Effect of sleeping position on arousals from sleep in preterm infants.

Autor: Modesto IF; Scientific initiation scholarship FAPESP, Escola Paulista de Enfermagem-Universidade Federal de São Paulo, São Paulo, Brazil., Avelar AF; Adjunct Professor, Escola Paulista de Enfermagem-Universidade Federal de São Paulo, São Paulo, Brazil., Pedreira Mda L; Associate Professor, Escola Paulista de Enfermagem-Universidade Federal de São Paulo, São Paulo, Brazil., Pradella-Hallinan M; Neurologist Physician and Researcher, Associação Fundo Incentivo à Pesquisa, São Paulo, São Paulo, Brazil., Avena MJ; Professor, Escola Paulista de Enfermagem-Universidade Federal de São Paulo, São Paulo, Brazil., Pinheiro EM; Associate Professor, Escola Paulista de Enfermagem-Universidade Federal de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal for specialists in pediatric nursing : JSPN [J Spec Pediatr Nurs] 2016 Jul; Vol. 21 (3), pp. 131-8. Date of Electronic Publication: 2016 May 25.
DOI: 10.1111/jspn.12147
Abstrakt: Purpose: To evaluate the frequency of preterm infant positions during sleep, and to investigate the association among positions, arousals, sleep patterns, and time of day.
Design and Methods: This observational study was conducted in a neonatal unit with 10 preterm infants. Polysomnographic and video recordings during 24 hr identified sleep positions, arousals, sleep patterns, and time of day.
Results: Preterm infants were placed most frequently in the supine position (58.4%), followed by right side (24.9%), left side (15.5%), and prone (1.2%). The longest amount of time spent sleeping, and the most frequent number of arousals, occurred in the supine position, followed by prone, left-side, and right-side positions. After controlling for length of time spent in each position, the number of arousals per hour was the greatest in the supine position (13.562 ± 0.732) and least in the prone position (11.56 ± 4.754; p < .001). There were no significant differences in arousals according to position and sleep pattern (indeterminate, quiet, active sleep) or position and time of day (morning, afternoon, twilight, night).
Practice Implications: Nurses should evaluate the frequency of preterm infant arousals in each position, and use more often those positions that lead to a lower frequency of arousals and better sleep quality.
(© 2016, Wiley Periodicals, Inc.)
Databáze: MEDLINE
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