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Enquadramento: O processo de comunicação é inerente ao processo de cuidar, importando perceber como a cliente, alvo dos cuidados de enfermagem, perceciona a qualidade de informação que lhe é transmitida pelos enfermeiros que dela cuidam. Objetivo: O objetivo deste estudo consiste em analisar a estrutura empírica da escala de qualidade da informação através de análise fatorial exploratória e confirmatória. Participantes: Esta foi aplicada a uma amostra não probabilística por conveniência constituída por 584 mulheres com idades compreendidas entre os 20 e 49 anos com uma média de idade de 31,77 anos (± 5,88) na sua maioria a coabitar com companheiro (93,5%). Métodos: Estudo metodológico, em que uma escala de diferencial semântico foi testada através da validade de face e de conteúdo e avaliadas as propriedades psicométricas, através da consistência interna pelo coeficiente Alpha ( ) de Cronbach e da validade de construto nas suas dimensões validade fatorial exploratória e confirmatória, validade convergente e validade discriminante. Resultados: Os resultados da análise fatorial exploratória levaram à obtenção de uma estrutura unifatorial com 7 itens que explicavam no total 79,84% da variância e com um coeficiente alfa de Cronbach de 0,957. Os resultados da análise fatorial confirmatória mostram uma estrutura unifatorial com seis itens e com índices gerais de adequação fiáveis, confirmando a qualidade do ajuste do modelo aos dados empíricos. (x2/gl= 2,885; GFI= 0,985; CFI= 0,995; RMR= 0,029; RMSEA=0,057). Conclusões: Os resultados evidenciam que a escala de qualidade de informação pode ser utilizada como instrumento de pesquisa e de monitorização para avaliar a qualidade de informação ocorrida entre enfermeiros e as clientes alvo dos seus cuidados.

A menopausa é um período da vida da mulher que necessita de toda a atenção dos profissionais de saúde, e particularmente do enfermeiro Especialista em Enfermagem de Saúde Maternae Obstétrica. O objetivo desteestudo é compreender as vivências da mulher no período da menopausa, o significado atribuído pela mulher às intervenções de enfermagem desenvolvidas pelo enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica durante o período da menopausa e pós-menopausa. Foi realizado um estudo qualitativo, com recurso ao método fenomenológico-hermenêutico, tendo como instrumento de recolha de dados a entrevista fenomenológica. As 13 participantes recorreram às consultas de um Hospital de Dia Ginecológico e do Serviço de Ginecologia de um Hospital Central da Região Centro de Portugal. A análise qualitativa de dados foi apoiada pelo Nvivo12. Da análise do verbatim das entrevistas, emergiram cinco categorias: “Significado atribuído à menopausa”, sendo as subcategorias mais destacadas“Experiência positiva”, “Não tersentido alteraçõescom a menopausa”e“Umafase má/desconfortável”;“Alterações sentidas durante a menopausa e pós menopausa”, evidenciando-se mais a subcategoria“Alterações orgânicas”,“nomeadamente as “Ondas de calor”; “Estratégias utilizadas face aos constrangimentos”,onde as subcategorias mais destacadas foram “Procurar ajuda profissional” e “Adotar uma atitude de resiliência”; “Expectativas quanto aos cuidados de enfermagem”, com a subcategoria mais referida “Expetativas corresponderam ao esperado”;“Cuidados de enfermagem recebidos na menopausa”, sobressaindo as subcategorias “Ajuda”,“Esclarecimento de dúvidas” e “Capacitação da mulher para vivenciar a menopausa”. Parte das mulheres encararam a menopausa de forma positiva. Para outras, demarcou-se como uma fase de desconfortos, com alterações das condições vaginais, emocionais, orgânicas e alterações da atividade sexual. As mulheres consideram, sobretudo, que os cuidados de enfermagem corresponderam às suas expetativas, pois houve esclarecimento de dúvidas e foram capacitadas para vivenciar a menopausa de forma positiva e saudável.

A gravidez constitui um período de extrema importância enquanto momento de transição para a parentalidade. Decorrente das alterações biopsicossociais desta fase, torna-se pertinente analisar os fatores que promovem a literacia em saúde mental da grávida. São objetivos avaliar o grau de literacia em saúde mental positiva e analisar as variáveis promotoras da literacia em saúde mental, em grávidas. Trata-se de um estudo quantitativo, transversal, descritivo e correlacional, constituído por uma amostra de 222 grávidas, média de idade 30.45 anos (dp±4.64). O instrumento de colheita de dados foi um questionário, que permitiu caracterizar a amostra nas dimensões sociodemográfica e clínica. Foi ainda utilizada a escala de avaliação da literacia em saúde mental positiva de Chaves, Sequeira & Duarte (2018). Em termos de resultados constatou-se que as grávidas com companheiro, residentes em zona urbana, com ensino superior, ativas profissionalmente, com uma profissão intelectual, sem hábitos tabágicos, que classificam a sua alimentação como saudável/muito saudável, revelam mais literacia em saúde mental positiva. Verificou-se ainda que as grávidas cuja gravidez foi planeada, que recorreram a tratamentos de fertilidade, que a gravidez é vigiada por enfermeiro e médico, que cumprem a vigilância da gravidez, que frequentam curso de preparação para o parto e parentalidade, apresentam mais literacia em saúde mental positiva. Recomendam-se programas de intervenção, como por exemplo, a realização de rastreio de saúde mental na grávida.

Introdução: A literacia em saúde mental é fundamental para o reconhecimento de problemas de saúde mental e intervenção precoce. A sua avaliação é importante para identificar deficits de conhecimento sobre a saúde/doença mental e ajudar na definição de programas de intervenção para a promover a literacia em saúde mental, bem como para a avaliação dessas intervenções. Objetivos: Identificar que variáveis sociodemográficas e contextuais à história de doença e comportamentos de saúde interferem na saúde mental positiva dos enfermeiros doscuidados de saúde primários;verificarseexisterelação entrealiteraciaem saúde mentaleasaúde mental positiva dos enfermeiros dos cuidados de saúde primários. Métodos: Estudo transversal, descritivo-correlacional e de natureza quantitativa numa amostra de 89 enfermeiros a exercerem funções num agrupamento de centros de saúde da região centro de portugal (ACES-Dão Lafões). O instrumento de colheita de dados incluiu um questionário com questões relativas á caracterização sociodemográfica, história de doença mental e comportamentos de saúde. A Escala de Literacia em Saúde Mental (O Conner et al., 2015) adaptada e validada para a população portuguesa por Loureiro e Carvalho (2018), Questionário de Saúde Mental Positiva traduzido e adaptado para a população portuguesa por Sequeira, Carvalho, Sampaio, Sá, Lluch-Canut e Roldán-Merino (2014) e a Escala O que é importante para uma boa saúde mental? (Chaves, Sequeira & Duarte, 2019). Resultados: Os resultados do estudo mostram um predomínio do género feminino (82,0%), com uma idade média de 45,60±8,43 anos. Pela ordenação dos valores da média os enfermeiros da amostra possuem níveis elevados de literacia em saúde mental (67,06±7.73). Os valores médios mais elevados foram encontrados nas dimensões: Reconhecimento e auto ajuda apropriada (M=71,34±10,58) e Conhecimento sobre apoio profissional disponível (M=68.41±16.74). A análise da relação entre a saúde mental positiva e a literacia em saúde mental revela que os enfermeiros com literacia crítica apresentam melhores níveis de saúde mental positiva. As variáveis Preditores da saúde mental positiva foram: O sexo masculino, idade, os anos de experiência profissional, as horas de sono e todas as dimensões da literacia em saúde mental que explicam 24,8% da variação. Conclusão: Os enfermeiros que participaram no estudo possuem níveis elevados de Literacia em Saúde Mental (Literacia Critica), com associações positivas e significativas com a saúde mental positiva. Esta investigação, mostra algumas das implicações que podem resultar de baixos níveis de literacia em saúde mental, podendo impedir o reconhecimento precoce dos sintomas e adiar a procura de ajuda. Os resultados encontrados trazem contributos importantes para a criação de programas de intervenção em literacia em saúde mental nos profissionais dos cuidados de saúde primários. Investir nesta área, junto dos enfermeiros que prestam cuidados de proximidade (CSP) aumenta a eficácia das suas intervenções de promoção da saúde mental.

