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- Implementation of a mobile app (TeenPower) to prevent overweight and obesity: Preliminary results regarding lifestyle and usabilityPublication . Dias, Sara Simões; Frontini, Roberta; Sousa, PedroThe world is facing an enormous challenge: the vital need to prevent noncommunicable diseases such as overweight and obesity. Prevention programs must be not only valid and effective, but also attractive to young people. In fact, if the tool or program used is not attractive, the adherence to the treatment may not occur. The TeenPower project intended to create a platform for promoting healthy behaviors and fight overweight/obesity. This paper presents the preliminary results of the program regarding adolescents’ lifestyle and the usability tests. Adolescents from three different schools in the center of Portugal were recruited. Results showed that adolescents presented moderate healthy lifestyles, with the Interpersonal Relationships subscale showing higher values. Boys presented higher values in the subscale of Interpersonal Relationships compared to girls (p<0.001) and there are statistical differences between schools relating to the Stress Management subscale (p=0.014). Most users made a positive assessment in terms of perception of utility, perception of ease and attitude towards the TeenPower app. Nonetheless only 33.2% of the adolescents invited activated their profile at the TeenPower app. This final assessment was important to gather information and feedback to improve future prevention programs, which should focus on motivating these adolescents and their parents to use this type of apps. In a future research it will be also important to understand the reasons for teenager’s refusal to join this kind of programs.
- Effects of Anaesthesia on Insulin Sensitivity and Metabolic Parameters in Wistar RatsPublication . Guarino, Maria Pedro; Santos, Ana Isabel; Mota-Carmo, Miguel; Costa, Pedro FreireWe compared the effects of two different anaesthetics, sodium pentobarbital (65 mg/kg) and ketamine (30 mg/kg) plus xylazine (4 mg/kg) (KX) on insulin sensitivity, fasting glycaemia, insulinaemia and free fatty acids (FFA). Four groups of Wistar rats were used: KX group (n=6), pentobarbital group (n=6), high-sucrose diet group (n=6) and the conscious group (n=6). The insulin tolerance test (ITT) was used to measure insulin sensitivity, and metabolic biomarkers were determined using commercial kits. Pentobarbital did not alter plasma insulin, glucose, FFA or the ITT results compared to conscious animals. In contrast, KX anaesthesia induced hyperglycaemia, increased serum FFA and altered the ITT results compared to the conscious animal group. Moreover, under pentobarbital anaesthesia, the ITT proved to be a suitable method to detect insulin resistance in an animal model of diet-induced insulin resistance. We concluded that sodium pentobarbital anaesthesia should be used in metabolic studies since it does not interfere with plasma glucose, insulin, F FA or insulin sensitivity quantification in Wistar rats.
- O lugar da investigação participada de base comunitária na promoção da saúde mentalPublication . Gomes, José Carlos Rodrigues; Loureiro, Maria Isabel GuedesA saúde mental é imprescindível ao desenvolvimento social e económico das comunidades. Envolver as comunidades no desenho e desenvolvimento de planos locais de promoção da saúde mental é um importante desafio para garantir mais e melhor saúde mental a cada comunidade. De 2009 a 2012 desenvolveu-se um estudo de caso baseado nos pressupostos de uma investigação participada de base comunitária numa comunidade urbana da região metropolitana de Lisboa, com o objetivo de fundamentar o desenho de um plano local de promoção da saúde mental local. O resultado deste trabalho de parceria, que envolveu habitantes e organizações governamentais e não-governamentais da comunidade urbana, fundamentado na capacitação individual e comunitária da comunidade e dos seus membros, confirmou a necessidade de uma participação ativa e efetiva da comunidade no desenvolvimento de políticas locais de promoção da saúde e concluiu pela definição de 6 eixos estratégicos de intervenção pelo período temporal 2012/2015: uma escola com saúde mental; uma comunidade ativa e segura; uma comunidade solidária e inclusiva; uma comunidade atenta; uma organização económico-laboral promotora de saúde mental; uma senioridade mentalmente saudável.
