Pengaruh Pemberian Posisi Lateral Terhadap Saturasi Oksigen dan Frekuensi Pernapasan pada Anak dengan Gangguan Pemenuhan Kebutuhan Oksigenasi di Ruang Rawat Infeksi Anak
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Latar Belakang: Masalah pemenuhan kebutuhan oksigenasi pada anak sering disebabkan oleh ketidakpatenan jalan napas sehingga modifikasi posisi tubuh salah satunya posisi lateral untuk meningkatkan kelancaran oksigenasi pada anak merupakan intervensi yang efektif. Study ini bertujuan untuk mengidentifikasi pengaruh pemberian posisi lateral terhadap perubahan saturasi oksigen dan frekuensi pernapasan pada anak dengan gangguan pemenuhan kebutuhan oksigenasi di ruang rawat infeksi anak. Metode: Desain kuasi eksperimen. Responden dalam study ini berjumlah 36 orang yang dibagi ke dalam kelompok pemberian posisi lateral dan kelompok yang diberikan posisi sesuai standar perawatan rumah sakit sebagai kontrol, masing-masing 18 responden. Pengumpulan data dilakukan dengan mengukur saturasi oksigen dan frekuensi pernapasan sebelum dan sesudah diberikan intervensi. Analisis data menggunakan uji paired t-test dan Wilcoxon untuk menilai adanya perbedaan saturasi oksigen dan frekuensi pernapasan anak sebelum dan sesudah intervensi. Uji independent t-test dan Mann Whitney digunakan untuk menganalisis perbedaan saturasi oksigen dan frekuensi pernapasan antar kelompok. Hasil: analisis statistik menunjukkan terdapat perbedaan signifikan antara saturasi oksigen (p value < 0,05) dan frekuensi pernapasan (p value < 0,05) sebelum dan sesudah diberikan posisi lateral. Kesimpulan: posisi lateral dapat dijadikan salah satu intervensi keperawatan mandiri yang dapat diterapkan dalam memberikan asuhan pada anak dengan masalah pemenuhan kebutuhan oksigenasi di ruang rawat.
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WHO. Pneumonia. Published 2016. http://www.who.int/news-room/fact-sheets/detail/pneumonia
Tan KK, Dang DA, Kim KH, et al. Burden of hospitalized childhood community-acquired pneumonia: A retrospective cross-sectional study in Vietnam, Malaysia, Indonesia and the Republic of Korea. Hum Vaccin Immunother. 2018;14(1):95-105. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=29125809&site=ehost-live
Challands J, Brooks K. Paediatric respiratory distress. BJA Educ. 2019;19(11):350-356. doi:10.1016/j.bjae.2019.07.004. Available from: https://pubmed.ncbi.nlm.nih.gov/33456857
Flori HR, Glidden D V, Rutherford GW, Matthay MA. Pediatric acute lung injury: prospective evaluation of risk factors associated with mortality. Am J Respir Crit Care Med. 2005;171(9):995-1001.
Ebeledike C, Ahmad T. Pediatric Pneumonia. StatPearls Publishing [cited 2021 May 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536940/
Risteska-Nejashmikj V, Stojkovska S, Stavrikj K. Dyspnea in children as a symptom of acute respiratory tract infections and antibiotic prescribing. Open Access Maced J Med Sci. 2018 Mar 14;6(3):578–81. Available from: https://pubmed.ncbi. nlm.nih.gov/29610624
Moore Y, Shotton E, Brown R, Gremmel J, Lindsey S, Pankey J. Effects of Incentive Spirometry on Perceived Dyspnea in Patients Hospitalized With Pneumonia. MedSurg Nurs. 2018;27(1):19–37.
