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- Effectiveness of prehospital nursing interventions in stabilizing trauma victimsPublication . Mota, Mauro; Cunha, Madalena; Santos, Eduardo José Ferreira dos; Figueiredo, Ândrea; Silva, Márcio; Campos, Rui; Reis Santos, MargaridaBackground: Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce. Objective: To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal. Methodology: Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions. Results: This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001). Conclusion: Prehospital nursing interventions improve trauma victims’ clinical status
- Efetividade das intervenções de telemedicina no impacto da artrite reumatóide : protocolo de uma revisão umbrellaPublication . Rocha, Ana Isabel de Almeida Ribeiro Fernandes; Santos, Eduardo José Ferreira dos; Mota, Mauro Alexandre Lopes; Cunha, Madalena; Henriques, AdrianaContexto: Crónica e potencialmente incapacitante, com uma baixa qualidade de vida descrita, a artrite reumatoide (AR) afeta 0,5% da população adulta mundial. As intervenções de telemedicina apresentam-se como uma medida que melhora os cuidados de saúde, reduzindo os custos e o impacto da doença. Objetivo: Avaliar a efetividade das intervenções de telemedicina no autocuidado, gestão da dor e da fadiga, literacia e qualidade de vida, nas pessoas com AR. Método de revisão: Será utilizada a metodologia do Joanna Briggs Institute para revisões umbrella. A localização, seleção e extração dos estudos será realizada por dois revisores independentes. Apresentação e interpretação dos resultados: Pretende-se obter dados sobre a efetividade das intervenções de telemedicina no impacto da AR nas pessoas, contribuindo para a divulgação da melhor evidência disponível. Conclusão: O protocolo estabelecido possibilita uma execução precisa por parte de todos os investigadores, contribuindo para o planeamento de intervenções de enfermagem que minorizem o impacto da AR nos autocuidados, gestão da dor e da fadiga, literacia em saúde e qualidade de vida.
- Empatia e bem-estarPublication . Ferreira, Manuela; Margarida Campos, Sofia; Santos, Eduardo José Ferreira; Pereira, AndreiaEnquadramento: A empatia é um fenómeno multidimensional que integra aspetos cognitivos e afetivos. Consiste na capacidade de compreender a experiência dos outros e comunicar, ou seja, é como uma resposta emocional dirigida entre um indivíduo e outro, através da qual ambos são capazes de sentir a mesma emoção. É o resultado psicológico do intercâmbio de uma experiência entre dois indivíduos através da disposição funcional de uma forma absoluta, resultando numa preocupação evolutiva em relação à situação dos outros, o que se traduzirá em bem-estar psicológico. Objetivos: Descrever os níveis de empatia em estudantes do ensino superior; apurar se as variáveis sociodemográficas estão associadas à perceção da empatia; analisar a relação entre a perceção de bemestar psicológico e a empatia. Método: Estudo quantitativo, descritivo-correlacional, de tipologia transversal, com recurso a uma amostra não probabilística de 538 estudantes do ensino superior. O instrumento de recolha de dados, de autopreenchimento on-line, integrou um questionário sociodemográfico, a Escala de Medida de Manifestação de BemEstar Psicológico e o Índice de Reatividade Interpessoal. Resultados: Verificou-se que, em relação ao bem-estar psicológico percebido, a pontuação mais elevada foi na sociabilidade (M=3,83±,80) e no equilíbrio (M=3,59±,82). O género está estatisticamente relacionado com a empatia dos estudantes, particularmente na preocupação empática (p=,001) e na fantasia (p=,001). Os estudantes do género feminino pontuaram mais em todos os fatores que constituem a empatia, principalmente ao nível da preocupação empática. A regularidade com que os estudantes estudam interfere na tomada de perspetiva (p=,008) e na preocupação empática (p=,001), onde pontuaram mais os estudantes que estudam diariamente. O desconforto pessoal, a tomada de perspetiva, o género e a preocupação empática são variáveis preditoras do bem-estar psicológico, explicando 19% da variação. Conclusões: A empatia e bem-estar nos estudantes do ensino superior traduz-se em mais sociabilidade e equilíbrio, ao nível do bem-estar psicológico. As variáveis preditoras de bem-estar foram a tomada de perspetiva e a preocupação empática. A tomada de perspetiva e a preocupação empática estabelecem uma relação direta com o bem-estar, enquanto o desconforto pessoal e a fantasia estabelecem uma relação inversa.