Enquadramento: A violência no namoro é um problema grave, pelas consequências físicas e mentais, pelo impacto nos padrões de relacionamento amoroso futuro e enquanto problema de saúde pública. São objetivos identificar as variáveis sociodemográficas, académicas e afetivas que influenciam a violência no namoro. Tratase de um estudo quantitativo, descritivo-correlacional e transversal, com uma amostra constituída por 429 estudantes, com uma média de idade de 22.11 anos (dp=4.55). Para recolha de dados, utilizou-se o questionário que permitiu fazer a caracterização sociodemográfica, académica e afetiva. Foi ainda incluída a Escala de práticas e comportamentos de vitimização na relação de namoro de Dixe, Rodrigues, Freire, Rodrigues, Fernandes e Dias (2010). Apurou-se que 11.9% é vitima de violência na atual relação de namoro. Os estudantes do sexo masculino, do curso de humanidades e os que já reprovaram, manifestam práticas e comportamentos de vitimização mais frequentes, com diferenças estatisticamente significativas (p

The belief that people with mental illnessare unpredictable,violentand dangerousstill persistsin today’ssociety, with indiscriminate beliefs about mental and psychiatric illnesses that harm the quality of life of people who suffer from them. Objectives: To identify the socio-demographic variables that interfere in the beliefs, about mental illness, of the professionals of education, health and safety; to find out how the socio-professional variables interfere in the beliefs, about mental illness, of the professionals of education, health and safety. Methods: Quantitative, transversal and descriptive-correlational study. Data were collected from 136 educational agents, 62.5% of whom were teachers, 32.4% nurses and 5.1% public security agents, mostly female (70.6%), with an average age of 48.34 years (±7.49 years). A socio-demographic and socio-professional characterisation questionnaire and the Mental Illness Belief Inventory (Loureiro, Dias e Ferreira, 2009) were used as data collection tools. Results: Educational agents (education, health and safety professionals) present higher levels of beliefs regarding the recognition of the disease (M=4.69±0.64) and regarding mental illness as a medical condition (M=4.48±0.73), with lower average index in the cause of stigma and discrimination (M=2.21±0.68). The sociodemographic variables that interfered with mental health beliefs are gender, age and education; the socioprofessional variables that influenced mental health beliefs in education, health and safety professionals were the professional group and length of service; the predictor variables of incurability, recognition of illness, dangerousness and belief in mental illness as a medical condition are age, male gender, urban residents and length of service ≤20 years. Conclusions: The results of this study lead to infer the need to develop training actions and/or health education programs in order to provide communities with more mental health literacy, where the nurse has a prominent role as a promoter of mental health literacy, which will certainly contribute to the demystification of beliefs about mental illness and a better care of the person with mental pathology.

Background: The increase in the prevalence of oncological diseases such as cervical cancer (CC) makes it a worldwide public health problem involving resources in the area of prevention. Objectives: To determine the influence of sociodemographic variables, gynecological and sexual context on health beliefs related to cervical cancer. Methodology: It is a quantitative, descriptive-correlational study. The data collection protocol was the questionnaire that allowed to characterize the sample in the gynecological, sexual and sociodemographic dimensions. We also use the Health Beliefs Scale, composed of four dimensions: vulnerability, severity, benefits and obstacles (Patrão Leal, 2002). The sample is non-probabilistic for convenience, consisting of 946 participants. Results: Regarding the vulnerability dimension, significant statistical differences were found in the variables, having gynecological problems, frequency in the frequency of gynecological consultations, using contraceptive methods, existence of family members with CC. For the severity dimension, significant statistical differences were found for the variables, frequency of gynecological consultations and use of contraceptive methods. In the benefits dimension, statistical significance was found for age (adults) and using contraceptive methods. For the obstacles dimension, we found statistical significance for the frequency of frequency of gynecological consultations and the beginning of sexual activity. Conclusions: Understanding individual aspects involved in the prevention of CC is essential for individualized care, since these aspects are subjective in nature and require different actions.

Enquadramento: A violência no namoro tem revelado uma elevada preocupação e reconhecimento, tanto a nível científico, como social, pelo impacto que tem na saúde física e mental. Objetivos: Determinar se as sensações sexuais influenciam as práticas e comportamentos de violência no namoro. Participantes: A amostra é constituída por 820 estudantes do ensino superior (média de idade de 20.48 anos (Dp=2.51). Método: É um estudo quantitativo, descrito-correlacionaletransversal. O protocolo deinvestigação foi um questionário que permitiu caracterizar a amostra a nível sociodemográfico, académico, afetivo e sexual. Incluímos a Escala de Práticas e Comportamentos de Violência no Namoro (Dixe, Rodrigues, Freire, Rodrigues, Fernandes & Dias (2010) e a Escala de Procura de Sensações Sexuais (validada para a população portuguesa por Santos, Ferreira, Carvalho & Ferreira, 2017). Resultados: Trata-se de uma amostra maioritariamente feminina (69.4%). Relativamente às práticas e comportamentos de violência no namoro verificamos, nas dimensões em análise, valores máximos de 80,70, para a violência psicológica, 91,67 para a violência stalking e violência sexual e 90.48 para a violência física. Os resultados da árvore de decisão revelam que a procura de sensações sexuais, é a variável que melhor prediz o grau de violência do namoro. Conclusões: Uma vez que a violência nas relações de intimidade causa danos no desenvolvimento físico, psicológico, sexual, reprodutivo, social, académico e profissional, com efeitos na saúde e no bem-estar das pessoas, quer a curto, quer a médio e a longo prazo, propomos ações de sensibilização em contexto escolar promovidas por peritos e debatidas entre pares.

Enquadramento: Muitas mães experimentam dificuldades na amamentação, especificamente no início do processo da amamentação. O apoio adequado de profissionais de saúde treinados, nomeadamente os enfermeiros, é crucial para minimizar o impacto dos problemas da amamentação. Objetivo: Avaliar a estrutura interna da escala de dificuldades de amamentação através da análise factorial exploratória e confirmar o modelo fatorial hipotetizado através da analise factorial confirmatória. Participantes: Este estudo realizou-se com uma amostra não probabilística por conveniência constituída por 674 mulheres com idades compreendidas entre os 15 e 49 anos (média = 31,65 anos ± 5,95) a coabitar com companheiro (93,6%). São de nacionalidade portuguesa (97,0%), possuem habilitações literárias superiores ao 12ª ano 47,9% e encontram-se empregadas 84,3% da totalidade da amostra. Método: Estudo metodológico, em que a escala foi testada através da validade aparente de conteúdo e constructo. As propriedades psicométricas, foram avaliadas com recurso à consistência interna pelo coeficiente Alpha ( ) de Cronbach e validade de construto através da validade factorial exploratória e confirmatória, validade convergente e validade discriminante. Resultados: A análise factorial exploratória levou à obtenção de uma estrutura trifatorial que explicava no total 68,64% da variância e com um coeficiente alfa de Cronbach de 0,919. Com a análise fatorial confirmatória foram eliminados dois itens por apresentarem problemas de multicolinearidade. Os índices gerais de bondade de ajustamento global são fiáveis, confirmando a qualidade do ajuste do modelo aos dados empíricos. (x2/gl= 3,892; GFI= 0,962; CFI= 0,974; RMR= 0,049; RMSEA=0,065 e SRMR = 0,042). Conclusões: Os resultados evidenciam que a escala apresenta uma estrutura fatorial com resultados satisfatórios de validade e de confiabilidade, representando adequadamente os constructos em questão. A escala de dificuldades de amamentação pode ser utilizada como instrumento de pesquisa para avaliar as dificuldades sentidas pelas puérperas no processo de amamentação.

