semi-Fowler Position Research Articles

The Effectiveness of Semi Fowler Position 30 Degrees and 45 Degrees on Increasing SPO2 and Respiratory Rate of Lung TB Patients: Literature Review

Pulmonary TB is a disease caused by Mycobacterium tuberculosis which attacks the respiratory system and often decreases SPO2. Interventions that can be done to reduce shortness of breath and increase SPO2 are by giving a semi-fowler position. To determine the effectiveness of the semi-Fowler's position on increasing SPO2 and breathing patterns in pulmonary TB patients. Research design literature review. Journal criteria were screened based on literature titles, abstracts and keywords that had been determined and sourced from Biomed Central, DOAJ, Pubmed, Elsevier, and EBSCO HOST identified through the Population, Intervention, Comparation, Outcomes and Study Design (PICOS) system approach. The number of articles used for this literature is 12 journals. Pulmonary TB patients experienced an increase in SPO2 and a decrease in shortness of breath after being given the semi-Fowler position intervention. The results of the analysis showed the effectiveness of the semi-Fowler position to increase SPO2 and reduce shortness of breath in pulmonary TB patients. Health facilities can provide interventions regarding the effectiveness of the semi-Fowler's position to increase SPO2 and reduce shortness of breath, besides that it can also be used as a nursing care intervention program in pulmonary TB patients.

Semi Fowler Position Adjustment to Treat Ventilation Disorders In Post Craniotomy Meningioma Patients

Meningiomas are one of the most common types of brain tumors. Interventions that can be done in cases of meningiomas are craniotomy, which is a surgical procedure performed by opening a portion of the skull bone to access the brain directly, and this will be directly related to the nerves. Impaired spontaneous ventilation is the most common problem and if it does not get treatment quickly it will be fatal, namely death. The method used in this research is descriptive with a case study approach. The results showed that after setting the semi-Fowler's position in post-craniotama patients for three days, the patient's condition had not changed, which could be seen from the absence of changes in ventilation disturbances seen from the absence of an increase in patient awareness. In conclusion, the application of semi-Fowler's position adjustment has not been able to overcome ventilation disorders that occur in post-craniotomy patients. This may be influenced by the patient's condition.

A case of primary mediastinal seminoma with superior vena cava syndrome and large intracardiac thrombus.

BackgroundPrimary mediastinal seminoma is rare, especially with complications of superior vena cava syndrome (VCSS) and large thrombus.Case presentationA 23-years-old Indonesian male complained of dyspnea, phlegm cough, chest pain, and body weight loss. The patient experienced swelling in the face and neck 1 week ago, accompanied by increased jugular venous pressure. Radiological results showed a firm mass in the right area of the mediastinum. Tumor marker and IHC results showed mediastinal seminoma. Electrocardiography showed sinus tachycardia, right axis deviation, and V1-V5 slow R wave progression. Echocardiography showed an intracardiac mass (RA protrusive RV, size 7.2 × 3.8 cm) with an intracardiac thrombus and RV failure. The patient was positioned in a semi-Fowler's position and given furosemide 3 × 20 mg, dexamethasone 3 × 5 mg, and warfarin 1 × 4 mg. Meanwhile, the results of the biopsy revealed a malignant germ cell tumor. When the patient was going to have bronchoscopy and radiotherapy planned, the patient died.DiscussionReporting primary mediastinal seminoma cases with complications of VCSS and large thrombus has a high risk of mortality, so this report can be used as a review to improve management in future.ConclusionMediastinal seminoma with complications has a high mortality.

