Banca de DEFESA: MARCOS VINICIUS DA SILVA BENTO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARCOS VINICIUS DA SILVA BENTO
DATE: 29/07/2022
TIME: 14:00
LOCAL: VIDEOCONFERÊNCIA
TITLE:

THE SLEEP/WAKE CYCLE IN HEALTH POLICIES: A SCOPING REVIEW

KEY WORDS:

Sleep-wake cycle disorders. Primary health care. Primary care. Sleep disorders. Health policy. Public health.

PAGES: 95
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Primary Health Care (PHC) is one of the levels of Brazilian Unified Health System (SUS), characterized by carrying out health promotion, prevention and protection actions. PHC is directly linked to public health policies as it is governed by the National Primary Care Policy. Among the important issues that can be addressed in public policies, the sleep/wake cycle (SWC) can be highlighted. The damage to health caused by changes in relation to SWC is becoming increasingly evident. Therefore, the aim of this study was to map evidence about SWC related to health policies in the context of PHC. This is a scoping review conducted according to the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR. The databases consulted were PubMed, LILACS, and Scopus, on publications from the last 5 years, in English and Portuguese. In addition, we included the primary care notebooks that are available on the website of the Primary Health Care Secretariat of the Brazilian Ministry of Health. Of 959 articles found in the databases, 34 were selected for full reading, of which 8 met the inclusion criteria. However, 1 more article was added because it was related to the research objective, totaling 9 articles included in the study. Among the 30 primary care notebooks mapped, only 23 returned results. The 9 articles analyzed were mostly from North American and European countries, and addressed health policies related to the following topics: insomnia; sleep apnea; quality of life improvement course; sleep education program; sleep clinic; compliance with national guidelines; lifestyle and academic performance; and about delayed school start in the morning. In the care notebooks, it was observed that 9 guide health professionalsto investigate or question patients about sleep during appointments, and some inform that professionals should guide about sleep. In addition, 8 care notebooks noted sleep or somnolence as an adverse effect to the use of drugs, and 10 indicate changes in sleep or somnolence as symptoms resulting from diseases or health conditions. It is clear then that the central theme addressed in the articles and notebooks evaluated in this study refers specifically to sleep, dealing in a limited way with evidence on SWC and biological rhythmicity in PHC health policies. In addition, no health policy related to SWC was observed in Brazil. In a positive way, it can be observed that sleep is a theme approached in the basic care booklets, but it does not include or approach the biological rhythmicity of the most varied body systems, which is fundamental for individual and collective health, as well as the relationship of the SWC with the health-disease processes. It is expected that this review may provide evidence for the development of new studies and health policies about SWC in Brazil and worldwide, and serve as a basis for the implementation of actions and strategies for health promotion and disease prevention. 

COMMITTEE MEMBERS:
Presidente - 1110960 - JANE CARLA DE SOUZA
Interna - 2724246 - CECILIA NOGUEIRA VALENCA
Externa à Instituição - RUBIA APARECIDA PEREIRA DE CARVALHO MENDES