Stroke still causes high levels of human inability and suffering, and it is one of the main causes of death in developed countries, including Portugal. Objective: analyze the strategies of hospital discharge planning for these patients, increasing the knowledge related to hospitalhome transition, discharge planning processes and the main impact on the quality of life and functionality. Method: integrative literature review using the PICOD criteria, with database research. Results: 19 articles were obtained, using several approaches and contexts. For quality of life, the factors related to the patient satisfaction with care and the psychoemotional aspects linked with functionality are the most signifi cant. Conclusion: during the hospitalization period, a careful hospital discharge planning and comprehensive care to patients and caregivers -in particular the functional and psychoemotional aspects -tend to have an impact on the quality of life of patients. Descriptors: Stroke; Quality of Life; Patient Discharge; Rehabilitation; Nursing.RESUMO O acidente vascular cerebral ainda origina elevados níveis de incapacidade e sofrimento humano, sendo das primeiras causas de morte nos países desenvolvidos, incluindo em Portugal. Objetivo: analisar as estratégias adotadas no planeamento da alta destes doentes, aprofundando o conhecimento inerente à transição hospital-domicílio, aos processos de preparação de alta assim como às principais repercussões na qualidade de vida e funcionalidade. Método: revisão integrativa de literatura, pelos critérios orientadores PICOD, com pesquisa em base de dados. Resultados: obtidos 19 artigos, com diversas abordagens e contextos. Para a qualidade de vida importa a satisfação com os cuidados recebidos e a consideração dos aspetos psico-emocionais, ligados à funcionalidade. Conclusão: no tempo de internamento, o planeamento cuidado da alta, o cuidado abrangente a doentes e cuidadores -nomeadamente aspectos funcionais e psico-emocionais -tendem a ter impacto na qualidade de vida dos doentes. Descritores: Acidente Vascular Cerebral; Qualidade de Vida; Alta do Paciente; Reabilitação; Enfermagem. RESUMENEl accidente cerebrovascular todavía lleva a elevados niveles de incapacidad y sufrimiento humano, y es una de las primeras causas de muerte en los países desarrollados, incluido Portugal. Objetivo: analizar las estrategias adoptadas en la planifi cación del alta de estos pacientes profundizando en el conocimiento inherente a la transición del hospital al domicilio, a los procesos de preparación del alta, así como a las principales repercusiones en la calidad de vida y la funcionalidad. Método: revisión integradora de la literatura por los criterios orientadores PICOD con una búsqueda en bases de datos. Resultados: se obtuvieron 19 artículos con diversos enfoques y contextos. Para la calidad de vida importa la satisfacción con los cuidados recibidos y la consideración de los aspectos psicoemocionales ligados a la funcionalidad. Conclusión: en el tiempo de internamiento, la planifi cación...

Research has shown that PTSD is prevalent among firefighters and police forces and that Quality of Life (QoL) is seriously compromised in individuals suffering from PTSD. However, QoL studies with these professionals are scarce. This study results from a screening program held by the Portuguese Red Cross (PRC) aiming to analyze predictors of QoL. Participants were 95 firefighters and municipal police officers. They answered the Posttraumatic Stress Disorder Checklist (PCL-5) in order to evaluate the prevalence of PTSD symptoms, as well as measures of social support (3-Item Oslo Social Support Scale) and QoL (EUROHIS-QOL-8). From the results, there were no group differences regarding total PTSD, social support or QoL and 10% of participants reported enough symptoms to PTSD diagnostic. Social Support and PTSD explained 25% of QoL variance, PTSD symptoms explaining 10% (negative beta) and, in the second step, social support explained 15%. The results suggest that it would be important to include QoL as an outcome measure in clinical and research work in these populations, with special attention to PTSD and social support.Disclosure of interestThe authors have not supplied their declaration of competing interest.