Primary Breathing Survey Emergency with Oxygen Need Optimization and Nurse Caring on Covid-19 Patients in IGD UKI RSU Jakarta: Case Study

Emergency in Covid-19 is a respiratory tract infection caused by a new type of coronavirus (SARS-CoV-2) so that it can cause a decrease in oxygen levels in patients with saturation <95% Objective: To carry out emergency nursing care for19 patients Covid-. 19 with the measures in Primary Survey and Secondary Survey order to increase oxygen saturation >95%, reduce shortness of breath, regular breathing rhythm with a frequency of 20x/minute, symmetrical chest movements, and no chest muscle retraction Methods: The method of case study results uses a descriptive approach with a process approach. nursing care, independent action by monitoring the frequency of breath and oxygen saturation as well as giving the semi-fowler position, collaborative action by giving high concentration oxygen Non-Rebreathing Mask 10 liters/minute. Results: The patient's shortness of breath has been reduced with oxygen saturation increasing 99%, chest movement is symmetrical, irregular breathing rhythm 24x/minute is still partially resolved and the patient does not appear restless after being given high concentrations of oxygen. Conclusion: It takes speed and attitude caring towards patients to overcome anxiety and empathy, especially being a good listener by always providing support so that patients are always motivated to recover and providing independent action and the right collaboration of health workers so that the handling of Covid-19 can be resolved

Study on the effects of different postprandial positions on blood pressure and heart rate in older adults with primary hypertension and postprandial hypotension

This randomized controlled trial explored the effects of a supine position or a semi-fowler position on postprandial blood pressure (BP) of older adults with primary hypertension and postprandial hypotension (PPH). Ninety-six participants were divided into the supine group, the semi-fowler group, and the control group with block-randomization. After a meal, the patients were placed in a supine position, a 45° semi-fowler position, or allowed daily activities, respectively. BP, heart rate and PPH symptoms were measured 5 times in 120 minutes after the meal. Repeated measurement analysis showed no statistical difference in BP, heart rate and PPH symptom scores among the three groups. BP in all groups decreased rapidly at the 30-minute point, and then moved steadily downward. Taking a supine position or semi-fowler position after meals had no effect on postprandial BP and heart rate after meals in older adults with hypertension and PPH.

Personal Connection

Personal Connection

Device-related pressure ulcers: SECURE prevention. Second edition.

Device-related pressure ulcers: SECURE prevention. Second edition.

Do different positions during a non-stress test affect the maternofetal physiological parameters and comfort in pregnant women?

A non-stress test (NST) is an essential diagnostic test performed during pregnancy to assess fetal well-being. It is a recording of fetal movements besides fetal heart rate, indicating fetal biophysiological well-being. As maternal physiology is altered in various positions, apt positioning during the NST is essential for accurate results while ensuring maternal comfort. This study aims to evaluate the effect of different maternal positions, left lateral and semi-fowler's, on NST reactivity, maternal blood pressure, heart rate, and comfort in pregnant women while performing the NST. This crossover study evaluated 50 healthy pregnant women between 32 and 40 weeks of gestation with no obstetric complications for the effect of maternal positions on maternofetal physiological parameters and comfort. The NST was performed for 20 min in each position with a washout period of 10 min. The maternofetal physiological parameters were recorded by a calibrated sphygmomanometer and the electrocardiograph interpretations. The maternal comfort was assessed using a maternal comfort rating scale (MCRS) for each position after the NST. Relevant descriptive and inferential statistics are applied to compute the results. Statistically, there was a significant difference in the mean maternal blood pressure and heart rate between the left lateral and semi-fowler's positions at 0 and 20 min (P = 0.001), whereas within the groups, in the same position at 0 and 20 min, no significant difference was found. There was no significant difference in NST reactivity (P = 0.79) in different positions. There was no significant difference between the MCR scores of women in either of the positions (Z = -1.64, df = 49, P = 0.100). Semi-fowler's position demonstrated favorable maternal blood pressure and heart rate during the NST in the third trimester of pregnancy, though it was clinically not significant. There was no significant difference in the comfort of women in both positions. Hence, either of the positions can be implemented in practice as an alternative position while performing the NST, based on the women's preference.

