Dados do Trabalho

Título

Type 4 Night Polygraphy as a diagnostic tool for sleep apnea in the clinical practice of nurses

Introdução

The Nursing Consultation uses scientific method components to identify health-disease situations, prescribe and implement measures that contribute to the protection, promotion, recovery and rehabilitation of the individual's health. Sleep is a reversible physiological and behavioral state, characterized by a decrease in motor activity and an increase in the threshold of response to the environment, essential for health maintenance, learning and memory consolidation. Frequent sleep fragmentation can increase the risk of developing chronic diseases. Sleep apnea is a disorder that affects more than 30% of the population. In view of the above, it is necessary to investigate this disorder during the Nursing Consultation through Night Polygraphy Type 4, so that the Nurse can assertively direct the patient to a multidisciplinary team.

Objetivo

To measure the degree of sleep apnea in patients undergoing Type 4 Night Polygraphy.

Métodos

This is a descriptive, quantitative, cross-sectional cohort study. 31 sleep tests were analyzed from July 2020 to June 2021 in the municipality of Surubim/PE, with the Oxistar device, a high resolution oximeter with actigraph developed by a start-up. Data were analyzed and processed using IBM SPSS 25.0 software.

Resultados

The mean age of the sample was 39.77 + 14.13 years; IDO of 4.91 + 5.33; BMI of 27.40 + 5.2; 94.77 + 1.05 Sp02 mean; 85.93 + 6.45 Sp02 minimum; 98.83 + 1.06 basal SpO2; HR of 68.00 + 9.75 BPM. A positive correlation was observed between BMI and ODI (r=0.459; p=0.009). There is no effect of sex (p=0.651) and BMI (p=0.614) on ODI, and no interactions between sex and BMI on ODI (=0.134) were observed.

Conclusões

Although the scientific literature supports the hypothesis that male gender and high BMI contribute to greater episodes of ODI, the present study did not find an effect and interactions between sex and BMI on ODI, although there was a positive correlation between BMI and ODI. GONE. The sample n, although considerable, may be low for this type of analysis, requiring a more robust sample n. The 31 patients were instructed on good sleep habits and referred to the multidisciplinary team.

Palavras -chave

Night Polygraphy. Sleep apnea. Nurse.