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- Religiosity index and quality of life in the search for better blood pressure controlPublication . Guerra, Grazia Maria; Oliveira, Jefferson Carlos de; Fistarol, Isabela Ribeiro Braga; Vieira, Margarida; Deodato, Sérgio; Tsunemi, Miriam Harume; Bortolotto, Luiz AparecidoSystemic arterial hypertension (SAH) is a chronic non-communicable disease, and currently the relationships between religiosity, physical and mental health have been investigated. The objective of this study was to verify the association of the religiosity index through the DUREL scale with the best control of blood pressure (SBP ≤ 120 and DBP ≤ 80) and quality of life in hypertensive patients. A prospective longitudinal study was conducted with 56 hypertensive patients, who were followed up for 120 days and underwent a 20-day interval nursing visit, in which a counseling program was developed. The instrument for quality of life, the DUREL Religiosity Scale, was applied and Ambulatory Blood Pressure Monitor (ABPM) was performed at the beginning and end of the study. The study involved 30 women (55.6%) and 26 men (44.4%), mean age of 53.9 ± 10 years, mean BMI of 30.3±5 kg/m2, waist circumference (WC)=99.7±5cm; PAS=153.6±28mmHg; DBP=91.6±17mmHg and Heart Rate (HR)=69±13bpm. Regarding BP control (SBP ≤ 120 and DBP ≤ 80), at the end of 120 days, it was observed that only 4 (7.14%) patients controlled their BP by the clinic’s measurement and 25 patients by the measurement of the ABPM, those being 7 (12.5%) in the wake period and 18 (32.1%) in the sleep period. However, there was no association with the Index of Religiosity and quality of life when compared to the control variable of blood pressure. Given the data, it was determined that the religiosity index was not sensitive enough to identify patients with a better control of BP after 120 days of follow-up.
- Risk behaviors to psychoactive substances use in children and young people in LisbonPublication . Deodato, Sérgio; Nunes, Elisabete; Capelas, Manuel; Seabra, Paulo; Sarreira-Santos, Alexandra; Medeiros-Garcia, LurdesObjective: To characterize the risk behavior of the psychoactive substances use in a youth population of Lisbon. Method: An observational, descriptive, cross-sectional study. Participants were 113 children and young people who responded to the Portuguese version of the Risk and Health Behavior questionnaire - Youth Risk Behavior Survey. Results: Participants with regard to age were between 9-13, most attending the 5th grade, living with parents, had good school performance, good relationship with colleagues while 1/4 refer problems. When concerned, recourse to the mother, but it is significant the attention of peers. As for the trial of psychoactive substances was found: 9.7% tobacco, 19.5% alcohol, other substances 5.3%. Conclusion: With regard to risk behavior stands primarily to early alcohol testing. Emerged as protective factors: family relationship and relationship with the school space. This age group may constitute the ideal time for prevention.
- Caros participantes do 2 - Congresso Nacional da ACEPS "cidadania em saúde: borómetro social e humano"Publication . Ferreira, Idalice; Vieira, Margarida; Martins, Rosa; Cunha, Madalena; Albuquerque, Carlos; Deodato, Sérgio; Neves, Ana Paula; Magalhães, Manuela; Ribeiro, Olivério
- Conscientious objection: reflections for nursing in PortugalPublication . Paço, Sandra; Deodato, SérgioObjective: to discuss conscientious objection in nursing, identifying the ethic and legal basis for this decision-making. Methodology: qualitative study in which the methodology used was ethical reflection based on a legal analysis of the laws in question, proceeding to a bibliographical and documentary research Conclusions: Portuguese law and ethical pillars that form the basis of the Code of Ethics of nurses in Portugal defend the freedom of conscience as a professional practice. However, the obligation to protect human life, which imposes the need for coordination between this protection and the exercise of the right to conscientious objection on the part of the nurse, is also clear.
- Elements and strategies for ethical decision-making in nursingPublication . Nora, Carlise Rigon Dalla; Deodato, Sérgio; Vieira, Margarida; Zoboli, ElmaThis study aimed to identify the elements and strategies that facilitate the ethical decision-making of nurses faced with ethical problems, from publications on the theme. An integrative literature review was carried out. Data collection was performed between the months of April and May 2014, in the databases: SciELO, CINAHL, LILACS and MEDLINE. Original, theoretical and case study articles, with a health team that included nurses, published in Portuguese, English and Spanish were included. A total of 19 studies were selected, the analysis of which resulted in three categories: external factors of ethical decision-making in nursing, individual factors of ethical decision-making in nursing and facilitating strategies of ethical decision-making in nursing. It was concluded that nurses need to use strategies that develop sensitivity, ability and ethical competence, in order to make prudent ethical decisions, contributing to the quality of health care.
