Short-term Effect of the Semirecumbent Position on Oxygen Saturation and Respiration Rate in Pediatric with Oxygenation Problem

Authors

  • Ely Mawaddah Nursing Departement, Poltekkes Kemenkes Mataram, Mataram, Indonesia Author
  • Nani Nurhaeni Pediatric Nursing Departement, Universitas Indonesia, Depok, Indonesia Author
  • Dessie Wanda Pediatric Nursing Departement, Universitas Indonesia, Depok, Indonesia Author
  • Mardiatun Wanda Nursing Departement, Poltekkes Kemenkes Mataram, Mataram, Indonesia Author
  • Mira Utami Ningsih Nursing Departement, Poltekkes Kemenkes Mataram, Mataram, Indonesia Author

DOI:

https://doi.org/10.61841/48r41j88

Keywords:

Oxygenation problem, pediatric, semi recumbent, oxygen saturation, respiration rate

Abstract

 Objective: Oxygen is a basic physiological need for the survival of human life. Pediatric
patients with oxygenation problems need an ideal position to promote necessary oxygen
saturation and normal respiration rate. This study aims to identify the effect of semi
recumbent position on the oxygen saturation and respiration rate of pediatric patients with
oxygenation problem.
Method: The study design was a quasi-experimental with a pre-posttest control group design.
Forty pediatric patients with oxygenation problems were selected using consecutive sampling
and divided into two groups: semi recumbent (n=20) and control (n=20). Statistical analysis
was conducted using the Wilcoxon test, Paired t-test, and Mann-Whitney test.
Results: A significant difference in the oxygen saturation level was found in the semi
recumbent group after 1 hour of semi recumbent positioning. There was no significant
difference in the respiration rate before and after intervention in the two groups after 1 hour
of positioning.
Conclusions: The semi recumbent position can be applied to improve the oxygenation status
of pediatric patients with oxygenation problem in a short-term period. Nurses should teach
the family how to position pediatric patients with oxygenation problem during their
hospitalization. 

Downloads

Download data is not yet available.

References

Asih, R.S., Landia, S., Makmuri, S. (2006). Pneumonia. May 6, 2018.

http://old.pediatrik.com/pkb/061022023132-f6vo140.pdfBeers, F.V., & Vos, P. (2014). Semi-upright position improves ventilation and oxygenation in

mechanically ventilated intensive care patients. Crit Care, 18 (Suppl 1), 258-260.

Bowden, V.R., & Greenberg, C.S. (2010). Pediatric and their families: The continuum of

care. (2ndedition). Philadelphia: Lippincott Williams & Wilkin.

Dimitriou, G., Greennough, A., Pink, L., McGhee, A., Hickey, A., & Rafferty, G.F. (2002).

Effect of posture on oxygenation and respiratory muscle strength in convalescent

infants. Arch Dis Child Fetal Neonatal, 86, 147-150.

Du Fan, R.C.M., Benoit, M., & Girardier, L. (2004). The role of body position and gravity in

the symptoms and treatment of various medical diseases. Swiss Med, 134, 543–551.

Göcze, I., Felix,S., Zeman, F., Creutzenberg, M., Graf, B.M., Schlitt, H.J., & Bein, T. (2013).

The effects of the semi recumbent position on hemodynamic status in patients on

invasive mechanical ventilation: prospective randomized multivariable analysis. Chest,

17 (2), 80-89.

Harris, M., Clark, J., Coote, N., Fletcer, P., Harnden, A., McKean, M., & Thomson, A.

(2011). British thoracic society guidelines for the management of community acquired

pneumonia in pediatric: update 2011. Thorax, 66(2), 1-23.

Hockenberry, M., & Wilson, D. (2011). Wong’s essential of pediatric nursing. (9nd edition).

St. Louis: Mosby Elsevier.

Jones, M., & Gray, S. (2005). Assistive technology: positioning and mobility. Meeting the

physical therapy needs of pediatric. Philadelphia: FA Davis Company.

Johnson, K.L., & Meyenburg, T. (2009). Physiological rationale and current evidence for

therapeutic positioning of critically ill patient. AACN Advanced Critical Care, 20(3),

228–240.

Kyle, T. (2008). Essentials of pediatric nursing. Philadelphia: Wolters Kluwer

Metheny, N.A., & Frantz R.A. (2013). Head-of-bed elevation in critically ill patients: A

review. Critical Care Nurse. 33 (3), 53-67Petrova A., Mehta, R. 2015. Alteration in regional tissue oxygenation of preterm infants

during placement in the semi-upright seating position. Scientific reports, 5, 8343. DOI:

10.1038/srep08343.

Richard, J.C.M., & Lefebvre, J.C. (2011). Positioning of patients with acute respiratory

distress syndrome: combining prone and upright makes sense. Critical Care, 15, 1019-

1020.

Robak, O., Schellongowski, P., Bojic, A., Laczika, K., Locker, G.J., & Staudinger, T. (2011).

Short-term effects of combining upright and prone positions in patients with ARDS: a

prospective randomized study. Crit Care, 15(5), 230-236. doi: 10.1186/cc10471

Santos, C.L., Samary, C.D.S., Junior, P.L.F., Santos, B.L., & Schanaider, A. (2014).

Pulmonar recruitment in acute respiratory distress syndrome, what is the best

strategy?. April 10, 2017. http://www.scielo.br/pdf/rcbc/v42n2/0100-6991-rcbc-42-02-

00125.pdf

Shah, D.S., Desai, A.R., Gohil, N. (2012). A comparison of effect of semi fowler’s vs side

lying position on tidal volume & pulse oxymetry in ICU patient. Innovative Journal of

Medical and Health Science, 2(5), 81 – 85.

Speelberg & Beers, F.V. (2003). Artificial ventilation in the semi-recumbent position

improves oxygenation and gas exchange. Chest, 124 (4_MeetingAbstracts), 203-205.

Thomas P., Paratz J., Lipman J. (2014). Seated and semi-recumbent positioning of the

ventilated intensive care patient : Effect on gas exchange, respiratory mechanics and

hemodynamics. Heart & Lung, 43, 105-111.

Van, B.F., & Vons. (2014). Semi-upright position improves ventilation and oxygenation in

mechanically ventilated intensive care patients. Crit Care, 18 (Suppl 1), 258-260. doi:

10.1186/cc13448.

Downloads

Published

25.09.2024

How to Cite

Short-term Effect of the Semirecumbent Position on Oxygen Saturation and Respiration Rate in Pediatric with Oxygenation Problem. (2024). International Journal of Psychosocial Rehabilitation, 25(2), 578-589. https://doi.org/10.61841/48r41j88