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Effect of non-pharmacological interventions on sleep in preterm infants in the neonatal intensive care unit: A
Qingchun Huang1, Xin Lai2, Jianhua Liao3
1Department of Neonatology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei Province, China.
Insights
Non-pharmacological interventions may improve sleep for preterm infants in the neonatal intensive care unit (NICU). This network meta-analysis evaluates their efficacy and safety to guide clinical practice.
Area of Science:
- Neonatal care
- Sleep medicine
- Evidence-based practice
Background:
- Premature infants in the NICU face multisystem complications and compromised sleep, impacting prognosis.
- NICU environments disrupt infant sleep, necessitating effective interventions.
- Non-pharmacological interventions show promise but require rigorous evaluation for efficacy and safety.
Purpose of the Study:
- To systematically evaluate the effects of various non-pharmacological interventions on sleep in preterm infants.
- To compare the efficacy and safety of different non-pharmacological interventions through a network meta-analysis.
- To provide evidence-based references for optimizing sleep in NICU preterm infants.
Main Methods:
- Comprehensive search of randomized controlled trials published before September 2021 across major databases.
- Independent screening, data extraction, and risk of bias assessment by two researchers.
- Statistical analysis using Stata 14.0 for network meta-analysis.
Main Results:
- Results will be compiled from eligible randomized controlled trials.
- The network meta-analysis will synthesize data to compare intervention effects.
- Findings will be prepared for publication in a peer-reviewed journal.
Conclusions:
- This study will offer reliable evidence on the efficacy and safety of non-pharmacological sleep interventions.
- Results will inform clinical decision-making for preterm infants in the NICU.
- The findings aim to improve sleep quality and potentially outcomes for vulnerable neonates.
Background:
Premature infants are prone to suffer multisystem complications after birth due to the incomplete development of organ tissues and low immunity, and they require a longer period of supervised treatment in the neonatal intensive care unit (NICU). However, due to the specificity of medical care in the NICU, the sleep of preterm infants is highly susceptible that has an impact on the prognosis of preterm infants. Recently, various non-pharmacological interventions have been applied to the sleep of preterm infants in the NICU, which have shown positive outcomes. However, the efficacy and safety of them are unclear. This study aims to evaluate the effects of non-pharmacological interventions on sleep in preterm infants in the NICU through a network meta-analysis.
Methods:
Randomized controlled trials of non-pharmacological interventions on sleep in preterm infants in the NICU published before September 2021 will be searched in online databases, including the Chinese Scientific Journal Database, China National Knowledge Infrastructure Database, Wanfang, China Biomedical Literature Database, PubMed, Cochrane Library, Embase, and Web of Science. Two researchers will be independently responsible for screening and selecting eligible literatures, extracting data and evaluating the risk of bias in the included studies. Stata 14.0 software will be used for data analysis.
Results:
The results of this meta-analysis will be submitted to a peer-reviewed journal for publication.
Conclusion:
This study will provide comprehensive and reliable evidence-based references for the efficacy and safety in different non-pharmacological interventions on sleep in preterm infants in the NICU.
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