Introduction: Immunization is the primary method of preventing influenza. The objective of this study was to describe reasons and determine causes of acceptance or refusal of the influenza vaccine by elderly people. Methods: This cross-sectional and descriptive study included elderly patients (aged >60 years) from the City of Jundiai, São Paulo, Brazil. Results: The sample comprised 185 people; 71.9% reported receiving the vaccine and 21% claimed to have experienced complications. Conclusions: The vaccination coverage was below the national goal; the reasons for not being vaccinated was "did not want to receive the vaccine", in addition to "forgot".

CREENCIAS NORMATIVAS Y DE ACTITUD DE LOS ENFERMEROS SOBRE EL ESTUDIO HEMODINÁMICO POR MEDIO DEL CATÉTER DE ARTERIA PULMONAR CRENÇAS ATITUDINAIS E NORMATIVAS DOS ENFERMEIROS SOBRE O ESTUDO HEMODINÂMICO POR MEIO DO CATETER DE ARTÉRIA PULMONAR

SUMMARY OBJECTIVE: The aim of this study was to analyze whether the implementation of a multidisciplinary educational programme for cardiovascular prevention in public schools can contribute to reducing the Fram INGHAM CARDIOVASCULAR RISK SCORE OF THE CHILDREN'S PARENTS AFTER ONE YEAR. METHODS: This was a prospective, community-based, case-control study carried out in public schools in Sao Paulo, Brasil. Students were randomized to receive healthy lifestyle recommendations by two different approaches. The control group received written cardiovascular health educational brochures for their parents. The intervention group received the same brochures for the parents, and the children were exposed to a weekly educational programme on cardiovascular prevention with a multidisciplinary health team for one year. Clinical and laboratorial data were collected at the onset and end of the study. RESULTS: We studied 265 children and their 418 parents. At the baseline, the rate of parents with intermediate or high Framingham scores (risk of cardiovascular disease over the next 10 years greater than 10%) was 6.9% in the control group and 13.3% in the intervention group. After one year, the rate of parents with intermediate or high Framingham risk score was reduced by 22.2% in the intervention group and increased by 33.3% in the control group (p=0.031). The cardiovascular risk factors that improved in the intervention group were blood pressure, LDL-cholesterol (low-density lipoprotein cholesterol), and glucose levels. CONCLUSION: An educational programme on cardiovascular prevention for school-age children in public schools can reduce the cardiovascular risk of their parents.

Enquadramento: o trabalho dos enfermeiros, pela sua natureza e conteúdo integra as dimensões física e emocional, apresentando entre outros fatores de risco, a exposição a turnos, que são frequentemente rotativos e noturnos. Objetivo: avaliar o impacto do trabalho por turnos na saúde dos enfermeiros. Metodologia: no período temporal entre 21-02-2020 e 28-02-2020 realizou-se uma revisão integrativa da literatura através da pesquisa nas bases de dados MEDLINE e CINAHL, tendo sido selecionados artigos publicados até fevereiro de 2020. Foram selecionados artigos publicados nos últimos 5 anos que retratassem o desempenho dos enfermeiros num contexto de trabalho por turnos e avaliassem o impacto na sua saúde. Resultados: as principais alterações detetadas com o trabalho por turnos no desempenho dos enfermeiros foram as alterações do sono, da sua saúde mental, do seu metabolismo e da própria satisfação profissional. Identificaram-se relações estatisticamente significativas (p <0,05) entre horário de trabalho por turnos e depressão, Burnout, qualidade do sono, assim como uma elevada prevalência de perturbação do trabalho por turnos nos enfermeiros. Conclusão: os enfermeiros que trabalham por turnos rotativos noturnos têm maior probabilidade de ter problemas de sono, fadiga, depressão e Burnout, quando comparados com os que têm um horário regular diurno.