The Effect of Position Change on Arterial Oxygen Saturation in Cardiac and Respiratory Patients: A Randomised Clinical Trial

Najafi, Samane; Dehkordi, Shirin Madadkar; Haddam, Mahdi Basirimog; Abdavi, Mohsan; Memarbashi, Mohammad

doi:10.7860/jcdr/2018/36282.12130

Cited by 5 publications

(4 citation statements)

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“…In a different study, Ghorbani et al (2013) [13] , It has been shown that the mean value of HR and RR in premature infants with N-CPAP-treated respiratory distress syndrome has decreased in the prone position, thus rising their tachypnea and tachycardia and ~ 23 ~ making infants more relaxed in the prone position than in the supine. The findings of this study do not overlap with the results of Najafi et al, (2018) [24] Assessing the impact of a change in position on arterial oxygen saturation in cardiac and respiratory patients, the average percentage of oxygen saturation in prone positions was stated to be significantly lower than the positions of supine and semifowler. Also, Punthmatharith and Mora (2018) [31] , Revealed normal ranges with no significant differences in breathing rate, heart rate and oxygen saturation between infants in different positions.…”

Section: Discussionsupporting

confidence: 51%

Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Sayed¹,

Mahmoud²,

Mahmud³

2020

Int. J. Res. Paediatric Nurs.

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Prone position may play an important role in improving and maintaining the optimal neonatal physiological parameters within desirable ranges. Aim: This study aimed to investigate the effect of prone position for neonatal physiological parameters during non-invasive respiratory support. Time series quasi-experimental research design was carried out on a randomized purposive sample of 60 newborn infants attending the Neonatal Intensive Care Unit (NICU) of El Manial University Hospital (Kasr Al Aini), (30 control group, and 30 intervention groups). Neonatal assessment and Physiological parameters tools were utilized for data collection. Results: There was a significant mean difference between the intervention group (during prone position) and control group (during supine position) regarding respiratory rate, heart rate, SPO2 scores in three-time frames (during T0before intervention, T11 st 5 min, T22 nd 5 min T33 rd 5 min) at P˂0.00 but. Conclusion:Neonatal positioning in the prone position is a simple, non-invasive, and free of charge method that could lead to improve oxygenation in High-risk neonates undergoing noninvasive respiratory support (Nasal Continuous Positive Airway Pressure (NCPAP). Recommendations: Further studies needed to evaluate the effect of positioning change on high-risk neonates' Physiological parameters response.

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Section: Discussionsupporting

confidence: 51%

Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Sayed¹,

Mahmoud²,

Mahmud³

2020

Int. J. Res. Paediatric Nurs.

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“…There were change in O2 saturation of the two respondents by 4-5%. Last, research conducted by Najafi et. al., (2018) in the ICU and CCU of 22 Bahman Hospital in Gonabad Iran, showed that arterial blood oxygen in the earlobe and in the semi-fowler position was higher than other points and positions.…”

Section: Resultsmentioning

confidence: 98%

“…al., 2020). So that, Nurses should give this position to patients with cardiorespiratory disorders as independent of nursing care implementation in the management of hypoxia (Najafi et. al., 2018;PPNI, 2018;Doyle and McCutcheon, 2012)…”

Section: Introductionmentioning

confidence: 99%

Analysis Of Nursing Care on Congestive Heart Failure Disease Using Semifowler’s Position to Increase Oxigen Saturation

Puspita

Prayoga²,

Mulyana³

et al. 2022

JHSNS

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Background: Cardiovascular disease is a health problem in both developed and developing countries. One of the most common cardiovascular diseases in Indonesia is congestive heart failure. Congestive heart failure is a condition in which the heart is unable to maintain adequate cardiac output to meet metabolic and tissue oxygen demands despite good venous flow. Objective: This case study aims to obtain an overview of applying semi-fowler position to increase oxygen saturation in patients with congestive heart failure. Methods: The method used was a descriptive case study by conducting nursing care and literature review. Participants in this study were patients with congestive heart failure with impaired breathing patterns. Result: This case showed that applying semi-fowler position to Cardiac Heart Failure Patient was increased the oxygen saturation, which is characterized by a significant increase in oxygen saturation value with an average value of 3% each day. Conclusion: nurse can help patient increasing the oxygen saturation on CHF patient using semi fowlers position. Keywords:Nursing Care, Heart Failure, semi-fowlers

