MAPPING EVIDENCE ON THE SLEEP-WAKE CYCLE IN HEALTH POLICY: A SCOPING REVIEW
Sleep-wake cycle disorders. Primary health care. Basic Health Care Handbook. Sleep disorders.
Primary Health Care (PHC) is one of the health care levels of the SUS, which is characterized by carrying out actions related to the promotion, prevention and protection of health, in addition to being referred to as the gateway to the services of the SUS. PHC is directly linked to public health policies as it is governed by the National Primary Care Policy. Among the important themes for public health and that can be addressed in public policies, the sleep/wake cycle (SWC) can be highlighted. Studies show that more and more damage to health is caused by changes in relation to SWC. In view of this, this study aims to map available evidence on SWC in health policies in the context of Brazilian primary health care. This is a scoping review conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. Evidence on SWC was mapped in scientific articles that addressed health policies in the context of Brazilian PHC. The databases consulted were PubMed (MEDLINE), LILACS and Scopus. The primary care notebooks contained in the library on the website of the Secretariat of Primary Health Care of the Ministry of Health were also mapped, considered as “grey literature”, and which, in a scoping review, have an important role in pointing out evidence on the subject. Of 136 studies found in the databases, 23 were selected for full reading and after excluding duplicates and those that did not fit the review, 1 article was included in this study. This article did not address information or guidelines about SWC when addressing a health policy regarding PHC in Brazil. However, it pointed to the relationship between obesity and sleep-disordered breathing as important content to be worked on in the action proposed by the article. Among 30 primary care notebooks mapped, 9 guide health professionals to investigate or question patients about sleep during consultations, some even inform that professionals should advise on sleep. Addressing sleep or sleepiness as a side effect or adverse to the use of a drug was noted in 8 of the notebooks, and 10 notebooks point to changes in sleep or sleepiness as symptoms arising from diseases or health conditions, half in the context of depression or nicotine withdrawal. As a result, we can see the scarcity of studies and available evidence on the SWC in articles that address health policies related to Brazilian PHC. In a positive way, sleep is approached in part of the basic care notebooks, but it is mainly dealt with the relationship with diseases and medications, not being the focus of the SWC theme, which is fundamental for individual and collective health.