PENGARUH LATIHAN PERNAPASAN PURSED LIPS DAN POSISI SEMI FOWLER TERHADAP PERUBAHAN SESAK PADA PASIEN PPOK

Chronic obstructive pulmonary disease (COPD) is a number of disorders that affect the movement of air from and out of the lungs which is characterized by a continuous blockage of air flow from the lungs. This blockage of air flow is progressive and is related to the pulmonary inflammatory response. The use of pursed lips and semi-fowler positions will make it easier for nurses to reduce tightness in COPD patients. The purpose of knowing the effect of pursed lips breathing and semi-fowler position on changes in shortness in COPD patients. The research design used in this study was a quasi-experimental design with a pretest-posttest with control group design. The sampling technique used in this study was a consequtivesampling technique with 20 people in one group. The analysis used is non-parametric using mannwhitney. The results showed there was an effect of pursed lips breathing exercises and semi-fowler position on changes in tightness in COPD patients (P = 0.005). Sweet solution is a method can be used or done to reduce tightness in COPD patient.

Anesthetic Management of Patient with Preeclampsia, Pulmonary Edema, and Peripartum Cardiomyopathy in Pregnancy Undergoing Caesarean Section: A Case Report

Preeclampsia is a disease that occurs in pregnancy after 20 weeks of gestation with manifestations involving multi organ systems such as pulmonary edema and ventricle dysfunction. Cardiomyopathy is a heart disorder characterized by myocardial dysfunction unrelated to any other previous heart disease. Case: A 31-year-old woman diagnosed with G1P0A0 full-term pregnancy, preeclampsia, pulmonary edema, cardiomyopathy, and fetal distress, who underwent cesarean section. On physical examination, shortness of breath was found in semi-Fowler position. Patient had high blood pressure and global hypokinesis was found on echocardiography results. She was planned for general anesthesia with semi-closed intubation technique and breath controlled. Anesthetic management should optimize the preoxygenation, provide positive pressure ventilation with positive end-expiratory pressure (PEEP), maintain the minimal myocardial depressant effect of drugs, and maintain a normovolemic state. It could improve the good outcomes. Conclusion: Three things that must be considered when starting the induction are oxygenation, fluid status, and selection of drugs that do not make the heart work harder. The combination of fentanyl, midazolam, and sevoflurane is the drug of choice used for induction, because it can minimize the cardiac depressant effect.

Effects of position on non-stress test results and maternal satisfaction.

The non-stress test (NST) is a simple non-invasive procedure commonly used in obstetrics clinics to assess fetal health. It is important that mothers feel comfortable during the NST and that the test results are obtained quickly. To determine the effects of maternal position on NST results and participants' satisfaction during the procedure. This was a randomized controlled experimental study conducted at the Department of Obstetrics and Gynecology Polyclinic of Erciyes University Hospital (Kayseri, Turkey) between October 2017 and March 2018. During the NST, either the supine, semi-Fowler or left lateral position was utilized. Questionnaire forms and NST tracings were collected from 275 participating mothers and analyzed. The χ2 test was used to determine whether the distribution of categorical variables differed between groups. The Kruskal-Wallis test was used to determine whether median scores differed between groups. A p-value <0.05 was considered statistically significant. Most participants in the left lateral (78.9%) and semi-Fowler positions (88.4%) reported feeling satisfied compared to only 24.2% of participants in the supine position (p < 0.001). Participants also felt more comfortable in the left lateral (92.2%) and semi-Fowler positions (87.2%). In the supine position, most participants (68.7%) reported experiencing back pain (p < 0.001). There were no significant differences among groups in terms of basal heart rate (p = 0.497), reactivity time (p = 0.421) or percentage of reactivity (p = 0.676). The number of accelerations was 5.0 in the left lateral position, 4.5 in the semi-Fowler position and 4.0 in the supine position (p = 0.051). Our findings support the use of the semi-Fowler and left lateral positions during the NST. Participants reported high satisfaction in these positions and felt more comfortable, and no procedure-related problems occurred.