- Nursing Activities Score by assistance sites in intensive care unitsPublication . Cyrino, Claudia Maria Silva; Dell’Acqua, Magda Cristina Queiroz; Castro, Meire Cristina Novelli e; Oliveira, Elaine Machado de; Deodato, Sérgio; Almeida, Priscila Masquetto Vieira deObjective: To compare the Nursing Activities Score (NAS) between the Assistance Sites in an Intensive Care Unit. Method: Descriptive, retrospective study, carried out in the Intensive Care Unit of a teaching hospital. The patients were organized in Assistance Sites according to their clinical characteristics and the nursing team's composition was organized in accordance with the Nursing Activities Score (NAS). The confidence interval was set at p < 0.05. Results: the majority were male surgical patients with a mean age of 56.8 years. The postoperative care Site presented the greatest patient turnover. The overall average NAS was 71.7%. There was a difference in the nursing workload between the different Assistance Sites. The shorter length of stay and the nonsurvivors contributed to increasing the workload in the ICU. Conclusion: Comparing the NAS in the different Sites made it possible to organize the work process of the nursing team according to each group, contributing to patient safety.
- A proteção dos dados pessoais de saúdePublication . Deodato, SérgioA proteção dos dados pessoais de saúde assume uma enorme relevância atual, sobretudo pela facilidade de acesso e pela possibilidade de divulgação indevida. Nesta obra alude-se à proteção dos dados pessoais de saúde na dupla perspetiva ética e jurídica, num diálogo situado em contexto de saúde. Pretende-se argumentar a favor da necessidade desta proteção em todo o sistema de saúde, invocando os fundamentos éticos e jurídicos mais relevantes.
- A proteção da informação de saúdePublication . Deodato, SérgioO presente artigo tem como objetivo a análise da problemática da proteção da informação de saúde, na dupla perspetiva ética e jurídica. Partindo de uma delimitação do conceito de informação de saúde, circunscrevemos o particular contexto relacional em que os dados de saúde são revelados, ou seja, a relação entre a pessoa titular dos dados e os profissionais de saúde. É nesta relação próxima e privada, numa base de confiança, que os dados de saúde emergem e ficam na disponibilidade do registo nas organizações de saúde e noutras instituições. A confiança e o direito à reserva da intimidade da vida privada, constituem-se assim como alicerces éticos e jurídicos que fundamentam o atual regime jurídico da proteção dos dados de saúde, como discutimos adiante. E com base nestes fundamentos éticos e jurídicos, analisamos, por fim, o regime jurídico atual de proteção dos dados de saúde, numa abordagem necessariamente breve das suas principais normas.
- Family transitions to homelessness: a qualitative approachPublication . Figueiredo, Amélia Simões; Ferrito, Cândida; Santos, Alexandra Sarreira; Deodato, Sérgio; Seabra, Paulo; Vidal, Teresa; Figueiredo, HenriquetaObjectives: to characterize the homeless families who use a Public Shower Room; identify significant life events/phenomena for the family’s transition to homelessness; understand the relationship between significant life events; identify future expectations of respondents. Methods: an exploratory, descriptive study using the interview and thematic content analysis. Sample consisted of public shower room users. Results: mental illness, social, personal and family factors justify the transition of subjects to homelessness. The total absence of hopelessness alternates with expectations for the future based on resilience and hope. Final Considerations: we highlight in the study the self-determination expressed in small expressions of the narrative, on the one hand, as well as aspects related to the evolution of family relationships, on the other.
- Mobile pre-hospital care in Portugal and Brazil: an integrative reviewPublication . Cyrino, Claudia Maria Silva; Almeida, Priscila Masquetto Vieira de; Dell’Acqua, Magda Cristina Queiroz; Deodato, Sérgio; Michelin, Nathallia Serodio; Castro, Meire Cristina Novelli eObjective: To identify the profile and themes of studies found in the literature about the context of mobile pre-hospital care in Portugal and Brazil. Method: An integrative review of five online databases was conducted in February and March 2017. Full articles in English, Spanish, and Portuguese published between 1981 and 2017 were selected for this review. Results: Of the 54 studies included, nurses were present in 81.50%; 37% were related to the characteristics of care, 22% to professionals, 20% to occupational risks, 17% to management, and 4% to health education. Conclusion: The number of articles with nurses as the main authors reached a peak in 2011. Their topics were mostly related to the analysis of care provided by the services, and the knowledge and performance of professionals working in the area of mobile pre-hospital care.