http://hdl.handle.net/10174/1635 2026-04-06T20:44:34Z 2026-04-06T20:44:34Z Moura, Ana Castanheira Pais, Sofia Alves, Elisabete http://hdl.handle.net/10174/37110 2024-07-09T16:40:18Z 2023-01-01T00:00:00Z

Title: Adaptação e Aprendizagens de Sobreviventes de AVC e Cuidadores/as Informais: da Investigação à Prática em Educação para a Saúde. Authors: Moura, Ana; Castanheira Pais, Sofia; Alves, Elisabete Abstract: Um Acidente Vascular Cerebral (AVC), constitui um evento disruptivo ao qual sobreviventes e cuidadores/as informais têm de se adaptar abruptamente. A compreensão profunda e holística dos processos de adaptação e de aprendizagem permite a problematização e desenvolvimento de estratégias de Educação para a Saúde (EpS) que promovam o bem-estar e qualidade de vida de ambos. Assim, através da triangulação de resultados de uma revisão de escopo acerca dos processos adaptativos e aprendizagens e de uma análise reflexiva acerca do Estatuto do Cuidador Informal - estudos levados a cabo no âmbito de um projeto de doutoramento - pretende-se compreender e explorar de que forma sobreviventes e cuidadores/as informais experienciam a sua adaptação e aprendizagens após um AVC. A revisão de escopo, analisou estudos publicados nas bases de dados PubMed, ISI Web of Science, PsycINFO e SciELO, tendo por base as recomendações PRISMA-ScR. Os resultados revelaram que os processos adaptativos após um AVC são constituídos por duas dimensões centrais: adaptação psicossocial e estrutural. O sofrimento emocional causado pelo AVC e pelo cuidado, o uso de estratégias de coping baseadas nas emoções, o apoio social recebido, as mudanças de papeis e de relações, e a participação social foram fatores centrais da adaptação psicossocial. Quanto à adaptação estrutural, o uso de estratégias de coping baseadas na resolução de problemas, a centralidade do papel do cuidado, os processos de aprendizagem e os desafios nas AVD’s foram reportadas. O segundo estudo, que teve por base uma análise reflexiva acerca do Estatuto do Cuidador Informal, da primeira autora enquanto entrevistadora de cuidadores/as informais de sobreviventes de AVC, reforçou o contributo do Estatuto para a visibilidade dos/as cuidadores/as informais e melhoria da qualidade de vida deste grupo. No entanto, a análise deste documento evidenciou um hiato entre o texto político e a realidade dos/as cuidadores/as, vertendo-se no desconhecimento acerca das medidas e serviços de apoio. Embora esteja previsto o direito à (in)formação, é relatada a escassez de recursos e serviços educativos. As aprendizagens acontecem num plano experimental, de forma inconsciente, autónoma e pouco suportada, podendo contribuir para desigualdades no campo do cuidado. Estes resultados evidenciam a necessidade de serem (re)pensadas as estratégias de EpS de apoio aos/às sobreviventes e cuidadores/as, especialmente considerando o papel do coping, das redes de suporte social e dos serviços comunitários na gestão do impacto emocional do AVC e do cuidado, promovendo a inclusão, participação social e literacia, a curto, médio e longo-prazo.

2023-01-01T00:00:00Z Nunes, Nuno Tores, Jorge Coelho, Anabela Costa, Andreia http://hdl.handle.net/10174/32624 2022-10-19T16:18:45Z 2022-08-31T23:00:00Z

Title: PREVENTION OF OVERWEIGHT AND OBESITY IN CHILDREN OF SCHOOL AGE Authors: Nunes, Nuno; Tores, Jorge; Coelho, Anabela; Costa, Andreia Abstract: Rationale: This project focuses on health promotion, in line with international goals to control the prevalence of childhood overweight and obesity in the child and school population. Thus, the following objective was defined for this project: Improve children's knowledge about healthy eating Methods: Given this, and since schools are a privileged place for the promotion of health (and consequent training of the child population and their parents), the target population of this project will be children aged between 6 and 8 years. The project is divided into 5 stages. In first, partnerships are established and information about the project is detailed through meetings with partners In the second stage, health education sessions will be held on the following topics: food wheel; fundamental foods and principles of the Mediterranean diet and foods rich in sugars and processed fats. The third stage focuses on creating healthy lunch boxes and dishes, using fictitious foods. In addition, students will analyse and interpret the labels through the “nutri-score” system, bringing labels they have at home to the sessions. The fourth stage of the project consists of collecting data on the foods that students bring in their lunch boxes. Thus, once a week, during the snack period, the teachers fill in a table showing the foods that students bring in their lunch box, allowing an intervention aimed at the foods that students bring. The last step is the global evaluation of the project. Results: The expected results are the indicators of intervention: percentage of students who correctly analyse and interpret labels, proportion of students who select foods in a healthy way when preparing healthy lunch boxes and dishes. Conclusion: The project focuses on a priority on a global scale, it intends to be the path of empowerment of the most vulnerable groups, considering children as one of these vulnerable groups, being very conditioned by the social determinants that surround them.