Effect Of Diaphragmatic Breathing And Pocketed Lip Breathing Techniques On The Management Of Breathlessness In Patients Ineffective Respiratory Pattern Disorders With Mycobacterium Tuberculosis (Pulmonary Tuberculosis)

Tuberculosis (TB) is a contagious disease caused by the bacterium Mycobacterium Tuberculosis and can spread from one person to another through the sputum droplet air transmission of the patient. Non-pharmacological management of pulmonary tuberculosis includes bed rest, semi-fowler position, comfortable environment, personal hygiene, diaphragm breathing. The purpose of this EBN is to determine the effect of diaphragmatic breathing and pocketed lip breathing on the handling of breathlessness in patients with ineffective respiratory disorders with mycobacterium tuberculosis (pulmonary TB). The implementation strategy used the techniques of literature review obtained through the online search process. The search was conducted via Google Scholar. Pursed lip breathing and diapragmatic breathing are effective in the management of breathlessness in patients with ineffective breathing patterns.

Changes in tapered endotracheal tube cuff pressure after changing position to hyperextension of neck: A randomized clinical trial.

Background:Endotracheal tube (ETT) with a tapered-shaped cuff had an improved sealing effect when compared to ETTs with a conventional cylindrical-shaped cuff. Positional change and neck movement typically displace an ETT and change the intracuff pressure. The aim of the current study was to compare the ETT cuff pressure in the TaperGuard ETT vs the conventional ETT after a change from the supine, neutral position to the extension of the neck and semi-Fowler position for thyroid surgery.Methods:This prospective, randomized clinical trial included 50 patients undergoing thyroidectomy. Patients were randomly allocated into one of the 2 groups: tracheal intubation with the TaperGuard ETT or with a conventional ETT. The ETT cuff was inflated with air and the ETT cuff pressure was set initially at 20 cmH2O using a calibrated cuff manometer. ETT cuff pressure and distance from carina to ETT tip were measured at supine and semi-Fowler positions with neck extension.Results:After the position change, the ETT tip migrated cephalad and cuff pressure increased in the majority of cases. ETT cuff pressure was significantly higher in the TaperGuard group than the conventional group (28.0 ± 6.6 cmH2O and 22.8 ± 4.5 cmH2O, respectively, P = .001). The degree of cephalad displacement of the ETT tip was comparable between the 2 groups (19.4 ± 6.31 mm in TaperGuard group and 21.9 ± 6.9 mm in conventional group, P = .12).Conclusions:After the position change from supine to hyperextension of the neck, the ETT cuff pressure was higher in the TaperGuard ETT than in the conventional ETT, although the extent of displacement of the ETT was comparable between the 2 groups.

Pengaruh Perubahan Posisi terhadap Hasil Ukur Tekanan Vena Sentral pada Pasien Critical Care di Gedung A RSUPN Dr. Cipto Mangunkusumo

Many factors would affect the accuracy of Central Venous Pressure (CVP) measurement such as patient’s position during the measuring. Any fault that occurs while measuring could bring a fatal impact such as death. This study aimed to determine the effect of the CVP measuring position towards the results CVP measurement of critical care patients. This study is a quasi-experimental study with Pre and Post Test design without control by measuring the CVP of 45 respondents with supine and semi-fowler positions. Statistical test using paired samples T-test. The results showed a significant difference in the results of measuring CVP in critical care patients between before and after changing positions with p-value = 0.003. In conclusion, this study indicates that there are differences in the results of the CVP measurement position and it is hoped that nurses can take measurements correctly to avoid any intervention error throughout providing patient care.