Schondelmeyer AC, Dewan ML, Brady PW, et al. Cardiorespiratory and pulse oximetry monitoring in hospitalized children: a delphi process. Pediatrics. 2020 Aug 1;146(2):e20193336. Available from: http://pediatrics. aappublications.org/content/146/2/e20193336.abstract
Mezidi M, Guérin C. Effects of patient positioning on respiratory mechanics in mechanically ventilated ICU patients. Ann Transl Med. 2018 Oct;6(19):384. Available from: https://pubmed.ncbi.nlm. nih.gov/30460258
Jung H, Kim HJ, Lee Y-C, Kim HJ. Comparison of Lateral And Supine Positions For Tracheal Extubation in Children : A Randomized Clinical Trial. Anaesthesist. 2019;68(5):303-8. doi:10.1007/s00101-019-0590-2
Patil PS, Nagarwala R. A Comparative Study of Supine Lying, Side Lying And Prone Positioning On Oxygen Saturation, In Mechanically Ventilated Patients, In Acute Respiratory Failure. 2015;3(7):1627–31.
Coleman MD. Chapter 2 - Respiratory and Pulmonary Physiology. In: Duke JBT-AS (Fourth E, ed. Mosby; 2011:17-23. Available from: https://www. sciencedirect.com/science/article/pii/B9780323065245000027
Alan N, Khorshid L. The effects of different positions on saturation and vital signs in patients. Nurs Crit Care. 2021;26(1):28-34. Available from: https://doi.org/10.1111/nicc. 12477
Zhang X-W, Li Y, Zhou F, Guo C, Huang Z-T. Association of body position with sleep architecture and respiratory disturbances in children with obstructive sleep apnea. Acta Otolaryngol. 2007;127(12):1321-6. Available from: https://doi.org/10.1080/00016480701242451
Harika R, Radhika M, Indira S. A comparative study to evaluate the effectiveness of lateral position versus supine position on respiratory parameters among infants with respiratory problems. Int J Appl Res. 2015;1(12):935-40.
Gillies D, Wells D, Bhandari AP. Positioning for acute respiratory distress in hospitalised infants and children. Cochrane database Syst Rev. 2012;2012(7):CD003645-CD003645. Available from: https://pubmed.ncbi. nlm.nih.gov/ 22786486
Fleming S, Thompson M, Stevens R, et al. Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet. 2011;377(9770):1011-8. Available from: http://dx.doi.org/10.1016/ S0140-6736(10)62226-X
Ranganathan P, Pramesh CS, Buyse M. Common pitfalls in statistical analysis: Clinical versus statistical significance. Perspect Clin Res. 2015;6(3):169.
Langley R, Cunningham S, Liverani ME, Cunningham S. How Should Oxygen Supplementation Be Guided by Pulse Oximetry in Children : Do we Know the Level ? Clinical Determination of. 2017;4(January). doi:10.3389/fped.2016.00138
Kaya Z, Turktas(ogonek) I. Correlation of clinical score to pulmonary function and oxygen saturation in children with asthma attack. Allergol Immunopathol (Madr). 2007;35(5):169-73. Available from: file:///03010546/00000035 00000005/v0_201402051228/13110310/v0_201402051228/en/main.assets ER
Herdman TH, Kamitsuru S. NANDA International, Inc. nursing diagnoses : definitions & classification 2018-2020. 2018.
Graham H, Bakare AA, Ayede AI, et al. Hypoxaemia in hospitalised children and neonates: a prospective cohort study in Nigerian secondary-level hospitals. EClinicalMedicine. 2019;16:51-63. Available from: https://www.sciencedirect.com/science/article/pii/S2589537019301919.
Plouffe JA. Nursing care of the child with a respiratory disorder. Can Essentials Pediatr Nurs. Published online 2012:536-94.
Litman RS, Wake N, Chan L-ML, et al. Effect of lateral positioning on upper airway size and morphology in sedated children. J Am Soc Anesthesiol. 2005;103(3):484-8.
Agustina N, Nurhaeni N, Hayati H. Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia. La Pediatr Medica e Chir. 2021;43(s1).