- Health literacy and its determinants among pregnant women in PortugalPublication . Ferreira, Nuno; Ferreira, Manuela; Santos, Eduardo José Ferreira; Ferreira, Sofia; Arriaga, Miguel Telo; Costa, AndreiaBackground Health literacy is a key determinant of health outcomes and equity, particularly during pregnancy, a period marked by increased information needs and critical health decisions. Despite its importance, data on health literacy among pregnant women in Portugal remain scarce. This study aimed to assess general health literacy levels and their associations with sociodemographic, health-related, and pregnancy-specific factors in a large sample of pregnant women from the district of Viseu, Portugal. Methods A cross-sectional study was conducted with 886 pregnant women aged 18 years or older, using the validated HLS19-Q12 instrument to measure general health literacy. Data collection occurred between October 2023 and May 2024 using a multimodal approach (online, interview, and paper-based). Health literacy was categorized into four levels and also dichotomized as limited versus not limited. Descriptive statistics, bivariate analyses, and binary logistic regression were performed to identify determinants of limited health literacy. Results The mean general health literacy score was 68.3 (SD±10.9). A total of 46.7% of participants were classified as having limited health literacy. Among the pregnant women surveyed, 18.8% were born outside Portugal. Of these, 74.7% were classified as having limited health literacy, compared to 40.2% among Portuguese-born participants. Higher prevalence was observed among women aged 18–29, those born outside Portugal, with lower education, in undifferentiated professions, and facing financial hardship. In the final adjusted logistic regression model, which combined variables selected through forward stepwise inclusion with theoretically important covariates entered in a second block, significant predictors of limited health literacy included being born outside Portugal (adjusted OR 2.43; 95% CI: 1.56–3.80), having lower education (up to high school), holding lower-skilled occupations, financial difficulties, and rating current health as equal or worse. Pre-pregnancy Body Mass Index was also negatively associated with health literacy levels, with higher BMI more prevalent among women with limited health literacy. The model showed good discriminatory ability (area under the ROC curve=0.78). Conclusions A considerable proportion of pregnant women demonstrated limited health literacy, particularly among socioeconomically vulnerable and migrant groups. These findings underscore the urgency of adopting antenatal care approaches that are responsive to health literacy needs. Incorporating brief assessments during early prenatal visits, using plain language and visual communication tools, and offering targeted support to high-risk groups may enhance informed decision-making, promote equity, and improve maternal and neonatal outcomes.
- Dieta da parturiente de termo sem patologia associada: revisão sistemática da literaturaPublication . Rodrigues, Clara; Ferreira, Manuela; Margarida Campos, Sofia; Pousadas, Daniel; Igual, Ana; Pires, Ana; Firmo, Ana; Cosme, Ana; Santos, Eduardo José Ferreira; Coutinho, EmíliaIntrodução: A ingestão oral em trabalho de parto é praticada de forma inadequada em muitos hospitais e maternidades portugueses, com relatos onde o jejum é uma prática comum e é perpetuado de forma rotineira em todas as parturientes. Objetivo: Identificar a melhor evidência científica sobre qual a dieta mais adequada na parturiente de termo sem patologia associada. Métodos: Foi realizada uma Revisão Sistemática da Literatura (RSL) segundo o método da Joanna Briggs Institute (JBI) e foi redigida de acordo com o Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA 2020). Resultados: A pesquisa foi feita em 5 bases de dados, CINAHL Complete, B-On, PUBMED, MEDLINE Complete e Nursing & Allied Health Colection, no dia 30 de março de 2023. Foram utilizados descritores (MeSH) e termos em linguagem natural, com os operadores boleanos “AND” e “OR”. Os limitadores utilizados foram todos os estudos em língua inglesa, portuguesa e espanhola, com friso temporal de 5 anos. Foram avaliados e analisados para elegibilidade 67 artigos por dois revisores independentes e incluídos 11 artigos na revisão. Conclusão: Os estudos apontam os líquidos claros sem resíduos, ricos em hidratos de carbono e proteínas como a dieta mais adequada e segura em parturientes de termo sem patologia associada, e identificam inúmeros benefícios para a parturiente, para o trabalho de parto e parto, para o feto e recém-nascido.