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“…Peneliti melakukan pengaturan posisi pada pasien ADHF sesuai dengan Good Clinical Practice (GCP) yang sudah sesuai dengan etis, yaitu waktu yang dilakukan penerapan posisi semi fowler 45 0 adalah 3x24 jam dengan 4 kali pengamatan tiap harinya untuk mengamati status hemodinamik sampel sebelum dan sesudah dilakukan intervensi (Putu et al, 2023). Penerapan intervensi ini sebelumnya dilakukan (Najafi, Dehkordi, & Memarbashi, 2018), dengan hasil yang menunjukkan berdampak signifikan dalam peningkatan saturasi oksigen. Hal tersebut bertolak belakang dengan hasil penelitian yang dilakukan oleh Eghbalian dan Moeinipour yang berjudul "efek posisi pada oksigen arteri saturasi pada bayi prematur dengan sindrom gangguan pernapasan di rumah sakit".…”

Section: Semi-fowlerunclassified

Asuhan Keperawatan Pada Penurunan Curah Jantung Dengan Intervensi Posisi Semi fowler: Studi Kasus Pada Pasien Acute Decompensated Heart Failure (ADHF) Di Ruang ICCU

Ardiyanto,

Zulfatul A'la,

Tri Gunarto

et al. 2024

JINI

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Acute Decompensated Heart Failure (ADHF) is characterized by initial complaints such as fatigue, jugular vein distention, cough, shortness of breath, paroxysmal nocturnal dyspnea, CRT<3 seconds, and arrhythmia indicated by auscultation results. In this case study, observations were made of individuals diagnosed with ADHF and a low heart rate, who underwent treatment in a semifowler position for three days in a Bali hospital. An increase in heart rate was observed as a result of the intervention in this case study, along with reduced shortness of breath or dyspnea, less fatigue, and increased ability to engage in minimal bed activity in patients.Similarly, jugular vein distention, coughing, and muscle contractions all contribute to reduced breathing. Semi-fowler positions are used with patients as an alternative to diuretic treatment in cases of elevated heart rate. It is hoped that future researchers will be able to combine a semi-Fowler intervention with other more complex research designs that include more detailed observation sheets or monitoring in order to monitor not only the patient's hemodynamic status, but also the oxygenation status and other factors that contribute to improvement in patients with heart rate reduction disorders Abstrak Gagal jantung dekompensasi atau yang disebut juga Acute Decompensated Heart Failure (ADHF) terjadi secara langsung (akut atau subakut) dengan gejala yang bertahap dari keluhan awal berupa keletihan, distensi vena jugularis, batuk disertai sesak napas, paroksimal nocturnal dispnea, hingga CRT > 3 detik dan hasil auskultasi dengan interpretasi aritmia pada irama bunyi jantung. Penurunan curah jantung menjadi salah satu masalah keperawatan prioritas pada pasien ADHF. Metode dalam studi kasus ini yakni berupa pengamatan yang dilakukan pada pasien ADHF dengan diagnosa keperawatan penurunan curah jantung dan diberikan intervensi posisi semi fowler selama tiga hari di rumah sakit di Bali. kondisi sadar dan tidak takut untuk mengikuti serangkaian intervensi yang diberikan. Hasil dari pemberian intervensi yang dilakukan dalam studi kasus ini yakni berupa peningkatan curah jantung dan hasil evaluasi yang diperoleh dari keluhan pasien berupa sesak napas atau dispnea yang menurun, keletihan menurun, dan juga mampu beraktivitas dengan minimum di tempat tidur. Begitu juga tidak teraba distensi vena jugularis, batuk dan otot bantu napas menurun. Pemberian posisi semi fowler yang diimplementasikan kepada pasien sebagai bentuk alternatif selain pemberian obat diuretik dalam meningkatan curah jantung. Harapan peneliti selanjutnya dapat menerapkan intervensi semi fowler dengan desain penelitian lain yang lebih kompleks dengan lembar observasi atau pengamatan yang lebih lengkap dalam melakukan pengamatan tidak hanya status hemodinamik pasien, namun juga status oksigenasi dan juga faktor lainnya yang menjadi aspek peningkatan pasien dengan gangguan penurunan curah jantung. Kata kunci : Acute Decompensated Heart Failure, Penurunan curah jantung.

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The Effect of Position Change on Arterial Oxygen Saturation in Cardiac and Respiratory Patients: A Randomised Clinical Trial

Cited by 5 publications

References 0 publications

Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Analysis Of Nursing Care on Congestive Heart Failure Disease Using Semifowler’s Position to Increase Oxigen Saturation

Asuhan Keperawatan Pada Penurunan Curah Jantung Dengan Intervensi Posisi Semi fowler: Studi Kasus Pada Pasien Acute Decompensated Heart Failure (ADHF) Di Ruang ICCU

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