Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Objective: To assess the presence and extension of the attribute “Community Orientation” of Primary Health Care from the perspective of health services adult users from the Municipality of Juazeiro do Norte-CE. Methods: Quantitative, cross-sectional and evaluative study, carried out in 14 Basic Health Units, from October 2016 to June 2017, using the Primary Care Assessment Tool. Results: The attribute assessment was negative, reaching expressive negative responses in the seven districts, with a mean score of 3.8 (±3.8). The Raw Score (RS) reached a mean of 6.6 and the Derived Score (DS) was assigned a score of 6.4, below the cut-off point ≥ 6.60. Conclusion: The low value of the DS represents that units are not providers of PHC, suggesting fragility in the integration of services with the community and the need to promote greater discussion among agents, when designing measures of intervention and improvement of scores.

Objective: To summarize scientific evidence on the woman-centered shared decision-making process for the promotion of contraceptive counseling. Methods: Integrative literature review with a sample of nine primary articles selected from MEDLINE via PubMed, CINAHL, Web of Science, Scopus, ScienceDirect, Embase, LILACS, and BDENF. Results: The study evidenced a comprehensive chain of segments for the development of the shared approach centered on women through counseling on contraception, fragmenting the evidence acquisition in relational elements for the choice implementation and continuation of the chosen method; systematization of consistent information for choice implementation and continuation of the method; and challenges for implementing shared decision-making. Final considerations: The process of woman shared decision-making centered during the consultation on contraception counseling favors the qualified choice and effective adherence to a contraceptive method based on the professional’s clinical vision adjusted to the woman’s preferences.

O estudo objetiva discutir, a partir da análise reflexiva, o papel dos profissionais de enfermagem na assistência à mulher em situação de violência doméstica. Trata-se de uma reflexão ancorada a partir de pesquisas sobre a violência contra a mulher e a assistência de enfermagem no cuidado a essas mulheres. Evidenciou-se que os enfermeiros costumam ocupar um papel de destaque no atendimento à violência contra mulher, por serem um dos primeiros profissionais que as mulheres têm contato nos serviços de saúde. A enfermagem, nesse cenário, exerce ações de acolhimento, escuta qualificada, rastreamento e prevenção de danos causados pela agressão, bem como busca a reinserção dessas mulheres na sociedade garantindo o equilíbrio biopsicossocial. Espera-se, mediante as reflexões, contribuir para que os protocolos e diretrizes abordados neste estudo sejam colocados em prática de forma exitosa. Ademais que esses questionamentos se transformem em discussões mais abrangentes, possibilitando, no futuro, que tais reflexões sejam alavanco para melhorias nas práticas assistenciais.

Objetivo: conhecer a percepção de puérperas atendidas em um Centro de Parto Normal, sobre a assistência recebida no pré-natal. Método: pesquisa descritiva com abordagem qualitativa. A coleta de dados ocorreu em um Centro de Parto Normal, por meio de entrevista semi-estruturada, com 16 puérperas, e, os resultados submetidos à análise de conteúdo. Obteve a aprovação do Comitê de Ética, mediante CAAE: 21379919.3.0000.5037. Resultados: na ótica das puérperas, o atendimento pré-natal viabilizou a construção de vínculo com a equipe de saúde, através de uma assistência humanizada, prevalecendo a satisfação com a assistência recebida na gestação. No entanto, o estudo sinalizou a existência de fragilidades no tocante ao acesso às unidades de saúde e ao tempo de espera para a realização dos exames solicitados no pré-natal. Conclusão: é preciso avançar para alcançar efetivamente a qualidade da assistência pré-natal e aprimorar as práticas profissionais da atenção primária, para atender às expectativas das mulheres durante a assistência no período gravídico. Descritores: Percepção; Assistência à Saúde; Cuidado Pré-natal; Período Pós-parto; Atenção Primária à Saúde; Satisfação dos Usuários. Descriptors: Perception; Health Assistance; Prenatal Care; Postpartum Period; Primary Health Care; User Satisfaction. Descriptores: Percepción; Asistencia Sanitaria; Cuidado Prenatal; Período Posparto; Primeros Auxilios; Satisfacción del Usuario.