- Influence of the Training Process on the Health Literacy of Angolan Health PromotersPublication . Ferreira, Manuela; Santos, Eduardo José Ferreira; Andrade, Joana; Figueiredo, Inês; Martins, Vitor; Margarida Campos, SofiaBackground: As part of the research project ‘Seigungo–Gungo’s Health, Education, and Maternal and Child Quality of Life: An Action-Research Project’, a study was conducted in the Gungo community in Angola, a region facing significant challenges in terms of access to healthcare and health literacy. The primary aim of the study was to evaluate the effectiveness of an intervention training model designed to improve the health literacy of the participants. Methods: The sample consisted of 30 trainees, 60% of whom were male, with an average age of 45.6 years. Most participants were single (53.3%) and had completed 6 years of formal education (26.7%). Health literacy levels were assessed using the HLS-EU-PT-Q16, a short 16-item questionnaire designed to assess three key domains: healthcare, disease prevention, and health promotion. These domains are related to the focus of the training programme. Data collection took place throughout the year 2024. Results: According to the data obtained, prior to attending the training program, 60% of the participants demonstrated an inadequate level of health literacy. Following the intervention, this percentage dropped significantly to 20%. In contrast, the proportion of participants with sufficient to excellent health literacy rose from 16.7% to approximately 40%. The results indicate that the training program had a positive and statistically significant impact on improving health literacy in the Gungo community. Conclusions: These findings highlight the importance of targeted training and sustained intervention efforts to address the specific health education needs currently affecting this community.
- Promoting Local Development and Food Literacy in a Rural Angolan CommunityPublication . Margarida Campos, Sofia; Andrade, Joana ; Santos, Eduardo José Ferreira; Figueiredo, Inês ; Martins, Vitor ; Matos, Eugénia; Cardoso, Ana Paula; Ferreira, ManuelaBackground/Objectives: In Angola, malnutrition contributes each year to the deaths of an estimated 42,000 to 76,000 children under the age of 5. Addressing this issue must stand as a priority and requires providing local residents with access not only to nutritious food but also to adequate and accurate information in order to facilitate informed dietary choices. As part of the “Seigungo—Health, Education and Quality of Maternal and Child Life in Gungo project”, a nutrition-focused study was conducted in Gungo, Angola to evaluate the effectiveness of a training model designed to enhance food literacy among residents. Methods: Data were collected using a 14-item questionnaire developed to assess various key domains of food literacy: information seeking and access; comprehension and thematic knowledge; critical evaluation of information and behaviour; practical application and sound decision-making. Results: Thirty trainees took part in the study, of which 60% were men, with a mean age of 45.6 years. The majority were single (53.3%) and had completed six years of formal education (26.7%). Before attending the training program, 86.7% of the participants demonstrated inadequate or problematic food literacy. Following the intervention, the proportion of participants with adequate food literacy increased significantly from 13.3% to 73.3% (p < 0.001). Conclusions: The training program had a statistically significant impact on improving food literacy.
- Sexual and Reproductive Health Empowerment in Rural AngolaPublication . Andrade, Joana; Margarida Campos, Sofia; Santos, Eduardo José Ferreira; Figueiredo, Inês ; Martins, Vitor; Matos, Eugénia; Cardoso, Ana Paula; Ferreira, ManuelaBackground: This study focused on a community located in Sumbe, in the Kwanza Sul province of Angola. The community’s limited resources significantly affect the healthcare of its residents. Local beliefs and traditions exacerbate this issue. Considering this scenario and a preliminary diagnosis by the research team, the Seigungo project aimed to evaluate the effectiveness of a training programme with different health-related modules. The module addressed in this study focused on sexual and reproductive health. Methods: This exploratory, quantitative, observational before-and-after study employed a descriptivecorrelational analysis with a sample of 30 participants (n = 30) who finished the training programme. Statistical analysis was conducted using IBM® SPSS® Statistics, version 29.0. Results: The sexual and reproductive health literacy module of the implemented training programme proved effective. Considering the results before the training, 53.3% of the health promoters presented inadequate literacy levels, and after the training this number decreased to only 3.3%. Conclusions: Our findings demonstrate that education and community engagement may significantly improve the levels of literacy in sexual and reproductive health, which may result in better health decisions and outcomes.