- Conexões Virtuais e Solidão: Explorando o Envelhecimento Ativo através do Facebook entre os IdososPublication . Ribeiro, Jaime; Reis, Margarida; Vidal Barrantes, Francisco Javier; Custódio, SusanaIntrodução: As trajetórias de desenvolvimento dos idosos são influenciadas pela sua capacidade de lidar bem com as mudanças que ocorrem nas diversas áreas da vida, assim como com eventos como a reforma, a institucionalização e a perda de amigos e cônjuges. Estas transições muitas vezes levam à solidão e ao isolamento social entre os mais velhos. Num contexto de uma sociedade cada vez mais envelhecida e tecnológica, o Facebook destaca-se como a rede social mais utilizada, inclusive em Portugal, sendo cada vez mais adotado pelos idosos. Métodos: Este estudo adotou uma abordagem mista e descritivo-correlacional. Para recolher os dados, foi utilizado um questionário online, que incluiu a Escala de Solidão da UCLA, bem como entrevistas. A amostra consistiu em 269 indivíduos com 55 anos ou mais, aposentados e utilizadores do Facebook. Resultados: Os resultados indicaram que a maioria dos idosos utiliza o Facebook para socializar, comunicar, obter conhecimento e manter contato com familiares distantes, servindo como um meio de evitar a solidão. Conclusões: O Facebook parece desempenhar um papel significativo na redução do isolamento social entre os idosos, facilitando a manutenção de redes sociais e familiares, o que é crucial para um envelhecimento ativo.
- Programas de educação dirigidos ao utente com diabetes mellitus tipo 2: revisão sistemática da literaturaPublication . Menino, Eva; Dixe, Maria dos Anjos; Martins Louro, Maria Clarisse; Roque, SofiaO aumento da longevidade e as problemáticas de saúde associadas ao aumento da incidência da doença crónica, concretamente a diabetes que apresenta implicações documentadas ao nível económico, social e familiar, justificam a necessidade de uma resposta dos serviços de saúde consertada e de qualidade. Esta revisão sistemática tem como objetivo analisar os programas de educação dirigidos ao utente diabético, metodologias de avaliação assim como os respetivos resultados. Os cinco estudos incluídos resultaram duma pesquisa realizada na EBSCOhost e na ISI Web of Knowledge. Os programas de intervenção apresentam metodologias e estruturas distintas, embora todos tenham tido por base teórica a educação para a autogestão. As metodologias de avaliação da eficácia dos programas incidiram essencialmente em parâmetros fisiológicos, embora em alguns estudos tenham sido avaliados parâmetros psicológicos. Os resultados mostram melhorias nos valores da Hemoglobina glicada; da pressão arterial, colesterol, na vigilância oftálmica, autovigilância dos pés e vigilância nefropática, autoeficácia, qualidade de vida, dieta, peso corporal, perímetro abdominal, indicadores de atitude e indicadores de comportamento. Parece haver uma resposta positiva aos programas de intervenção, traduzida em resultados relacionados com parâmetros fisiológicos e parâmetros psicológicos.
- Attitude Towards Pressure Ulcers Instrument: validação e adaptação transcultural para a população portuguesa de enfermeirosPublication . Batista, Margarida; Dixe, Maria dos Anjos; Alves, PauloContexto/objetivos: A investigação e a prática têm evidenciado a importância das atitudes dos enfermeiros na prevenção das úlceras de pressão e a necessidade da elaboração de instrumentos de medida válidos e fiáveis para a sua avaliação. Respondendo a esta necessidade, procedemos à validação transcultural do Attitude Towards Pressure Ulcers Instrument (APU) para a população portuguesa. Metodologia: Realizou-se um estudo metodológico numa amostra não-probabilística de estudantes de enfermagem (n=147) e enfermeiros (n=155). Foi utilizada a metodologia usada no estudo de validação original. Resultados: A tradução-retrotradução com a participação de um painel de peritos garantiu a equivalência semântica e conceptual. A análise fatorial determinou que os 22 itens se organizam em 5 fatores (importância, responsabilidade, obstáculos/barreiras, confiança na eficácia e competências pessoais), explicando 53,6% da variância total. Obteve-se um poder descriminante da escala em alguns dos grupos comparados. O coeficiente a Cronbach total=0,847 garantiu a consistência interna da escala e a confiabilidade teste-reteste revelou coeficientes de correlação r=0,883 comprovando a sua estabilidade temporal. Enfermeiros e estudantes revelaram uma atitude positiva acerca dos itens da escala, sem diferença estatisticamente significativa entre estes (t=0,567; p>0,05). Conclusão: A escala APu-PT evidenciou ser fiável e válida para a prática, ensino e investigação.
