Efeito da iluminância no interior de incubadoras nos parâmetros clínicos de recém-nascidos prematuros em terapia intensiva

Max Douglas de Jesus Carmo; Luciano Marques dos Santos; Bianka Sousa Martins Silva; Juliana de Oliveira Marcatto; Luana Trindade dos Santos  Mascarenhas; Jadiel dos Santos Pereira; Maria Cristina de Camargo

doi:10.36517/2175-6783.20262796505

Autores

Max Douglas de Jesus Carmo Universidade Estadual de Feira de Santana https://orcid.org/0000-0002-4128-405X
- Conceptualization
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Investigation
- Methodology
- Visualization
Luciano Marques dos Santos Universidade Estadual de Feira de Santana https://orcid.org/0000-0001-7866-6353
- Conceptualization
- Formal Analysis
- Investigation
- Methodology
- Project Administration
- Supervision
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Visualization
- Resources
Bianka Sousa Martins Silva Universidade do Estado da Bahia https://orcid.org/0000-0003-0199-1451
- Formal Analysis
- Methodology
- Supervision
- Visualization
- Writing – Review & Editing
Juliana de Oliveira Marcatto Universidade Federal de Minas Gerais https://orcid.org/0000-0002-6870-8414
- Supervision
- Writing – Review & Editing
- Visualization
Luana Trindade dos Santos Mascarenhas Universidade Estadual de Feira de Santana https://orcid.org/0000-0002-5689-9823
- Writing – Review & Editing
- Writing – Original Draft Preparation
- Visualization
- Methodology
Jadiel dos Santos Pereira Universidade Federal do Recôncavo da Bahia https://orcid.org/0000-0001-6821-7482
- Investigation
- Software
- Supervision
- Visualization
- Formal Analysis
Maria Cristina de Camargo Universidade Estadual de Feira de Santana https://orcid.org/0000-0001-9615-655X
- Conceptualization
- Methodology
- Supervision
- Visualization
- Writing – Review & Editing

DOI:

https://doi.org/10.36517/2175-6783.20262796505

Palavras-chave:

Unidades de Terapia Intensiva Neonatal; Luz; Incubadoras; Recém-Nascido Prematuro; Estresse Fisiológico.

Resumo

Objetivo: verificar o efeito do nível de iluminância no interior de incubadoras nos parâmetros clínicos de recém-nascidos prematuros em Unidades de Terapia Intensiva Neonatal. Métodos: pesquisa post hoc longitudinal e prospectiva, com 14 recém-nascidos prematuros em incubadoras de três Unidades de Terapia Intensiva Neonatal. Os níveis de iluminância e os parâmetros clínicos foram mensurados às 6h00, 12h00, 18h00 e 00h00. Os dados foram analisados por medidas descritivas e regressão linear. Resultados: os níveis medianos de iluminância foram elevados às 12h00 (662,5 lux), 18h00 (115,5 lux) e 6h00 (114,0 lux). As medianas da frequência cardíaca e respiratória foram maiores na avaliação das 6h00 e os da pressão arterial sistólica e diastólica, saturação de oxigênio e temperatura, às 12h00. Não se registraram diferenças estatisticamente significativas entre os níveis de iluminância durante os quatro períodos de registro e os parâmetros clínicos. Conclusão: os elevados níveis de iluminância ao longo do dia não afetaram estatisticamente os parâmetros vitais dos recém-nascidos prematuros. Contribuições para a prática: os elevados valores de iluminância no interior de incubadoras demandam a utilização de intervenções que possam reduzi-los a fim de mitigar outros prováveis efeitos clínicos em recém-nascidos prematuros. (RBR-6xww44w).

Downloads

Os dados de download ainda não estão disponíveis.