Background: The use of communication and information technologies, with the constant use of computer applications, in daily work can induce a negative psychological state, also called tecnostress. Objectives: To characterize the level of technostress in the health professionals of primary health care; identify how the socio-demographic variables and the technostress are related in health professionals. Methodology: Quantitative, transversal, descriptive and correlational study. The data collection instrument used was a sociodemographic questionnaire and the Tecnostress Scale (Carlotto Câmara, 2010). Results: The sample consisted of 100 health professionals, mostly female (72.0%), with a mean age of 46.14 years (± 10.72 years), 49.1% were nurses and 28.1% doctors, and 35.0% with less years in the health unit, professional experience between 16-22 years (34.0%). It is male health professionals who show more technostress, with the exception of skepticism (MR = 52.53), where the women scored more. Men show more compulsive use of Information and Communication Technologies. Conclusion: We consider important the implementation and monitoring of measures that promote better use of information technology in the workplace in health professionals in primary health care.

Enquadramento: Os conhecimentos, crenças e estereótipos acerca do VIH são um desafio para os estudantes de enfermagem, constituindo-se estes como um importante grupo para uma intervenção formativa. Objectivo do estudo: Verificar se a intervenção formativa acerca do VIH/SIDA influencia o nível de conhecimentos e estereótipos. Metodologia: Investigação-ação, com uma amostra de 30 estudantes do primeiro ano, intervenção formativa sobre o VIH/SIDA com follow-up após 3 meses. Para colheita de dados foi utilizado um questionário de caracterização sociodemográfica e a escala de avaliação de estereótipos sobre VIH/SIDA (SAAQ - “The Stereotypes About AIDS Questionnaire”). Resultados: No global verifica-se que os estudantes detêm conhecimentos sobre o vírus. No estudo verifica-se que após a intervenção formativa houve melhorias do conhecimento em nove das 15 dimensões analisadas, sendo que apenas a dimensão “sexualidade” é estatisticamente significativa (p=0,015). Conclusões: Os estudantes de enfermagem apresentam níveis de conhecimento razoáveis, no entanto, face aos resultados, sugerimos mais formação ao longo da licenciatura.

Today it is necessary to work collaboratively in a network with the professionals of the different functional units of primary health care, hospital care and community, because only through an effective system of referral and partnership will it be possible to improve the accessibility, quality, continuity and efficiency of health care, as well as the satisfaction of professionals and users. It is recommended that health care should be personalized and close, which implies not only the displacement of technical and human resources differentiated from the provision of health care, but also their provision in a timely manner to users, family and caregivers. But if proximity allows a better identification of health needs the increase of chronic diseases require complex and continuous care at home, and then we need to characterize the caregivers we have and what are their role as caregivers at home. So, the proposed project intends to carry out a diagnosis of needs identified by informal caregivers in the region of Lafões, Portugal, when they provide care to a patient and what are the expectations of primary health care professionals and then be able to give them domiciliation, articulation and continuity of care. We intend to constitute a descriptive and exploratory study using semi-structured interviews as a technique for collecting information, based on circular questioning. Then we will be disseminate the results achieved to primary health care professionals in the Lafões region and propose measures and strategies to the Ministry of Health for a true articulation, continuity and proximity of care taking into account the expectations of the caregivers as well as the resources existing in the community. Subsequently, the family members and caregivers will be made aware of the advantages of the patient’s stay in the home environment and the resources available to the population.

Background: Anorexia nervosa is a mental disorder characterized by a restriction of energy intake, intense fear of gaining weight or of becoming fat and disturbance in the body self-evaluation. Objectives: To determine the relationship between Anorexia Nervosa and the physical, behavioral, socio-cultural variables, psychological/emotional, in teenager between the ages of 8 and 26 years of age resident in mainland Portugal. Methodology: This is a quantitative, crosssectional, descriptive and correlational study with a sample of 301 teenager, of which 162 (53.8%) are the males and 139 (46.2%) female, aged between 8 and 26 years. The data collection instrument, available online, was a questionnaire with questions about demographic characterization and Diagnostic Criteria of Anorexia Nervosa (DSM-5). The ethical procedures were guaranteed. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results: The prevalence of anorexia nervosa (individuals met the three criteria for the diagnosis of anorexia nervosa according to DSM-5) is 3.3% (60% female and 40% male). In the sample, 35.9% had body distortion, 34.2% admit being afraid of gaining weight and 10.3% have a BMI 18.5. There is a statistically significant relationship between anorexia and the happiness in losing weight, anxiety/obsession, anxiety/anxiety in meals, not like you, vomiting, self-control, perfection, self-evaluation and the lack of body weight. Conclusion: We consider pertinent the dissemination of the results counted, contributing to increased awareness and multidisciplinary intervention of careers for prevention and care to the person with this pathology so severe that affects more and more people.

Background: The promotion of breastfeeding is affirmed as a public health strategy with health benefits for the mother and child. Objectives: To analyse the relation between the prevalence of breastfeeding and the mothers’ perception on the nurses’ interventions in the promotion of breastfeeding. Methodology: A quantitative, cross-sectional, descriptive and correlational study with a sample of 1102 women from mainland Portugal, with a mean age of 32 years (sd± 5.87). The data collection method was a questionnaire which enabled the sociodemographic characterization, to characterize the baby at birth, the pregnancy and breastfeeding. It also includes the Nurses’ Interventions to Promote Breastfeeding Scale (Coutinho et al, 2016). Results: As for the prevalence of breastfeeding and its relationship with the interventions of nurses promoting breastfeeding, there are no statistically significant differences in breastfeeding at six months. In contrast, breastfeeding at 24 months presented statistically significant differences (p = 0.000) in the group of women who breastfed at 24 months who perceived the nurses’ interventions as being very adequate and in the group of women who do not breastfeed at 24 months and viewed the interventions as not adequate. Conclusion: Nurses’ interventions are more valued by women who breastfeed for a longer period, so breastfeeding should be promoted early, leading to greater awareness of its importance by women / families. In this sense, it is recommended that nurses adjust their interventions according to each woman.

Background: The Portuguese Synthetic Fertility Index (ISF) is among the lowest in Europe. However, the desire of each young individual to have a child without any restriction is higher than the reference value for the replacement of generations. Objective: Understand the relationship between sociodemographic variables and self – esteem variables with the desire to have a child. Methods: Quantitative, descriptive-correlational study. A non-probabilistic for convenience sampling, composed of 398 participants with an average age of 20.79 years (sd = 2.785). The research protocol was questionnaire that characterizes the sociodemographic sample. Also included, the Questionnaire about desire to have a child (Cameira, Cabral, Leal, Pais-Ribeiro, 2000), with three dimensions (parenting, needs of the couple and ego needs) and Rosenberg Self – esteem scale (Rosenberg, 1965, adap.). Results: It is amog women and in the age group ≤ 19 years that the desire to have a child is higher. Having a boyfriend, belonging to an extended family or not having siblings are related to higher desire to have a child, however without significant statistical differences. Self-esteem impacts the desire to have a child. Conclusions: Multiprofessional teams that relate directly to young adults should promote birth, taking into account not only the preparation and training for parenting, but also the promotion of sexual and reproductive health.

