Atencion primaria
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The act of caring for a dependent elderly victim of cerebrovascular accident exerts different impacts on caregivers. Knowledge of their socioeconomic level by health professionals supports the planning and implementation of actions appropriate to the reality of the elderly and their caregivers. ⋯ The evidence found from the research show that informal caregivers with depressive symptoms have a poorer socioeconomic status, so that it is compulsory to consider these variables when planning interventions whose primary focus of attention is aimed at caregivers and elderly cerebrovascular accident victims experiencing situations of transition.
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To identify nurses perceptions of Advance Directives (AD) and to analyse the influence of experience with AD on their perception. ⋯ Nurses have little experience with AD. They are available to respect the patient's will but did not feel able to address the issue on their own initiative. Most agree that the AD can "fail" if the patient does not reevaluate it periodically. Reflection and debate on the ethical issues surrounding AD should be promoted: promoting patient autonomy, care in vulnerable situations, team decisions and conscientious objection.
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Adolescents go through a phase characterised by physical, mental, psychological and social changes which justify periods of hostile behaviours. The occurrence and intensity of these behaviours may correspond to a psychopathological condition that will affect their future lives. The aim of this research is to identify the socio-demographic and family background variables that influence hostile behaviours in adolescents and to analyse the influence of depression and anxiety in hostile behaviours in adolescents. ⋯ We may conclude that only depression has a relationship with hostile behaviours. It is higher in adolescents with these behaviours. The presence or absence of anxiety is not related to the hostile behaviour in adolescents.
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Observational Study
Prevalence and determinants of insomnia symptoms among schoolteachers.
Insomnia is the most common sleep disorder. In Portugal, teachers have a specific socioeconomic situation, caused by the distance between home and workplace, unstable job situation and students' behavioral problems. The aim of this study was to determine the prevalence of insomnia in a sample of Portuguese schoolteachers. ⋯ Portuguese schoolteachers show a high prevalence of insomnia. Insomnia was associated with sociodemographic and occupational variables.
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To identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. ⋯ Most have knowledge about the practice of hand hygiene; however, some professional groups need to improve their practice of proper technique and the correct time to do so. Approximately a third did not attend specific training, leading us to reflect on the need to invest in training.