Manipulação de recém-nascidos prematuros e a influência sobre o sono

• Autor(a) principal: Maki, Maria Takahashi [UNIFESP]
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5070358; http://repositorio.unifesp.br/handle/11600/50462
• topic: Premature; Sleep; Neonatal Nursing; Nursingcare; Polysomnography; Prematuro; Sono; Enfermagem Neonatal; Cuidados de Enfermagem; Polissonografia

Premature birth leads to prolonged hospitalization of the neonate and consequent excessive manipulation during this period, leading to fragmentation and sleep deprivation with probable future developmental impairment. Observational and correlational study aimed at identifying performed manipulations in preterm infants (PNF) and evaluating the influence on total sleep time, wakefulness and sleep patterns.Using direct observation, filming and 24-hour polysomnography of hospitalized PTNB infants in a neonatal intermediate care unit of a University Hospital of São Paulo. The sample consisted of clinically stable PTNB, 1722,92(±215,32)grams, infants maintained in a double wall incubator with positive otoacoustic emission test. Descriptive statistics and the nonparametric Friedman test, Pearson correlation coefficient, Spearman and Linear Regression analysis with statistical significance of p≤0.05 was used for the data analysis. Twelve female PTNB, with a mean of 1722,92(±215,32)grams, with low weight, individually handled 176.4 (± 37.9) on average during the 24 hours were evaluated. The manipulations occurred mainly for monitoring, followed by therapeutics / diagnosis, hygiene and comfort and feeding. It was observed that 58% of the manipulations were due to the hospitalization. Regarding the sleep variables, we found that PTNBs remained predominantly in quiet sleep (38.4%), followed by wakefulness (37.6%), active sleep (31.2%), and undetermined sleep (30.4%) , Remaining longer (95.5 ± 31.57) minutes in QS in night 1, followed by AS (76.25 ± 34.79) in the evening period, US (73.29 ± 14.94) and vigil time(140.83 ± 43.74) in night 2. No statistically significant differences were found between direct manipulations (r = 0.158 and p = 0.623) and the environment (r = 0.226 and p = 0.479) with total sleep time P> 0.05). Thus, the results of the study reinforce the importance of care aimed at the behavioral signs of prematurity and the grouping of activities in order to provide an environment that favors the adequate development of early birth and the need for hospitalization in neonatal units.