Sleep deprivation, pain and prematurity: a review study.
The aim was to describe current reports in the scientific literature on sleep in the intensive care environment and sleep deprivation associated with painful experiences in premature infant. A systematic search was conducted for studies on sleep, pain, premature birth and care of the newborn. Web of Knowledge, MEDLINE, LILACS, Cochrane Library, PubMed, EMBASE, Scopus, VHL and SciELO databases were consulted. The association between sleep deprivation and pain generates effects that are observed in the brain and the behavioral and physiological activity of preterm infants. Polysomnography in intensive care units and pain management in neonates allow comparison with the first year of life and term infants. We have found few references and evidence that neonatal care programs can influence sleep development and reduce the negative impact of the environment. This evidence is discussed from the perspective of how hospital intervention can improve the development of premature infants.
Centro de Enfermagem em Neonatologia, Hospital Universitário de Brasília, Universidade de Brasília, Brasília, DF, Brazil.
Kelly Cristina Santos de Carvalho
KC
Bonan
Faculdade de Medicina, Universidade de Brasília, Brasília, DF, Brazil.
João da Costa
Jda C
Pimentel Filho
Faculdade de Medicina, Universidade de Brasília, Brasília, DF, Brazil.
Rosana Maria
RM
Tristão
Faculdade de Medicina, Universidade de Brasília, Brasília, DF, Brazil.
José Alfredo Lacerda de
JA
Jesus
Faculdade de Medicina, Universidade de Brasília, Brasília, DF, Brazil.
Dioclécio
D
Campos Junior
D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D007363:Intensive Care Units, Neonatal; D010146:Pain / Q000503:physiopathology*; D010147:Pain Measurement; D017286:Polysomnography; D012892:Sleep Deprivation / Q000503:physiopathology*