An Application of Semi-Fowler Positioning to Overcome Nursing Problems Ineffective Breath Patterns in Clients with Chronic Kidney Disease: a Case Study

Abstract

Chronic Kidney Disease (CKD) or chronic kidney failure is a disease due to decreased kidney function that causes the body to fail to maintain fluid and electrolyte balance metabolism, resulting in urea retention and other nitrogen waste accumulation in the body. This research aims to analyze given this position to lower oxygen consumption and increase maximum lung expansion, the ineffectiveness of the client's breath pattern is more optimal in CKD patients in the Adenium Room of DR. Soebandi Jember Hospital. This type of research is descriptive using the case study approach method. The subject in this case study was one patient affected by CKD with the ineffectiveness of breath patterns. Semifowler position intervention is performed where the position of the head and body is raised by 45°. Result: The application of a semi-fowler position (45° sitting position) for 3x24 hours according to the standard of procedure helps reduce shortness of breath and helps optimize RR in the client so that the problem of ineffectiveness of breath patterns can be resolved. Interventions in regulating the angle of sleep position can meaningfully produce good respiration, so it can be considered one of the interventions to optimize the ineffectiveness of breath patterns.

The Effect of Giving Semi Fowler Position in Reducing Ineffective Breathing in Chronic Kidney Disease (CKD) Patients at RSUD Ibnu Sina Gresik Hospital (Case Study Research)

“…This position is intended to maintain a comfortable position and facilitate respiration function. This technique can stimulate parasympathetic nerves and related muscles to become more relaxed, and can increase oxygen capacity in the body (Setia, Sari, & Nistiandani, 2023). The condition of the diaphragm muscles at 45 degrees will make the muscles contract, on the other hand the thoracic volume will enlarge.…”

Hipervolemia dan Keletihan pada Pasien Chronic Kidney Disease Stage 5: Sebuah Studi Kasus

“…Berdasarkan hasil penelitian diketahui bahwa posisi semi fowler pada pasien CKD dengan sesak nafas dapat meningkatkan saturasi oksigen pada pasien. Pemberian posisi semi fowler efektif dalam mengurangi sesak karena pada posisi semi fowler otot diafragma tertarik ke bawah sehingga ekspansi paru lebih optimal dan oksigen lebih mudah masuk ke dalam paru-paru (Putrantu et al, 2021;Sari et al, 2023)…”