NURSING CARE IN EFFECTIVENESS OF BREATHING FOR CHRONIC OBSTRUCTION PATIENTS IN RSI NASHRUL UMMAH LAMONGAN

Introduction: Air pollution can cause respiratory system disorders in the form of alveoli damage, airway, and lung tissue inflammation. Inflammation of the lungs can damage the respiratory tissue and stimulate excess sputum production which causes ineffective airway clearance. This process, if it takes a long time, causes irreversible structural damage to the airway wall. This condition can progress to severe airway obstruction, called COPD. This research aims to explain nursing care for patients with Chronic Obstructive Pulmonary Disease (COPD) in the Tuberose Room at RSI Nashrul Ummah Lamongan. Methods: The research design used in this research is case study research. Participants in the study for Mr. "K" 69 years. The result of problem identification that arises is Chronic Obstructive Pulmonary Disease (COPD) with the main nursing diagnosis of Ineffective Airway Cleansing. Interventions that were emphasized and carried out in the field in cases were maintaining oxygen therapy, semi-fowler position, and administration of a nebulizer. The final evaluation of nursing diagnoses in patients was not resolved within the specified time. Result: Implementation of Nursing Care Ineffective Airway Cleansing of COPD patients in the Tuberose Room at RSI Nashrul Ummah Lamongan, there are still gaps with the literature. Conclusion: Suggestions for nurses are expected to be the focus of nurses in developing science to be applied to all nursing personnel in providing nursing care to ineffective airway cleaning for COPD patients.

Posisi Pasien terhadap Tekanan Vena Sentral

This study aims to identify an increase in central venous pressure in patients given lateral or prone position interventions and to identify the rise in central venous pressure in patients given semi-fowler position intervention in the intensive care unit. This study uses a Quasi-Experimental method with a Case-Control design. The results obtained are the p-value of 0.000, meaning that the research significantly affects the positioning of the central venous pressure (CVP). In conclusion, there was an increase in the average CVP value before and after the passive position intervention was -1,967 cmH2O; on the other hand, there was a decrease in the average CVP value before and after the semi fowler position intervention was 1,867 cmH2O.&#x0D; &#x0D; Keywords: Supine and Semi Fowler Position, Central Venous Pressure

Application of Semi Fowler Position to Inaffectiveness of Breathing Patterns in Congestive Heart Failure (Chf) Patients

Objective: This study aims to present care with semi-Fowler's intervention as an effort to overcome shortness of breath in congestive heart failure patients with ineffective breathing patterns in the Kenanga Room, BLUD RSU Kota Banjar. Method: Descriptive analysis plus a case study technique make up the research design. Adult patients with congestive heart failure (CHF) and dysfunctional breathing patterns were the study's subjects. Interviews, observation, physical examinations, and documentation studies are a few of the methods of data collection. Result: The results of the case study at the assessment stage found that the client complained of shortness of breath. The intervention and implementation used to reduce shortness of breath is by giving the semi-Fowler's position by positioning the patient half-sitting or 45 degrees, while the shortness lasts. After the intervention, the client's breathing frequency decreased from 28 x/minute to 22 x/minute, while the subjective data from the anamnesis showed that the client's shortness of breath was reduced. Conclusion: The conclusion of nursing care in patients with congestive heart failure (CHF) with shortness of breath is well resolved. Intervention in the semi-fowler's position is effective in reducing respiratory frequency.

Pengaruh posisi tindakan suction terhadap perubahan saturasi oksigen pada pasien yang terpasang ventilasi mekanik di Ruang Intensive Care Unit (ICU)

One of the conditions that cause respiratory failure is airway obstruction. Including obstruction of the Endotracheal Tube (ETT). Endotracheal Tube (ETT) that has been installed requires special attention in maintaining the cleanliness of the accumulation of secretions. Therefore, it is necessary to suction mucus (suction) which aims to maintain a patent airway due to accumulation of secretions. The purpose of this study is to analyze the effect of the suction position on changes in oxygen saturation in mechanically ventilated patients. This type of research is a quasi-experimental research design with one group pre-post test design. The sample technique used by the researcher is a total sampling technique with a total sample of 20 respondents. The respondents of this study were patients in the ICU who received suction. The action taken is the provision of a semi-Fowler position and a supine position when suction is performed. The statistical test used is the dependent t test. The average SpO2 before suction in the semi-Fowler position was 97.10 and after that it was 90.50. The average SpO2 before suction in the supine position was 97.75 and after that it was 85.30. The results of the comparison test between before and after the intervention obtained a p value of 0.000 (p value &lt; 0.05). The conclusion of this study is that there is an effect of the semi-Fowler suction position and the supine/supine position on oxygen saturation in patients who are mechanically ventilated.