Referências

1. World Health Organization. Preterm birth [Internet]. 2022 [cited Feb 26, 2026]. Available from: https://www.who.int/news-room/fact-sheets/detail/preterm-birth

2. Firmino C, Rodrigues M, Franco S, Ferreira J, Simões AR, Castro C, et al. Nursing interventions that promote sleep in preterm newborns in the neonatal intensive care units: an integrative review. Int J Environ Res Public Health. 2022;19(17):10953. doi: https://doi.org/10.3390/ijerph191710953

3. Malin KJ, Gondwe KW, Fial AV, Moore R, Conley Y, White-Traut R, et al. Scoping review of early toxic stress and epigenetic alterations in the neonatal intensive care unit. Nurs Res. 2023;72(3):218-28. doi: http://doi.org/10.1097/nnr.0000000000000652

4. Morag I, Xiao YT, Bruschettini M. Cycled light in the intensive care unit for preterm and low birth weight infants. Database Syst Rev. 2024;12:CD006982. doi: https://dx.doi.org/10.1002/14651858.cd006982.pub5

5. Associação Brasileira de Normas Técnicas. ABNT NBR ISO/CIE 8995-1:2013. Iluminação de ambientes de trabalho Parte 1: Interior [Internet]. 2013 [cited Feb 26, 2026]. Available from: https://cearatransparente.ce.gov.br/attachments/6655554e059b404fbb282b4ebbe9e5403fdf012b/store/6642a0e65d7966201d69538b2b89c015bbdc3d1da07609cba71a400ff924/nbriso_cie8995-1.pdf

6. Oh RS, Orsi KC, Pinheiro EM, Santos LM, Avelar AF. Lighting level in Neonatal Units according to environment and furniture management. Acta Paul Enferm. 2022;35:eAPE02517. doi: https://doi.org/10.37689/acta-ape/2022ao02517

7. Cheong JL, Burnett AC, Treyvaud K, Spittle AJ. Early environment and long-term outcomes of preterm infants. J Neural Transm (Vienna). 2020;127(1):1-8. doi: https://dx.doi.org/10.1007/s00702-019-02121-w

8. Marchal A, Melchior M, Dufour A, Poisbeau P, Zores C, Kuhn P. Pain behavioural response to acoustic and light environmental changes in very preterm infants. Children. 2021;8(12):1081. doi: https://doi.org/10.3390/children8121081

9. Zhang X, Spear E, Hsu HH, Gennings C, Stroustrup A. NICU-based stress response and preterm infant neurobehavior: exploring the critical windows for exposure. Pediatr Res. 2022;92(5):1470-8. doi: https://doi.org/10.1038/s41390-022-01983-3

10. Tir S, Foster RG, Peirson SN. Evaluation of the Digital Ventilated Cage® system for circadian phenotyping. Sci Rep. 2025;15(1):3674. doi: https://doi.org/10.1038/s41598-025-87530-6

11. Hazelhoff EM, Dudink J, Meijer JH, Kervezee L. Beginning to see the light: lessons learned from the development of the circadian system for optimizing light conditions in the Neonatal Intensive Care Unit. Front Neurosci. 2021;15:634034. doi: https://doi.org/10.3389/fnins.2021.634034

12. Zores C, Dufour A, Pebayle T, Langlet C, Astruc D, Kuhn P. Very preterm infants can detect small variations in light levels in incubators. Acta Paediatr. 2015;104(10):1005-11. doi: https://dx.doi.org/10.1111/apa.13085

13. Neukamm AC, Quante M, Poets CF, Shellhaas RA, Austin T, Boylan GB, et al. The impact of sleep in high-risk infants. Pediatr Res. 2025;98(6):2073-81. doi: http://doi.org/10.1038/s41390-025-04049-2

14. Lee YH, Malakooti N, Lotas M. A Comparison of the light- reduction capacity of commonly used incubator covers. Neonatal Netw. 2005;24(2):37-44. doi: https://doi.org/10.1891/0730-0832.24.2.37

