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Nonpharmacological Interventions for Sleep Promotion on Preterm Infants in Neonatal Intensive Care Unit: A Systematic

Jin-Hua Liao1, Rong-Fang Hu1, Li-Jing Su1

  • 1School of Nursing, Fujian Medical University, Fujian, China.

Worldviews on Evidence-Based Nursing
|August 12, 2018
PubMed

Insights

Nonpharmacological interventions like remolding mattresses and cycled light show promise for improving sleep in preterm infants in the NICU. However, current evidence quality is low, necessitating further research.

Area of Science:

  • Neonatal Intensive Care Unit (NICU) care
  • Pediatric sleep medicine
  • Evidence-based practice in neonatology

Background:

  • Nonpharmacological interventions are commonly employed to enhance sleep in preterm infants within the NICU setting.
  • A comprehensive synthesis of existing evidence regarding the efficacy of these interventions is lacking.

Purpose of the Study:

  • To systematically review and synthesize the evidence on the effectiveness of nonpharmacological interventions for improving sleep in preterm infants during their NICU stay.

Main Methods:

  • A systematic literature search was conducted across seven major databases up to August 2017.
  • Included studies were randomized controlled trials investigating nonpharmacological interventions for preterm infants' sleep.
  • A meta-analysis was performed on data from 36 included studies.

Main Results:

  • Remolding mattresses significantly improved total sleep time efficiency and active sleep efficiency.
  • Cycled light interventions were found to increase total sleep time.
  • Newborn Individualized Developmental Care and Assessment Program (NIDCAP) and cobedding showed no significant effects on sleep parameters.

Conclusions:

  • Remolding mattresses and cycled light demonstrate potential for promoting sleep in preterm infants.
  • The overall quality of the evidence supporting these interventions is very low.
  • High-quality research is crucial to validate and strengthen the findings on sleep promotion strategies for NICU preterm infants.
Abstract

Keywords:
interventionmeta-synthesisneonatal intensive care unitnonpharmacologicalpreterm infantsleep

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