Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2024-2950pt
Audiology - Communication Research
Artigo Original

Estado comportamental e sucção de recém-nascidos pré-termo tardios submetidos a fototerapia

Behavioral status and sucking of late preterm newborns undergoing phototherapy

Ana Paula Sabino de Medeiros Neves; Ramon Cipriano Pacheco de Araújo; Raquel Coube de Carvalho Yamamoto; Juliana Dantas de Araújo Santos Camargo; Hipólito Magalhães

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Resumo

Objetivo: avaliar o estado comportamental de recém-nascidos pré-termo tardios sob a fototerapia e sua associação com a sucção não nutritiva.

Métodos: estudo transversal, realizado em uma maternidade pública de ensino, referência na gestação de alto risco e integrante da Iniciativa Hospital Amigo da Criança. Amostra por conveniência, composta por 60 recém-nascidos pré-termo tardios, assistidos em Alojamento Conjunto, divididos em dois grupos: um grupo composto por 30 recém-nascidos sob fototerapia (grupo caso) e outro grupo com 30 recém-nascidos que não estavam sob fototerapia (grupo controle). Os dados de caracterização da amostra foram obtidos por meio de anamnese e de coleta em prontuário médico/hospitalar. A avaliação do estado comportamental e da sucção não nutritiva foi realizada por meio da Preterm Oral Feeding Readiness Assessment Scale. As análises foram realizadas pelo software Jamovi (versão 2.4.1). O nível de significância de 5% foi adotado para todas as análises.

Resultados: verificou-se diferença significativa em que os recém-nascidos do grupo caso apresentaram escores inferiores no estado de organização comportamental e de sucção não nutritiva. Observou-se, ainda, significância na associação entre o estado comportamental e a sucção não nutritiva nos dois grupos.

Conclusão: recém-nascidos pré-termo tardios em fototerapia apresentam menores escores no estado de organização comportamental e nas respostas da sucção não nutritiva quando comparados aos recém-nascidos pré-termo tardios que não estavam submetidos ao tratamento. Observou-se associação entre as respostas da sucção não nutritiva e o estado de organização comportamental nos dois grupos.

Palavras-chave

Fototerapia; Recém-nascido prematuro; Sono; Comportamento de sucção; Alojamento Conjunto

Abstract

Purpose:  To evaluate the behavioral state of late preterm newborns undergoing phototherapy and its association with non-nutritive sucking.

Methods:  Cross-sectional study, carried out in a public teaching maternity hospital, a reference in high-risk pregnancy and part of the Baby-Friendly Hospital Initiative. Convenience sample, consisting of 60 late preterm newborns, cared for in rooming-in, divided into two groups. One group consisted of 30 newborns under phototherapy (case group) and another group with 30 newborns who were not under phototherapy (control group). Sample characterization data were obtained through anamnesis and collection from medical/hospital records. The assessment of behavioral status and non-nutritive sucking was carried out using the Preterm Oral Feeding Readiness Assessment Scale. Analyzes were performed using Jamovi (version 2.4.1). A significance level of 5% was adopted for all analyses.

Results:  There was a significant difference in that the newborns in the case group had lower scores for behavioral organization and non-nutritive sucking. There was also a significant association between behavioral status and non-nutritive sucking in both groups.

Conclusion:  It was concluded that late preterm newborns undergoing phototherapy had lower scores in the state of behavioral organization and non-nutritive sucking responses when compared to late preterm newborns who were not undergoing treatment. An association was observed between non-nutritive sucking responses and the state of behavioral organization in both groups.

Keywords

Phototherapy; Infant; Premature; Sleep; Sucking behavior; Rooming-in Care

Referências

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Submetido em:
17/06/2024

Aceito em:
05/09/2024

69dc2a9da953956118524fa4 acr Articles
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