Although the advantages of breastfeeding are well known, their maintenance is still far from recommended, influenced by psychological, biological, social and cultural factors. Objectives: To determine if sociodemographic and obstetric characteristics influence the prevalence of breastfeeding. Methods: A quantitative, cross - sectional, descriptive and correlational study with a sample of 1102 women from mainland Portugal, with a mean age of 32 years (± 5.87). The data collection protocol is the questionnaire that allows sociodemographic and pregnancy characterization. Results: Maternal age appears as a determinant variable in prevalence at 6 and 24 months. Marital status shows significant differences in women who breastfeed at 24 months and have a partner. Schooling has been shown to be a determinant variable in breastfeeding at 6 and 24 months. Regarding pregnancy monitoring and the number of consultations performed, there are statistically significant differences in the prevalence of breastfeeding at six months. As well as the fact that the delivery is eutocic. On the other hand, there were no significant differences in the frequency of prep classes and the prevalence of breastfeeding at 6 and 24 months. Conclusions: Because there is a multiplicity of factors that influence the motivation, practice and maintenance of breastfeeding, we recommend programs that promote maintenance. There should also be support from health professionals to help overcome the difficulties encountered, preventing the early cessation of breastfeeding.

Enquadramento: O confronto com a necessidade de ter que se submeter a histerectomia nem sempre é fácil por parte da mulher/casal. Diferentes problemas vivenciados, poderão empurrar para essa decisão, mesmo pairando no andar dúvidas e preocupações quanto ao que poderá vir a sentir pós-histerectomia. Objetivos: conhecer os desconfortos vivenciados pelas mulheres que se submetem a histerectomia. Metodologia: Estudo exploratório e descritivo de natureza qualitativa. Foram participantes dez mulheres submetidas a histerectomia pertencentes a uma Unidade de Cuidados de Saúde Primários da Região Norte de Portugal. Recorreu-se à entrevista semiestruturada, no último trimestre de 2018, tendo-se procedido à transcrição do verbatim das entrevistas e análise qualitativa dos dados, como proposto por Bardin, com ajuda do QSR NVivo na sua versão 12, software de investigação qualitativa. Foi obtida a autorização para a realização do estudo por parte de Comissão de Ética e cumprido todos os procedimentos éticos exigidos a um estudo desta natureza. Os dados apresentados enquadram-se num estudo mais alargado no âmbito das vivências das mulheres submetidas a histerectomia. Resultados: Apresentam-se três categorias emergentes: “Problemas apresentados pelas mulheres antes da histerectomia” constituída por nove subcategorias sendo as hemorragias, os tumores, e o risco de cancro os mais referidos; “Desconfortos manifestados pelas mulheres após a histerectomia” constituída por seis subcategorias das quais a secura vaginal, dor na relação sexual e alteração da imagem corporal sobressaem; e a categoria “Atitudes dos enfermeiros valorizadas pelas mulheres”, com quatro subcategorias, incluindo ajudarem a ultrapassar e tratarem bem Conclusões: se por um lado a histerectomia resolve problemas ginecológicos apresentados pela mulher, aumentado o seu bem-estar e qualidade de vida, por outro também a confronta com o aparecimento de novos desconfortos, para os quais nem sempre se sentia preparada.

Background: Changes the level of the professional career and working conditions, implies impairment of physical and mental health, with prejudice on satisfaction, fulfillment and exhaustion of nurses in Portugal. Objectives: Verify if the socio-demographic and professional variables interfere with exhaustion, satisfaction, personal and professional fulfillment. Consider whether job satisfaction interfere with the exhaustion felt by nurses in Portugal. Methodology: It is a quantitative, descriptive, correlational and analytical, retrospective and cross study, whose non-probabilistic sample consists of 534 Portuguese Nurses (23.8% men and 76.2% women), aged between 21 and 57 years (m = 34.83). It was used as data collection the sociodemographic and professional questionnaire, Satisfaction and achievement Scale the Copenhagen Burnout Inventory and the Maslach Burnout Inventory. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results: The variables: sex, marital status; age; specialized training; time of service; weekly working hours and mode; rewards; public/private institution type, interfere with exhaustion, satisfaction, personal and professional fulfillment. Nurses who show emotional exhaustion and depersonalization are least satisfied (MW = 347.60); (OM = 299.79) respectively. In terms of personal achievement prevail manifested the ones who are very satisfied (MW = 301.40). The entire assessment of burnout level, there is a predominance of little satisfied Nurses (MW = 327.05). Conclusion: In the light of the results obtained and the specificity of the work is urgent implement measures in the management and direction of the health institutions in the sense to lessen the workload by hiring nurses and other measures as the development of intervention programs on time management, conflict, interpersonal relationship and communication; Encourage the recognition of work, valuation and delegation of powers and system of rewards of nurses.

The offshore worker is confined to a limited space during a certain period of time. Investigating how the characteristics of the work environment affect workers’ health is a concern. The objective of this study was to assess the lifestyles of offshore workers from a sub-Saharan Africa platform. Participants and Methods: A cross-sectional study with a sample of 99 offshore workers, all of the male gender, with mean age 39.11-11.69 years; 78.5% are married and 83.8% have scholarship between the 5th and 12th grades. Data collection was accomplished through a selfadministered questionnaire consisting of sociodemographic, professional and lifestyle variables. Data were analyzed using SPSS version 24 for Windows. Results: Of the offshore workers, 54.2% reported having 3 or more children; 54.5% have one woman and 24.2% have two women; 33.3% indicated to have two residences. Regarding the professional variables, on average, the number of years working offshore was 10.07±5.52 years and 75.8% of the workers performed a rotation system of 4 weeks. Referring to lifestyle variables, 54.5% reported drinking coffee daily, 20% having coffee after 20 hours, on average drinking 3.37-1.83 coffees a day; 74.4% reported that they consume soft drinks daily, the most consumed soft drink was coca-cola (67.6%); almost all workers consumed alcoholic beverages on land (83.8%), with the most consuming mainly beer (68.7%); 22.2% smoke and on average smoke 15.64 ± 8.52 cigarettes per day. More than half of the sample had pre-obesity (63.6%) and 19.2% obesity; 45.5% reported that they sometimes exercise and 22.2% frequently exercise. In the last 12 months, 72.0% of workers consumed sleeping pills; 14.0% suffer from some kind of disease, the most prevalent being hypertension (42.9%); in the last 12 months 91.0% of the sample consulted a physician and 78.0% consulted a general practitioner. Conclusions: We found high prevalences of unhealthy lifestyles, consumptions, lack of regular exercise, overweight and almost half of the workers suffer from hypertension.

The General Health Questionnaire is used to detect the existence of a probable psychiatric disorder in the general population, among a community or in non-psychiatric settings, such as in public health or primary care (Pais Ribeiro, et al., 2015). It is sensitive to recent psychiatric disorders but not to stable states with prolonged existence (Goldberg Williams, 1988). In this study, we evaluated the internal consistency of the Goldberg Questionnaire in 150 farmers aged between 19 and 88 years, with a mean of 55.3 years. The sample,had a higher percentage of male participants living in the central region of Portugal and with a partner; most of them with a schooling up to the 9th grade and professionally active. A Pearson correlation matrix was performed between the subscales and the global index. The results showed that the correlations were positive and significantly correlated, ranging from (r = 0.267) somatic symptoms to social dysfunction and (r = 0.623) somatic symptoms vs anxiety and insomnia. As regards for the correlations between the different subscales with the overall value, it is observed that these are reasonable and positive, ranging from (r = 0.553) with social dysfunction and (r = 0.871) with anxiety and insomnia (table 6) accounting for 30.5% and 75.8% respectively. The results show that the great majority of the items are significant, consubstantiating higher correlational values in the subscales to which they belong, and that this value is higher than the others, being in most cases higher than 0.30.

