Sleep of Preterm and Term Newborns in Neonatal Intensive Care Units - Touchpoint Model
DOI:
https://doi.org/10.29352/mill0227.40205Keywords:
newborn; premature; sleep; Neonatal Intensive Care UnitAbstract
Introduction: Newborns (NBs) do not have a circadian pattern. The Touchpoint Model emphasizes that the adjustment of the NB's sleep and wake cycles constitutes the parents' first attempt to adapt the NB to the external world. The ability of NBs to reach a transitional state suggestive of sleep is related to neuronal development expressed in behavioral responses compromised by excessive sensory stimulation. sleep deprivation inducer.
Objective: To assess the sleep of newborns based on their autonomous and physiological stability, motor regulation and organization of sleep stages.
Methods: Observational, correlational and prospective study with a quantitative approach. The sample included 62 newborns admitted to a Neonatal Intensive Care Unit (NICU). An observation grid was used to assess sleep in terms of behavioral status, positioning, need for ventilation, feeding, handling and exposure to noise and light.
Results: It was found that noise influences sleep time, taking into account gestational age (GA); no correlation was found between behavioral response to stress factors and GA; positioning, ventilation and feeding do not influence sleep time.
Conclusion: It is imperative that there are individual assessments of the abilities of preterm and full-term newborns to deal with the excessive stimulation to which they are subjected in the NICU, with a direct effect on protecting their sleep.
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