O ciclo sono/vigília em políticas de saúde: uma revisão de escopo

• Ano de defesa: 2022
• Autor(a) principal: Bento, Marcos Vinícius da Silva
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA - FACISA
• Palavras-chave em Português: Transtornos do ciclo sono/vigília; Atenção primária à saúde; Atenção básica; Distúrbios do sono; Política de saúde; Saúde pública; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/50017

Primary Health Care is one of the levels of the Brazilian Unified Health System, characterized by health promotion, prevention and protection actions. Primary health care has a direct link with public health policies as it is regulated by the National Primary Care Policy. Among the subjects that can be addressed in public policies, the sleep/wake cycle can be highlighted. The damage to health caused by changes in relation to this cycle are increasingly evident. Therefore, the objective of this study was to map evidence on the sleep/wake cycle related to health policies in the context of primary health care. This is a scoping review conducted according to the Joanna Briggs Institute methodology and PRISMA-ScR. The databases consulted were PubMed, LILACS and Scopus, in English and Portuguese publications from the last 5 years. The primary care notebooks on the website of the Secretariat of Primary Health Care of the Brazilian Ministry of Health were also consulted. It was found 990 evidence, 959 articles came from the databases, of which 28 were selected for full reading, and 1 article was found by recommendation, thus 9 articles were included in the study. Among the evidence, 30 were primary care notebooks and of these only 23 were included. The 9 articles analyzed were mostly from North American and European countries and addressed health policies related to: insomnia; sleep apnea; quality of life improvement course; sleep education program; sleep clinic; compliance with national guidelines; life habits and academic performance; and the delay in starting classes. In primary care notebooks, it was observed that 9 guide health professionals to investigate or question patients about sleep during consultations and some inform what professionals should advise about sleep. In addition, sleep or drowsiness was observed in 8 notebooks as an adverse effect of the use of drugs and 10 of them indicated changes in sleep or drowsiness as symptoms resulting from health conditions. It is clear then that the central theme addressed in the articles and notebooks evaluated in this study refer specifically to sleep, treating in a limited way evidence about the sleep/wake cycle and biological rhythmicity in health policies of primary health care. In addition, no health policy related to the sleep/wake cycle was observed in Brazil. In a positive way, it is observed that sleep is a topic addressed in primary care notebooks, but it does not integrate or address the biological rhythm of the most varied body systems, which is fundamental for individual and collective health, as well as the relationship between sleep/wake cycle with health-diseaseillness processes. It is hoped that this review can provide evidence for the development of new studies and health policies on the sleep/wake cycle in Brazil and in the world and serve as a basis for the implementation of health promotion and disease prevention actions and strategies.