes towards death and end-of-life care. Methods: Descriptive study. Data were collected through an online questionnaire. The sample consisted of 158 undergraduate nursing students. Quantitative data were analyzed using IBM SPSS Statistics software. Descriptive statistics and exploratory data analysis were performed through parametric and non-parametric tests. Results: Students tend more to attitudes of neutral acceptance, fear of death, and approach acceptance and less to attitudes of avoidance and escape. Regarding end-of-life care, students who had already completed clinical training showed positive attitudes. Conclusion:Teaching and learning methodologies should be used to allow students to expose their experiences with death and end-of-life care in clinical training.