Background: Family planning promotes activities that ensure sexual and reproductive health, ensuring information that promotes a safe and healthy sexuality experience Objectives: To determine if sociodemographic, affective and sexual variables influence the knowledge about family planning in higher education students Methodology: This is a quantitative, cross-sectional, descriptive and correlational study with a sample of 199 higher education students, with a mean age of 20.89 years (sd = ± 2.01 years), mostly female (76.4%). The data collection instrument was a questionnaire that enabled the construction of the sociodemographic, affective and sexual characterization. The Family Planning Knowledge Scale (Nelas, Silva, Ferreira, Duarte Chaves, 2010) was also included. The ethical procedures were guaranteed. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results: More than half (86.9%) have initiated their sexual life. The majority of these (78.6%) reported the onset at 16-20 years. Most of them (61.8%) have no dating relationship at present, and 60.3%. have no sex in the current relationship. 90.5% use contraception. The majority (95.0%) would use condoms in occasional relationships. 55.8% of the participants do not monitor sexual and reproductive health and the nurse clarifies doubts about sexual and reproductive health with 75.4% of the sample. 63.1% of the participants never did a cervical cytology. 56.8% are not aware of family planning. Girls report more knowledge about family planning (p = 0.034). The monthly income of the household is statistically significant, with the highest income students showing more knowledge (p = 0.047). Health students have more knowledge (p = 0.001). Of the affective and sexual variables, only the sexual life had statistical significance, with those that had not initiated it, having more knowledge (p = 0.014). Conclusion: There is a need for interventions to promote sexual and reproductive health, aiming at a healthy sexuality experience.

Background:The Hostile behavior in children and adolescents is a problem of today. Several epidemiological studies reveal a primordial importance of parental relationship to the psychosocial development of the individual. Objectives: Determine the prevalence of hostile behavior in children and adolescents; identify the sociodemographic and family background variables that influence the hostile behavior in children and adolescents; examine how the perception against the parental conflict relates to the hostile behavior. Methodology: Quantitative study, non-experimental, transverse, descriptive and correlational and explanatory, involving a sample of 2728 children and adolescents (mean age = 14.73 and Dp = +/- 2.3). The data was gathered through a questionnaire that evolves dimensions such as Sociodemographyc Data, Family Context Data, Children’s Perception of Interparental Conflict Scale, Buss-Durkee Hostility Inventory. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results:The greater perception against the Conflict Interparental, the greater the Hostile behavior in children and adolescents. The Conflict Interparental influences Hostile behaviour in young people. If the Hostile behaviour in children and adolescents is recurrent and intense, exist a potential risk to will be an adult with antisocial behaviours. Conclusion:With the preparation of this study we intend to disseminate the results obtained are an added value to the quality of life of teenagers, trying to reduce the potential risks to the problem of Hostile Behavior.

Background:The onset of sexual activity is a time that has an impact on young people’s lives. It is important to know the motivations for the decision to have sex. Objectives: To determine if sexual satisfaction (relationship and trust) influence the motivation to have sex. Methodology: This is a quantitative, cross-sectional, descriptive and correlational study with a sample of 323 higher education students, with a mean age of 20.68 years (sd = ± 2.54 years). The data collection instrument was a questionnaire that enabled the construction of the sexual characterization. The satisfaction with the sexual relationship scale (Ribeiro Raimundo, 2005) and Motivation to have or not to have sex (Leal Maroco, 2010) was also included. The ethical procedures were guaranteed. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results: In the sample 62.5% of the participants have date. Of these 53.2% have been dating for more than two years. The boyfriend/girlfriend (30.7%) and the mother (21.4%) are the preferred interlocutors on sexuality. In the sample, 83.6% already started the sex life. The female (63.2%) values intimacies close to intercourse. 54.2% of females prefer not to have sexual intercourse with more than one person. In the current relationship 69.2% have sex and 81.7% have contraception. Participants reveal positive sexual satisfaction in both relationship and trust. Dating and sexual experience influence sexual satisfaction. Male present hedonism, health, and relational interdependence as reasons for having sex. Participants without sexual experience refer fear and conservatism not to have sex. Sexual satisfaction is predictive of having sex in the dimensions of hedonism and health, and relational interdependence. Conclusion: We propose the creation of offices in the universities to clarify doubts and to train sexuality-related skills that provide sexual decisions and promote sexual and reproductive health.

Enquadramento: O suporte social é um fator relevante no estabelecimento de laços afetivos entre pai e bebé, pois envolve a qualidade das relações sociais centradas na família. Este tem sido apontado como uma variável psicossocial envolvida na adaptação à parentalidade. Objetivo: Estabelecer a relação entre o suporte social e a vinculação (bonding) entre o pai e o bebé. Método: Trata-se de um estudo transversal, descritivo-correlacional, de natureza quantitativa, com uma amostra de 349 pais média de idade 31,84 anos, dp= 6,067). O instrumento de colheita de dados foi o questionário que permitiu caracterizar a amostra nas variáveis sociodemográficas, de gravidez e parto e foi ainda incluída a Escala de Satisfação com o Suporte Social (Ribeiro, 1999) e Escala de Bonding (Figueiredo et al., 2005). Resultados: Os resultados demonstram que o bonding positivo é influenciado pela idade (p=0,010), habilitações literárias (p=0,045), ser primeiro filho (p=0,027), comunicação com o feto (p=0,005), presença no trabalho de parto (p=0,045). Quanto ao suporte social foi encontrada relação entre o bonding positivo e “satisfação com os amigos” (p=0,011); bonding negativo e “intimidades” (p=0,011) e bonding total e “satisfação com a família” (p=0,001). Conclusão: O papel do enfermeiro especialista em saúde materna assume-se como primordial, devendo envolver o pai desde o início da gravidez. Dada a importância que o suporte social asume no estabelecimento do bonding, é imprescindível que os profissionais de saúde apoiem e integrem o pai no processo de adaptação à parentalidade.

Background: The social support is an important factor in the establishment of bonding between parent and baby, because it involve the quality of social relations in the family. This factor has been pointed out a psychosocial variable involved in adaptation to parenthood. Objective: Investigate the influence between social support and bonding of father and baby. Methods: This study is a cross-sectional study, correlational descriptive, quantitative, attended by 349 parents, aged between 19 and 55, with an average age of 31,84 (sd=6,067). To providing a reliable sample characterization the social-demographic, obstetric and pregnancy variables, we applied questionnaires and also the Satisfaction Scale with the Social Support (Ribeiro, 1999) and Bonding Scale (Figueiredo et al., 2005). Results: This study reveals that positive bonding is influenced by age (p=0,010), qualifications (p=0,045), first child (p=0,027), communication with fetus (p=0,005) and be present during labor (p=0,045). Regarding to social support: - Positive bonding and “satisfaction with friends” (p=0,011); - Negative bonding and “intimacies” (p=0,011); - Total bonding and “family satisfaction” (p=0,001). Conclusion: The data undoubtedly show the importance of nurse specialists in maternal health who must involve the father since the beginning of pregnancy. Since social support is key to bonding, it is essential that health professionals support and integrate the father in the adjustement process to parenthood.