- ASA classification – What is the real impact of the introduction of the new clinical examples?Publication . Godinho, Pedro; Gonçalves, Lúcia; Muendane, Paulo; Dixe, Maria dos Anjos; Valente, ElisabeteAim The American Society of Anesthesiologists scale is used worldwide for the assessment of the physical status of patients proposed for anaesthesia interventions. This study aims to assess the level of agreement of the last updated American Society of Anesthesiologists classification version, with the introduction of examples for each class, and search for variables that could promote inconsistency. Methods An online questionnaire was sent to anaesthesiology specialists and residents in Portugal, describing 10 fictitious clinical cases. Sociodemographic and labour data were also correlated. Results/findings: A total of 243 anaesthesiology physicians participated. There was a high diversity in responses. Years of practice influence this diversity (P < 0.05). Discussion and conclusions: The need for a universal scale for classification of patients proposed for anaesthesia is consensual. Despite the last update in 2014, the American Society of Anesthesiologists classification continues to present limitations regarding consistency and objectivity. Efforts should be made to reduce their interpersonal variability.
- Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled TrialPublication . Sousa, Joana Pereira; Neves, Hugo; Pais-Vieira, MiguelPatients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).
- Practices and Challenges in Portuguese Early Childhood Intervention: A Descriptive StudyPublication . Costeira , Cristina; Lopes, Inês; Lopes, Saudade; Pedrosa, Vanda Varela; Custódio, Susana; Cioga, Elisabete; Silva, Cândida G.Background/Objectives: Early Childhood Intervention (ECI) services are critical for supporting children with developmental needs and their families. Despite an established legislative framework, challenges related to accessibility, equity, resources, and standardization of practices persist. This study aimed to describe the perspectives of early intervention professionals in Portugal regarding current barriers, facilitators, and priority areas for improvement within the system. Methods: A descriptive study was conducted involving 82 professionals working in early intervention in Portugal. Data were collected using a survey specifically developed by the research team, grounded in a comprehensive literature review and professional expertise. The instrument was validated through a Delphi Panel with two rounds involving six experts in ECI. Data from open-ended questions were analyzed using content analysis, identifying categories and sub-categories to describe the responses, and descriptive statistics for the closed-ended questions. Results: Professionals highlighted the need to update the National ECI System (SNIPI), improve accessibility, and ensure equitable access to early intervention services. Participants reported limited resources, a lack of standardization in practices, and emphasized the importance of professional training and continuous professional development. The findings also pointed to the urgent need for investment and functional and structural restructuring of early intervention services. Various barriers and facilitators were identified. Conclusions: The study provides valuable insights into the perspectives of early intervention professionals, identifying critical areas for policy improvement, resource allocation, and practice standardization.
- Mapping the Second Victim Experience Among Western Nurses: A Scoping ReviewPublication . Costeira, Cristina; Junqueira, Helena; Quintas, Pedro; Pragosa, Ângela; Mata, Ema; Duarte, Hugo; Bom, Luís; Pais, NelsonBackground/Objectives: The second victim phenomenon is increasingly recognized as a significant issue affecting nurses involved in adverse events resulting from clinical decisions or interventions. Although patients and families, considered the first victims, are directly impacted, nurses often undergo challenges as second victims. With the growing awareness of these effects, this study aimed to map recent evidence on the second victim phenomenon among nurses in Western countries. Methodology: A Scoping Review was conducted following the Joanna Briggs Institute methodology in September 2024 and updated in November 2025. Eligibility criteria were defined using the PCC (Population, Concept, Context) framework. Searches were performed in PubMed, CINAHL, SciELO, and Scopus. Two independent reviewers carried out study selection, data extraction, and synthesis. Rayyan® supported screening, performed in two phases: title/abstract review and full-text analysis. Data extraction was conducted in Excel®, and data were analyzed using descriptive statistics and categorized into thematic areas. The review followed PRISMA-ScR guidelines and was registered in the Open Science Framework. Results: Of the 111 articles retrieved, 39 met the inclusion criteria. Evidence shows that although several support programs exist for nurses as second victims, they are often perceived as inadequate or inconsistently implemented. Second victim experience is associated with physical (e.g., sleep disturbances), emotional (e.g., fear), and psychological (e.g., distress) symptoms, with consequences such as absenteeism, professional dissatisfaction, loss of meaning in life, and even suicide. Conclusion: Findings highlight the need for more comprehensive, accessible, and consistently implemented support strategies to meet the complex needs of nurses affected by the second victim phenomenon.