15. Rocha AD, Sá PM, Reis DB, Costa AC. “Horário do Soninho”: uma estratégia para reduzir os níveis de pressão sonora em uma unidade de terapia intensiva neonatal. Enferm Foco. 2020;11(1):114-7. doi: http://doi.org/10.21675/2357-707x.2020.v11.n1.2698

16. Van der Linden IA, Hazelhoff EM, Groot ER, Vijlbrief DC, Schlangen LJ, Kort YA, et al. Characterizing light-dark cycles in the Neonatal Intensive Care Unit: a retrospective observational study. Front Physiol. 2023;14:1217660. doi: https://doi.org/10.3389/fphys.2023.1217660

17. The MathWorks Inc. ThingSpeak for IoT: Projects data collection in the cloud with advanced data analysis using MATLAB [Internet]. 2026 [cited Feb 26, 2026]. Available from: https://thingspeak.mathworks.com

18. The MathWorks Inc. MathWorks - Maker of MATLAB and Simulink - MATLAB & Simulink [Internet]. 2026 [cited Feb 26, 2026]. Available from: https://www.mathworks.com/products/matlab.html

19. Maki MT, Orsi KC, Tsunemi MH, Hallinan MP, Pinheiro EM, Avelar AF. The effects of handling on the sleep of preterm infants. Acta Paul Enferm. 2017;30(5):489-96. doi: https://dx.doi.org/10.1590/1982-0194201700071

20. Aita M, Robins S, Charbonneau L, Doray-Demers P, Feeley N. Comparing light and noise levels before and after a NICU change of design. J Perinatol. 2021;41(9):2235-43. doi: https://dx.doi.org/10.1038/s41372-021-01007-8

21. Correia LC, Bagano GO, Melo MH. Should we retire statistical significance? BrJP. 2020;3(4):299-300. doi: http://doi.org/10.5935/2595-0118.20200199

22. Olgun AB, Yüksel D, Yardımcı F. The effect of a light-dark cycle on premature infants in the Neonatal Intensive Care Unit: a randomized controlled study. J Pediatr Nurs. 2024;77:e343-e349. doi: https://doi.org/10.1016/j.pedn.2024.04.050

23. Çetin K, Ekici B. The effect of incubator cover on newborn vital signs: the design of repeated measurements in two separate groups with no control group. Children. 2023;10(7):1224. doi: https://doi.org/10.3390/children10071224

24. Greenberg JM, Gruner KA, Rodney L, Struve JN, Kang D, Cao Y, et al. Biologically aware lighting for newborn intensive care. J Perinatol. 2023;43(Suppl 1):49-54. doi: http://doi.org/10.1038/s41372-023-01816-z

25. Riggins T, Ratliff EL, Horger MN, Spencer RMC. The importance of sleep for the developing brain. Curr Sleep Med Rep. 2024;10(4):437-46. doi: https://doi.org/10.1007/s40675-024-00307-7

26. Jiang Q, Wen J, Ding Y, Cui H. From vulnerability to resilience: unraveling the role of oxidative stress in preterm brain injury. Ital J Pediatr. 2025;51(1):232. doi: http://dx.doi.org/10.3390/10.1186/s13052-025-02079-4

27. Arimitsu T, Fukutomi R, Kumagai M, Shibuma H, Yamanishi Y, Takahashi KI, et al. Designing artificial circadian environments with multisensory cares for supporting preterm infants’ growth in NICUs. Front Neurosci. 2023;17:1152959. doi: https://doi.org/10.3390/10.3389/fnins.2023.1152959

28. Harvey E. Review of cycled lighting’s effect on premature infants’ circadian rhythm development and clinical outcomes based on gestational age. Adv Neonatal Care. 20251;25(3):259-69. doi: https://doi.org/10.3390/10.1097/ANC.0000000000001258

29. Ho CL. Effects on weight gain and length of hospital stay of day and night-cycled light exposure in premature infants: a meta-analysis. J Nurs Res. 2025;33(5):e416. doi: https://dx.doi.org/10.3390/10.1097/jnr.0000000000000700