Background: The bonding process is essential to favors and/or determines the future relationship between parent and baby and influences the cognitive and social development of the child. The bonding is conditioned by a set of interrelated factors with parental and situational conditions that may assist or prevent the establishment of bonding (Pereira, 2009). Objective: Establish the relationship between the sociodemographic context (age, marital status, educational qualifications and length of relationship) and bonding parent/baby. Methods: This study is a cross-sectional study, correlational descriptive, quantitative, attended by 349 parents, aged between 19 and 55, with an average age of 31,84 (sd=6,067). To providing a reliable sample characterization the social-demographic we applied questionnaires and Bonding Scale (Figueiredo et al., 2005). Results: This study reveals that positive bonding is influenced by age (p=0,010), being higher in parents aged 30 years or less. With regard to qualifications, it was found that the smaller the educational level of the parents, the greater the bonding positive (p=0,045). On the other hand the marital status and the length of the relationship did not influence the bonding. Conclusion: Given the importance of the bonding process between parent and baby, whose involvement should exist from the beginning of pregnancy, it’s imperative that the Nurse Specialist in maternal health take responsibility to educate and stimulate the paternal bonding supporting and integrating the father in the process of adaptation to parenthood.

Introduction: within the last decades, great importance has been given to the bacterium Helicobacter Pylori. The Helicobacter pylori infection is a public health problem and is recognized as one of the most common chronic infections, estimating that about half of the world’s population is infected with it. This bacterium, located in the gastric mucosa, is related to some pathologies: gastritis, gastric carcinoma, peptic ulcer. Methods: We carried out an observational cross-sectional study with a community sample of adults from the municipalities of Viseu and Satão. The final sample consisted of 166 adults, aged between 19 and 92 years (mean of 46.96 ± 3.17 years), and the majority female (56.6%). Data were collected through a self-administered questionnaire with questions regarding sociodemographic aspects, the family household and daily habits and lifestyles. The H. pylori infection was identified using the urea breath test. The test was performed in the morning after at least 6 hours of fasting. Statistical analysis was performed using the statistical program SPSS 23.0. The prevalences were expressed in proportions and compared by the chi-square test with a level of significance of 0.05. Associations were calculated using the Odds Ratio (OR), with 95% confidence intervals (95% CI). Results: The prevalence of Helicobacter Pylori was 48.8% (50.0% in females and 47.2% in males). We found higher percentages in the female gender, for ages ≤ 50 years, married, with an education level inferior to 12th grade, with a greater number of siblings, and for those who were employed. Nonetheless, the differences were not statistically significant. Conclusion: Almost half of the sample was infected by the Helicobacter pylori bacteria. We found no association between the presence of Helicobacter pylori and gender; age; marital status; schooling, body mass index, professional situation, number of household members and the number of rooms.

Introdução: O rendimento escolar dos adolescentes é determinado por variáveis relacionadas com as atividades domésticas e de lazer. Objectivo: Identificar as variáveis relacionadas às atividades domésticas e de lazer que influenciam o rendimento escolar dos adolescentes. Metodologia: Estudo observacional, quantitativo, não experimental, em corte transversal, descritivo e correlacional, explicativo e retrospectivo, realizado numa amostra não probabilística intencional por conveniência, constituída por 380 adolescentes com uma média de idades de 13.5 anos (±1.56 dp). Resultados: Os adolescentes que colaboram com os familiares em atividades domésticas revelam melhor rendimento escolar (p=0,014). O rendimento escolar dos adolescentes é maior naqueles que ocupam menos de uma hora por dia em atividades de lazer, como no uso do computador (p=0,05), na visualização de vídeos (p=0,021), e no uso de jogos em PC ou em consola (p=0,011). Conclusão: As atividades domésticas influenciam positivamente o rendimento escolar dos adolescentes, enquanto as atividades de lazer como passar tempo a usar o computador, ver vídeos, jogar em computador e/ou em consola em tempos superiores a uma hora o influenciam negativamente.

Enquadramento: Os valores e as crenças dos adolescentes e jovens adultos sobre a sexualidade, maternidade e aborto são determinados por uma multiplicidade de fatores de natureza individual e de ordem sociocultural. Objetivos: Analisar se as variáveis sociodemográficas afectivas, sexuais e reprodutivas influenciam os valores e crenças sobre a sexualidade, maternidade e aborto nos estudantes do ensino superior. Metodologia: Estudo quantitativo, descritivo-correlacional e transversal, com uma amostra de 641 estudantes (idade média de 20.62, dp± 2.145 anos), maioritariamente feminina (64.9%), O protocolo de investigação foi o questionário que permitiu caracterizar a amostra sociodemográfica, afetiva, reprodutiva e sexualmente. Inclui ainda a escala de Valores e Crenças sobre Sexualidade, Maternidade/Paternidade e Aborto (Sereno, Leal Maroco, 2009). Resultados: Os estudantes do sexo masculino manifestam mais crenças em termos de maternidade, reprodução. As estudantes revelam mais crenças em relação à afetividade, aborto e prazer. Os residentes em meio urbano manifestam mais crenças em relação à maternidade. Os residentes em meio rural têm mais valores e crenças face à reprodução, aborto. Os estudantes a frequentarem o 2.º ano manifestaram mais valores e crenças face à maternidade e reprodução; os do 1º ano pontuaram mais nos valores e crenças em relação à afetividade e no prazer; os do 3.º ano possuem mais valores e crenças perante o aborto. Os estudantes que namoram e que já iniciaram a vida sexual pontuaram mais em todas as dimensões, com destaque para os valores e crenças face ao prazer. Os que não utilizam algum método anticoncetivo apresentam valores mais elevados em relação à maternidade, reprodução, aborto e valores e crenças na globalidade, enquanto os que utilizam algum método contracetivo pontuaram mais na afetividade e no prazer. Conclusão: Os resultados sugerem necessidade de debater as questões relativas à maternidade, paternidade, aborto e sexualidade com jovens adultos, em contexto de ensino superior, no sentido de os capacitar para a tomada de decisão informada, contribuindo desta forma para a promoção da saúde sexual e reprodutiva.

Introdução: A satisfação dos doentes constitui um indicador indispensável para a avaliação da qualidade dos cuidados e há evidência da sua correlação com os resultados em saúde. A satisfação com os cuidados de saúde é um conceito multidimensional que considera aspetos como acesso, organização e interação doente - profissional. Consideramos que os cuidados de enfermagem, em particular, são fundamentais no processo saúde/doença. Objetivos: Validar uma escala para avaliar a satisfação dos utentes face aos cuidados de enfermagem, adaptado do instrumento EUROPEP e avaliar a satisfação dos utentes dos cuidados de saúde primários da região centro de Portugal. Material e métodos: Estudo transversal, com uma amostra de 827 utentes adultos (maioria do sexo feminino 64,4%) com uma média de idade de 50,08±18,58 anos. Os dados foram recolhidos através de um questionário, constituído por variáveis sociodemográficas, o instrumento EUROPEP (Ferreira, 1995) para avaliar a satisfação com os cuidados de saúde primários e para avaliar a satisfação especificamente com a equipa de enfermagem elaboramos questões adaptadas do instrumento EUROPEP e agrupadas nas dimensões relação de ajuda, dimensão interpessoal e instrumental. A consistência interna, reprodutibilidade e análise de conteúdo foram avaliados com recurso ao SPSS 23.0; considerando a consistência aceitável para um de Cronbach 0,70. O coeficiente para cada item é apresentado com um intervalo de confiança de 95%. Resultados: Em todas as dimensões do questionário EUROPEP, a maior percentagem de satisfação com os cuidados situou-se entre “boa” e “muito boa”. As dimensões criadas para avaliar especificamente os cuidados de enfermagem apresentaram um coeficiente de α de Cronbach total de 0,972. Conclusões: Estes resultados sugerem que as dimensões criadas para avaliar os cuidados de enfermagem serão úteis para a investigação na população Portuguesa. A satisfação do utente é decisiva para a qualidade e eficiência dos cuidados prestados, sendo necessário o compromisso de todos os prestadores na implementação de práticas sistemáticas de gestão que conduzam à satisfação, dando particular atenção à melhoria contínua dos processos organizacionais.