2022-08-31T23:00:00Z Coelho, Anabela Nunes, Nuno Costa, Andreia http://hdl.handle.net/10174/32599 2022-10-19T11:34:25Z 2022-08-31T23:00:00Z

Title: INTEGRATED MALNUTRICION MANAGEMENT: A COMPARATIVE ANALYSIS OF TREATMENT COSTS FOR ENTERAL NUTRITION HOME-BASED CARE VERSUS HOSPITAL-BASED CARE Authors: Coelho, Anabela; Nunes, Nuno; Costa, Andreia Abstract: Rationale: Home enteral nutrition (HEN) has always been recognized as a life-saving procedure however with budget constraints, its cost-effectiveness has been questioned recently. From the patient's perspective, the increased life expectancy, the right to receive of choice where to receive treatment, and the increased interest in quality of life have influenced the development of home care services. The increasing demands on nutritional programs have encouraged the shift from expensive hospital services to home care and this study will prove the cost savings of doing it at home. Methods: The observational study of HEN patients was performed between January 2020 and January 2022. A two-year period cost analysis was taken in place in order to reveal savings with HEN and reduction of adverse outcomes. The in-hospital cost was derived from the average cost of hospitalization median days and the HEN cost was derived from the average cost of nutrients and disposable equipment. Results: Implementation of HEN reduces the incidence of infectious complications, the number of hospital admissions, and the length of hospital stay. With this study, we will try to demonstrate how it will be converted into cost savings. Conclusion: During the past two decades, home enteral nutrition (HEN) services have been established both in Portugal and Europe. The presente study will show that HEN improves clinical outcomes and decreases health care costs.

2022-08-31T23:00:00Z Fonseca, Ana Frade, Maria Marques, Maria Céu Bule, Maria José Lopes, Manuel http://hdl.handle.net/10174/29719 2021-04-20T14:36:28Z 2012-09-30T23:00:00Z

Title: Representações sociais de enfermeiro supervisor elaboradas por estudantes de enfermagem Authors: Fonseca, Ana; Frade, Maria; Marques, Maria Céu; Bule, Maria José; Lopes, Manuel Abstract: Resumo: Supervision and learning must be guided and accompanied by expert nurses in the clinical area. The nurse supervisor is required, in addition to clinical skills, ability to discuss, to question and to reflect with the student (Ketola, 2009). Objectives: Identify the social representations (SR) of the clinical nurse supervisor characteristics, built by students. Analyze the relationship between the components of SR nursing clinical supervisor in prospective students. Methodology: Exploratory study, the sample consisted of 74 students of 4th year, 1st cycle of Nursing. Data collection was conducted through a questionnaire. We met the ethical and legal procedures. The data were categorized using the Microsoft Office Word  and processed in software Evoc and SIMI. Results: There was a predominance of female respondents, with a mean age of 24.6 years. Of the 359 words evoked, 47 is ascertained different. The SR nursing clinical supervisor have the following structure: the more consensual elements - core - were accessible, competence, knowledge, available, empathy, experience, honesty and impartiality. The elements less consensus second-periphery - were: friend, collaborator, friendly, direct and commitment. The similarity analysis to prove the centrality of the elements available, knowledge and empathy and showed that there is a strong relationship between the elements available, friendly and a moderate relationship between the majority of the remaining elements with centrality. Conclusion: The nursing supervisor RS, developed by students, are structured skills of professional experience, supported by knowledge, and skills related to the personal nature of the nurse. Thus, the nurse supervisor, in the minds of students, must have experience and knowledge should be accessible, comprehensive, available, empathetic, honest and impartial. Clinical experiences are conditioned by the relationship between supervisor and student nurses (Cunha et al, 2010; Pearson, 2009).

2012-09-30T23:00:00Z