Effect of Body Position on Oxygenation and Hemodynamic Status among Patients with Traumatic Brain Injury

Context: Positioning is one of the most frequently performed nursing activities in the critical care unit. It is often providing a central pivotal focus for planning other nursing activities. Therapeutic positioning of the patient's head, different degrees of the head of the bed elevation has been suggested as a low-cost and simple approach to preventing secondary brain injury.&#x0D; Aim: determine the effect of body position on oxygenation and hemodynamic status among patients with traumatic brain injury.&#x0D; Methods: Quasi-experiments (single group pre/posttest design). The study was conducted in the Critical Care Units in El-Mansoura general hospital at El-Mansoura city. A purposive sample of (67) adult patients diagnosed with traumatic brain injuries was recruited in this study. A structured socio-demographic interview questionnaire, patients’ medical records to elicit clinical variables and record cardiorespiratory assessment findings, Glasgow Coma Scale, and Richmond Agitation Sedation Scale were used to either include or exclude the patient according to the study criteria.&#x0D; Results: There was a significant increase in oxygen saturation in post right lateral position from (94.93 ± 1.25 to 95.37 ± 1.17) and the semi fowler position from (95.37 ± 1.17 to 97.31 ± 11.13) compared to pre-positioning. The hemodynamic parameters (heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure) were significantly decreased in the post-semi-fowler position and then right lateral position compared to pre. Besides, the CVP is significantly increased in the semi-fowler position.&#x0D; Conclusion: Oxygen saturation and all hemodynamic parameters were significantly improved compared to their normal range in post-semi-fowler position, then right lateral position. Develop nursing practice protocol for critical care nurses to position patients at the semi-fowler position after traumatic brain injury can improve oxygenation and hemodynamic parameters. Moreover, further studies should be carried out to assess the effect of other body positions in other medical conditions.

The effect of different positions during non-stress test on maternal hemodynamic parameters, satisfaction, and fetal cardiotocographic patterns.

Maternal position is one of the most important factors to be considered during Non-Stress Test (NST). It should be a part of practice guidelines, where the appropriate maternal position reduces test-related errors and false-positive results. This study aimed to investigate the effect of different maternal positions during NST on maternal hemodynamic parameters, satisfaction, and fetal Cardiotocographic (CTG) pattern. A quasi-experimental research design was conducted at NST clinic, outpatient department/ Maternal and Children hospital at Najran city, Saudi Arabia. The study comprised a convenience sample of 118 low-risk pregnant women in their third trimester of pregnancy. Data was collected from January to June 2020. All women were assessed in the three different positions; supine, left lateral, and semi-fowler position concerning CTG pattern, maternal hemodynamic parameters, and satisfaction. The study results indicated a higher Fetal Heart Rate (FHR), increased accelerations, and fetal movement in the left lateral position, followed by a semi-fowler position compared to the supine position with statistically significant differences. No statistically significant differences (P>0.05) were observed regarding FHR variability and NST reactivity in the three positions. In addition, there were statistically significant differences (P <0.05) between the different maternal positions regarding maternal heart rate, systolic Blood pressure (BP), diastolic BP, and maternal satisfaction. The current study concluded that left lateral and semi- fowler positions were associated with a more favorable CTG pattern, maternal hemodynamic parameters, and satisfaction than the supine position. Left lateral and semi-fowler positions during the NST test should be standardized to reduce practical variations among health care providers, which, in turn, may reduce the need for unnecessary, expensive, and even hazardous interventions.