Introduction: Emotional intelligence is understood by the academics as a skill that promotes the individual’s decision-making capacity in the face of everyday life situations. It allows better planning of your actions according to the objectives outlined and consequently the realization of future projects. Aims: To evaluate the level of emotional intelligence of the elderly and to confirm that their area of living, their education level, their physical activity and the existence of depression before 65 years old can influence their own emotional intelligence and its dimensions. Methods: Cross-sectional, descriptive and correlational, quantitative study. In this study there was the voluntary participation of 1040 elderly, aged between 65 and 96 years old from the Central Region of Portugal. For the measurement of the variables it was used an Emotional Intelligence Scale (MIE), and a form for the demographic and situational characterization. Results: Of the elderly respondents 39.7% high emotional intelligence, 22.9% moderate emotional intelligence and 37.4% low emotional intelligence. For the five dimensions of emotional intelligence residential area and schooling interferes with the Empathy, Self-motivation and Self-awareness. The practice of physical activity interferes with the Empathy and the emotional intelligence globally. The existence of depression before age 65 doesn

Self-medication is an important public health issue and a challenge in several European countries, particularly in Portugal. The objectives of this study were to estimate the prevalence of self-medication in a sample of Portuguese adults in the Central and Northern Region of Portugal and to identify sociodemographic and health factors associated with self-medication. Participants and Methods: A cross-sectional analytical study was performed. The sample consisted of 197 individuals from the community, central and northern Portugal, with a mean age of 38.26 ± 14.20 years and mostly female (65.0%). The data collection was accomplished through the application of a questionnaire, composed of questions of sociodemographic characterization, health context and issues related to selfmedication. Results: In the total sample, the prevalence of self-medication throughout life was 74.1% and in the last 6 months it was 59.9%. Lifelong self-medication was significantly associated with urban residence (p = 0.018). Self-medication in the last 6 months was positively correlated with age ≤25 years (OR = 3.69, 95% CI 1.04-12.14) and negatively with the residential area (rural OR = 0.36, 95% CI, 0.15-0.84). Conclusions: We observed a high prevalence of self-medication throughout the life and in the last 6 months among the northern and central communities of Portugal. Self-medication was associated with sociodemographic and health variables. The results of the present study provide evidence for the planning of interventions in the control of selfmedication in the community.

A non-smoking pregnancy translates into more health for the mother and the child. Pregnancy surveillance ensures the timely identification of risk factors and the possibility of early prenatal care that prevents complications. The nurse assumes himself as a professional in promoting health and preventing complications in the follow-up of the woman / couple throughout pregnancy and in the awareness of the importance of adopting healthy lifestyles. Objective: Identify the determinants of tobacco use and pregnancy surveillance. Methodology: This is a quantitative, cross-sectional, descriptive and correlational study with a sample of 3232 mothers. The study was carried out in 32 maternity / maternity hospitals, from north to south of Portugal, in the obstetrics / inpatient postpartum service between 2010 and 2012. The data collection instrument was the questionnaire that allowed the sociodemographic characterization of the sample with a mean age of women of 28.75 years (SD = 5.463 years), 78.2% Portuguese and 21.8% foreign. Ethical procedures were ensured and the study was authorized by the National Data Protection Commission in addition to the favorable opinions of the ethics committees of the institutions involved. The data was processed with the SPSS program (Statistical Package for the Social Sciences) version 24 for Windows. Results: A woman who lives with a partner who has not planned pregnancy is more likely to have adequate pregnancy surveillance and not consume tobacco during pregnancy. On the other hand, a woman living in a rural area, with a higher vocational training or technical training, who is not employed, has had health problems during pregnancy and has not been prepared for childbirth, is less likely to surveillance her pregnancy and more likely to be a tobacco user. Conclusion: Adequate pregnancy surveillance ensures the timely identification of risk factors such as tobacco use and the possibility of timely sensitization of the woman / couple to a non-smoking pregnancy and for the prevention of complications.

Background: Breastfeeding is determined not just organically but also involves emotional and socio-cultural factors. Objectives: Identify the most frequent difficulties associated with breastfeeding in the first month of life of the baby; Evaluate the relationship between difficulties in breastfeeding and satisfaction with life; Analyze the relationship between difficulties in breastfeeding and sociodemographic variables. Methods: A quantitative study, descriptive, correlational. The data were collected through a questionnaire, applied in two moments, at 7 and 30 days of the baby’s life, which allowed the sociodemographic and breastfeeding characterization. It also includes Satisfaction with Life Scale (Simões, 1992). The sample is not probabilistic for convenience, made up of 255 mothers who breastfeed, entered in the Family Health Units and Custom Health Care Units in the central region of Portugal. Results: Participants have an average age of 20.7 years, mostly married, with education less than the 3rd cycle, and residents employed full time in the city. As for the most common problems associated with breastfeeding in the two stages of evaluation that women had the 7th day and continued to be the 30th day, the fissures predominate (77.5%), breast engorgement (66.7%), mastitis (63.6%) the difficulties in the handle (82.4%), the position and posture for nursing (50.0%). The difficulties in breastfeeding are not related to satisfaction with life. Conclusions: In view of these results, and knowing that women have difficulties with breastfeeding in the two time points, it is important the support from nurses so that they can overcome them and do not constitute a repudiation of reason breastfeeding.

Enquadramento: O processo de vinculação é indispensável pois favorece e/ou determina a futura relação entre a díade: pai/bebé e influencia o desenvolvimento cognitivo e social da criança. Este processo de vinculação (bonding) é condicionado por um conjunto de fatores interligados com as condições parentais e situacionais que poderão coadjuvar ou impedir o estabelecimento do proceso de vinculação (Pereira, 2009). Objetivo: Estabelecer a relação entre o contexto sociodemográfico (idade, estado civil, habilitações literárias e duração do relacionamento) e a vinculação (bonding) entre o pai e o bebé. Método: Trata-se de um estudo transversal, descritivo-correlacional, de natureza quantitativa, com uma amostra de 349 pais com média de idade de 31,84 anos (dp= 6,067). O instrumento de colheita de dados foi o questionário que permitiu caracterizar a amostra nas variáveis sociodemográficas e a Escala de Bonding (Figueiredo et al., 2005). Resultados: Os resultados demonstram que o bonding positivo é influenciado pela idade (p=0,010), sendo mais elevado nos pais com idade igual ou inferior a 30 anos. No que concerne às habilitações literárias, verificou-se que quanto menor é a escolaridade dos pais, maior é o bonding positivo (p=0,045).Por outro lado o estado civil e a duração do relacionamento não influenciam o bonding. Conclusão: Face à importância do processo de vinculação pai/bebe, cujo envolvimento debe existir desde o início da gravidez, é imprescindível que o Enfermeiro especialista em saúde materna assuma a responsabilidade de educar e estimular o bonding paterno apoiando e integrando o pai no processo de adaptação à parentalidade.

