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Original

Vol. 9 No. 2 (2021): Jurnal Keperawatan Padjadjaran

The Effect of Lateral Position with Head Up 45° on Oxygenation in Pleural Effusion Patients

DOI
https://doi.org/10.24198/jkp.v9i2.1672
Submitted
June 25, 2021
Published
2021-08-31

Abstract

Background: The accumulation of fluid in the pleural cavity will interfere with the restriction process, namely disruption of lung expansion so that the air entering the lungs is less than normal. One of the effects is shortness of breath and a decrease in oxygen saturation. In this case, nursing actions play an important role in inadequate ventilation, namely positioning. The lateral position is one of the recommended positions for patients with unilateral lung disease, one of which is unilateral pleural effusion. Position selection is very important to facilitate adequate breathing, namely one with a head-up of 45°. According to some literature, the 45° head-up position can reduce consumption and maximize lung expansion which will result in greater ventilation. Purpose: To determine the effect of the lateral position with a head-up 45° on oxygen saturation and respiratory rate in a patient with unilateral pleural effusion at the Dr. H. A. Rotinsulu Lung Hospital Bandung. Methods: The research design was a quasi-experimental design with one group pre and post-test design with a sample of 44 people. The sampling technique used consecutive sampling. The results showed that there were differences in median oxygen saturation and respiratory rate before and after the intervention. Results: The results of a comparative study using the Wilcoxon test obtained a p value of 0.0001 (p value<0.05). There is an effect of giving a lateral position with a head-up 45° on increasing oxygen saturation and decreasing respiratory rate. Conclusion: Thus, it is expected for the service unit to establish a lateral position in the direction of the effusion with a head-up of 45° as the operational standard for the management of unilateral pleural effusion impaired oxygenation patients.

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References

  1. Bein, T., Bischoff, M., Bruckner, U., Gebhardt, K., Henzler , D., Hermes , C., & Tryba , M. (2015). S2e guidelina: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders. Der Anaesthesist, 64(1), 1-26. doi: 10.1007/s00101-015-0071-1
  2. Dean, E. (2014). Effect of body position on pulmonary function. Journal of American Physical Therapy, 1(4), 34-44. https://doi.org/10.1093/ptj/65.5.613
  3. Fiskasianita, O. (2014). Analysis of urban public health nursing clinical practice (PKKMP). Effect of lateral positioning toward oxygenation in pleural effusion sinistra patients. [Bachelor’s thesis, University of Indonesia]. Universitas Indonesia Library. Retrieved January 25, 2021, from https://lontar.ui.ac.id/detail?id=20391008&lokasi=lokal
  4. Guyton, A. C., & Hall, J. (2014). Textbook of Medical Physiology, 12th Edition. EGC.
  5. Havelock, T., Teoh, R., Laws, D., & Glesson , F. (2010). Pleural procedures and thoraric ultrasound. British Thoraric Society pleural disease guideline 2010, 65 (Suppl 2), 161-176. https://doi.org/10.1136/thx.2010.137026
  6. Hewitt, N., Bucknall, T, & Faraone, N. (2016). Lateral Positioning for Critically Ill Adult Patients. The Cochrane Library, 21-22. https://doi.org/10.1002/14651858.CD007205.pub2
  7. Imak, S., & Tinni T, M. (2017). Oxygen Reserve Index. Journal Perdatin, 35(1).
  8. Jones, & Bartlett. (2012). Positioning and Patient Effect. Jones & Bartlett Learning LCC.
  9. Katz, S., Nissim, A., Ariel, R., Yacov, Z., & Esther-Lee, M. (2018). The effect of body position on pulmonary function: A systematic review. BMC Pulmonary Medicine, 18(159). https://doi.org/10.1186/s12890-018-0723-4
  10. Klopp, M. (2013). Chest tube placement in principles and practice of interventional pulmonology. Springer.
  11. Kozier, B., Erb, G., Berman, A., & Synder, S. (2011). Fundamentals of nursing (Vol. VIII). E Wahyuningsih, D. Yulianti, Y. Yuningsih, & A. Lusyana, Trans. EGC.
  12. Pratomo, I. P., & Yunus, F. (2013). Anatomy and physiology of pleura. Cermin Dunia Kedokteran-205: 40(6).
  13. Qalbi, M., Razak, A., & Aminuddin, S. (2014). Anthropometric indicator and conjunctiva image as predictors of anemic status in women’s preconception health in city of Makassar. [Bachelor’s thesis, Universitas Hasanuddin]Universitas Hasanuddin Repository. Retrieved January 25, 2021, from https://core.ac.uk/download/pdf/25496796.pdf
  14. Remolina, C., Khan, A., & Edelman, N. (2014). Positional hypoxemia in unilateral lung disease. New England Journal of Medicine, 304(9), 523-525. https://doi.org/10.1056/NEJM198102263040906
  15. Rustandi, B., Fatimah, S., & Mulyati, T. (2014). Effect of positioning towards tidal volume value. Journal of Health Stikes Satriya Bhakti Nganjuk, 2(1).
  16. Safitri, R., & Andriyani, A. (2011). Effectiveness of semi fowler position in reducing dyspnea in asthmatic patients in third class hospital ward of Dr. Moewardi Regional Public Hospital Surakarta. Journal of Medicine, 8(2), 783-792.
  17. Shah, D., Desai, A., & Gohil , N. (2013). A comparison of effect of semi fowler’s vs side-lying position on tidal volume & pulse oxymetry in ICU patients. Innovative Journal of Medical and Health Science, 2(5).
  18. Sherwood, L. (2018). Human Physiology from Cells to Systems, 9th Edition. EGC.
  19. Suryantoro, E., Isworo, A., & Upoyo, A. S. (2017). Effectiveness of Pursed Lips Breathing through Six-Minute Walk Test towards Forced Expiratory. Padjadjaran Journal of Nursing, 5(2). https://doi.org/10.24198/jkp.v5i2.448
  20. Yeaw, E. (2013). The Effect of Body Positioning upon maximal oxygenation of patients with unilateral lung pathology. Journal of Advance Nursing, 23(1), 55-61. https://doi.org/10.1111/j.1365-2648.1996.tb03135.x