Special issue Open access

Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia

Authors

Published
20 May 2021
Section
Special issue
DOI
10.4081/pmc.2021.262

Abstract

Pediatric patients with pneumonia experience respiratory distress in the form of shortness of breath and rapid breathing, which affects oxygen saturation. Oxygen saturation and respiratory rate can be increased by providing the right lateral position. Fulfillment of oxygen will affect the healing of children and can reduce the length of stay in hospital. The purpose of this study was to identify the effect of right lateral positioning on oxygen saturation and respiratory rate in under-five children with pneumonia. The study design was a quasi-experimental pre-posttest with control group design. Respondents were 32 infants with pneumonia, (right lateral=16 and control group=16), selected by consecutive sampling. Univariate and bivariate analyzes were performed. There was a significant difference in oxygen saturation before and after right lateral position (p-value=0.000) and there was a significant difference in the respiratory rate before and after right lateral position (p-value=0.000). The results can be used to improve health services by promoting the right lateral position as a selftreatment intervention for increasing oxygen saturation and stabilizing respiratory rate in infants with pneumonia.

Keywords

References

  1. Wulandari RA. Pengaruh pemberian ASI eksklusif terhadap kejadian pneumonia balita di Jawa Timur. Jurnal Berkala Epidemiologi 2018;6:236-43. DOI: https://doi.org/10.20473/jbe.V6I32018.236-243
  2. Bartolf A, Cosgrove C. Pneumonia. Medicine (Baltimore) 2016;44:373-7. DOI: https://doi.org/10.1016/j.mpmed.2016.03.004
  3. Cukic V, Hadzic A. The most common detected bacteria in sputum of patients with community acquired pneumonia (CAP) treated in hospital. Med Arch 2016;70:354-8. DOI: https://doi.org/10.5455/medarh.2016.70.354-358
  4. Soepardi J, Izwardy D, Priohutomo S, et al. Manajemen terpadu balita sakit (MTBS). Jakarta: Kementerian Kesehatan Republik Indonesia; 2015.
  5. James SR, Nelson KA, Ashwill JW. Nursing care of children: principles and practice. 4th ed. St. Louis, MO: Elsevier; 2013. 851 p.
  6. WHO. Revised WHO classification and treatment of childhood pneumonia at health facilities: evidence summaries. Switzerland: World Health Organization; 2014. 34 p.
  7. Blanc J, Locatelli I, Rarau P, et al. Retrospective study on the usefulness of pulse oximetry for the identification of young children with severe illnesses and severe pneumonia in a rural outpatient clinic of Papua New Guinea. PLoS One 2019;4:e0213937. DOI: https://doi.org/10.1371/journal.pone.0213937
  8. Ling IT, Piccolo F, Mulrennan SA, Phillips MJ. Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: an observational cohort study. Cough 2011;7:9. DOI: https://doi.org/10.1186/1745-9974-7-9
  9. Jung H, Kim HJ, Lee YC. Comparison of lateral and supine positions for tracheal extubation in children: a randomized clinical trial. Anaesthesist 2019;68:303-8. DOI: https://doi.org/10.1007/s00101-019-0590-2
  10. Bassi GL, Xiol EA, Pagliara F, et al. Body position and ventilator-associated pneumonia prevention. Semin Respir Crit Care Med 2017;38:371-80. DOI: https://doi.org/10.1055/s-0037-1603111
  11. Gordon S, Jones A, Sealey R, Buettner P. Body position and cardio-respiratory variables in older people. Arch Gerontol Geriatr 2011;52:23-7. DOI: https://doi.org/10.1016/j.archger.2009.11.005
  12. Suyanti S, Iswari MF, Ginanjar MR. Pengaruh mobilisasi progresif level 1 terhadap tekanan darah dan saturasi oksigen pasien dengan penurunan kesadaran. Indonesian Journal for Health Sciences 2019;3:57-63. DOI: https://doi.org/10.24269/ijhs.v3i2.1837
  13. Registered Nurses’ Association of Ontario. Positioning techniques in long term care: self-directed learning package for health care providers. Toronto, Canada; 2007. 41 p.
  14. Potter PA, Perry AG. Buku ajar fundamental keperawatan: konsep, proses, dan praktik. 4th ed. Jakarta: EGC; 2006.
  15. Apriliawati A, Rosalina. The effect of prone position to oxygen saturations' level and respiratory rate among infants who being installed mechanical ventilation in NICU Koja Hospital. In: Rozi F, Soemanntri I, editors. The 2nd International Multidisciplinary Conference 2016; Nov 15, 2016; Jakarta. Jakarta: Universitas Muhammadiyah Jakarta. pp. 541-6.
  16. Yesni M. Pengaruh terapi posisi lateral kanan terhadap kkualitas tidur pasien gagal jantung di RSUP M Djamil Padang. Jurnal Akademika Baiturrahim Jambi 2019;8:117-25. DOI: https://doi.org/10.36565/jab.v8i1.109
  17. Kalisnik JM, Avbelj V, Trobec R, Gersak B. Position-dependent changes in vagal modulation after coronary artery bypass grafting. Comput Biol Med 2007;37:1404-8. DOI: https://doi.org/10.1016/j.compbiomed.2006.11.002
  18. Anggraeni LD, Indiyah ES, Daryati S. Pengaruh posisi pronasi pada bayi prematur terhadap perubahan hemodinamik. Journal of Holistic Nursing Science 2019;6:9-14. DOI: https://doi.org/10.31603/nursing.v6i2.2663
  19. Punthmatharith B, Mora J. Effects of positioning on respiration rate, heart rate, and oxygen saturation in preterm infants: a cross-over design. Pacific Rim Int J Nurs Res. 2018;22:187-99.
  20. Tongyoo S, Vilaichone W, Ratanarat R, Permpikul C. The effect of lateral position on oxygenation in ARDS patients: a pilot study. J Med Assoc Thai 2006;89:S55-61.
  21. Mawaddah E, Nurhaeni N, Wanda D. Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? Enferm Clin 2018;28:9-12. DOI: https://doi.org/10.1016/S1130-8621(18)30027-5

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