Introduction: The consumption of alcoholic beverages during pregnancy is highly detrimental to the mothers’ health as well as to the health of the fetus. Alcohol consumption during pregnancy leads us to question the quality of health care. The objectives of this study are to quantify the prevalence of alcohol consumption during pregnancy by Portuguese and immigrant women in Portugal and to analyze the information conveyed during pregnancy surveillance visits. Methods: A cross-sectional study, partially analyzed as a control case, involved 753 immigrant mothers between the ages of 16 and 45 (29,30 ± 5,76) and 1654 Portuguese women aged 15-44 (29,99 ± 5, 42). Data collection resorted to self-administered questionnaires in 32 Portuguese maternity wards/ hospitals, from January 2010 to December 2011. Alcohol consumption was defined as the intake of any amount of alcohol during pregnancy. Prevalence was expressed in proportions and the association scale between odds ratios (ORs) and their 95% confidence intervals was determined. Results: Nine out of ten pregnant women did not ingest any alcohol. Among those who ingested it, the highest percentage occurred among immigrants (12.0% vs 6.6%) with statistical significance (OR 0.52, CI 95% 0.37-0.7, x2 = 19.617, p 0.001). As to the frequency of consumption, 57.8% of the Portuguese women and 71.1% of the immigrants (OR 0.37, 95% CI 0.26-0.52) consumed a few times. Regarding the quality of information on alcohol consumption, 39.2% of the Portuguese considered it good and 34.9% of the immigrants, reasonable. Conclusion: Migrant women consume more alcoholic beverages during pregnancy than Portuguese ones. The prevalence of alcohol consumption during pregnancy by immigrants and Portuguese suggests inadequate antenatal care.

Enquadramento: O baixo peso ao nascer é um fator de risco para a morbi-mortalidade neonatal, e um indicador geral do nível de saúde de uma população. Associa-se a baixos níveis de desenvolvimento socioeconómico, características maternas e de assistência materno-infantil. Objetivos: Analisar a influência das variáveis sociodemográficas, obstétricas e de assistência pré-natal ao baixo peso ao nascer. Participantes: 1846 puérperas, em que 161 apresentam recém-nascidos de baixo peso ao nascer. Métodos: Estudo transversal, descritivo correlacional e prospetivo com uma amostra não probabilística intencional. Foi utilizado um questionário aplicado entre Março de 2010 e Maio de 2012, em 26 instituições de saúde públicas portuguesas. Resultados: O baixo peso ao nascer, foi associado a: idade gestacional ≥41semanas (p0,001), idade materna de risco*número gestações de risco (p=0,021); baixa escolaridade*rendimentos ≤1000€ (p=0,036), baixa escolaridade*desemprego (p=0,044), número filhos de risco*idade gestacional de termo (p0,001), patologias na gravidez*idade gestacional de termo (p0,001), patologias prévias*idade gestacional de termo(p0,001), e com erro de 10% à baixa escolaridade (p=0,074) e não planeamento da gravidez (p=0,089). A prevalência de BPN foi de 8,7%. Conclusão: A determinação dos fatores que favorecem o aparecimento do baixo peso ao nascer é fundamental para o planeamento e desenvolvimento de ações no âmbito da saúde materno-infantil.

The hostile behaviors in adolescents are a growing reality in the world being necessary to investigate their causes and think about interventions in the various contexts of life Objective: Outline appropriate intervention strategies to adolescents, in close liaison with teachers for prevention and promotion of healthy behaviors. Methods: Qualitative study of phenomenological nature inscribed in naturalistic paradigm involving a sample of 35 class directors of the secondary schools in the city of Viseu. The data collection is made through a questionnaire, consisting of open response questions: characterization; teachers’ opinions about the formal educational interventions, practiced and recommended; role of the nurse in the school. Results: class directors consider that the pedagogical strategies enacted by the Ministry of Education, are not effective in the facing of hostile behaviors in adolescents, stating that the pedagogical strategy they most utilize is the dialogue; Pedagogical strategies recommended are in school interventions, followed by interventions directed to parents and “creating Health Office” being the nurse one of the trainers sensitizing the entire educational community about this issue. Conclusions: Support for the development of protective factors is of paramount importance in the prevention of hostile behaviors reducing its prevalence. We suggest the implementation of intervention programs based on promotion of non-violent environments and behaviors involving theentire educational community.

Background: Dating violence is a serious problem, whether because of its prevalence and consequences on physical and mental health. Objectives: To identify the sociodemographic and academic variables that affects the behavior of dating violence for students in higher education and determines how the adaptability and family cohesion interfere in the behavior of violence. Participants: The sample consisted of 820 university students (mean age 20,48 years, Sd= 2.51). Method: It is a quantitative, described correlational and cross study. The research protocol is a questionnaire. Allowed to characterize socio demographically and academics sample, in terms of practices and behaviors violence in dating with Dixe, Rodrigues, Freire et al. ( 2010), Scale and Adaptability and Family Cohesion with Tribuna, (2000) Scale. Results: This is a mainly female sample (69.4%), predominance of single students (57.2%), 46.2% attends a course in technology and 52.5% attend a course in health care. Gender, marital status, and course interfere in the conduct of dating violence. Are the male students, the course in the field of technology and to attend the 1st year who exhibit more violent behavior dating, especially stalking violence and psychological violence. The adaptability and family cohesion were not significant in physical and sexual violence, stalking and psychological violence. Conclusion: Given the results we propose the implementation of programs (debates and forums) against dating violence in schools, focused on primary prevention.

Background: The access to higher education is a complex process and it's a major challenge for students, confronting them with numerous changes and challenges. Satisfaction with social support is considered a protective and adaptive factor in the face of adverse characteristics of this integration process. Goals: Evaluate the satisfaction of social support on higher education students and analyze the relationship between social support and socio-demographic, academic and socio-economic variables. Methods: Data was collected through the implementation of a questionnaire in an online platform to a non-probabilistic sample of 556 students (average age 20.20 years) taking a degree. Socio-demographic, academic and socio-economic information was obtained. Satisfaction with social support was obtained through the Satisfaction Scale with Social Support (Pais Ribeiro, 1999). Results: Gender variables, age, parent's marital status, number of siblings, household income, region to which they belong, number of children, satisfaction with the course and study, and the place of residence, all this statistically interfered in satisfaction with social support. Conclusion: We suggest the implementation of diagnostic measures in schools to identify risk situations relating to social support, and appropriate interventions to prevent behaviors that may harm the personal and academic life of the same.

O trabalho que desenvolvemos tem como principal objectivo avaliar a Inteligência Emocional de Professores de Educação Especial que trabalham com crianças e jovens portadoras de deficiência em Escolas públicas e privadas do Ensino Básico e Secundário e a sua relevancia para a inclusão. Nesta perspectiva, pretende-se perceber quais as variáveis que podem influenciar a Inteligência Emocional no contexto dos docentes de Educação Especial, para que deste modo possamos compreender a importância do desenvolvimento deste conceito na auto gestão das emoções e na construção de relações inter e intra pessoais, que levem a uma maior eficácia das práticas inclusivas destes profissionais. Aplicamos uma Escala, o “EQ-map”, que nos permitiu avaliar o Quociente Emocional de um grupo de professores de Educação Especial especializados, nas áreas mental-motora, visual e auditiva. Fizemos também entrevistas com o objectivo de perceber quais as percepções que os Professores de Educação Especial têm sobre a Inteligência Emocional e os resultados vão ao encontro dos encontrados pelo questionário. Neste sentido, os nossos principais resultados revelam que a Inteligência Emocional da nossa amostra se situa maioritariamente em níveis de vulnerabilidade e a necessitar de atenção e que varia negativamente com a Ocorrências de Vida e Saúde em Geral e positivamente com a Qualidade de vida, Satisfação de Vida, Quociente de Relacionamento e Desempenho Óptimo Trata-se de um estudo epidemiológico, transversal correlacional e descritivo.