PRONE POSITIONING TO IMPROVE SATURATION OXYGENATION IN COVID-19 PATIENTS

Authors

  • Zahrah Maulidia Septimar STIKes Yatsi, Tangerang, Banten, Indonesia
  • H. A. Y. G. Wibisono STIKes Yatsi, Tangerang, Banten, Indonesia
  • Ahdi Jazuli STIKes Yatsi, Tangerang, Banten, Indonesia

Keywords:

Proning Position, Oxygen Saturation, COVID-19

Abstract

Background: Corona virus infection is an infection caused by the SARS-CoV2 virus which is currently spreading in almost all countries in the world. The spread and transmission of corona virus infection is so widespread and also fast. Acute Respiratory Distress Syndrome (ARDS) is one of the complications that can be experienced by patients infected with the COVID-19 virus. Therefore, several actions and therapies are needed for COVID-19 patients in order to avoid the state of respiratory failure, one of which is pronation. The purpose of this study was to determine the effect of the pronation position on changes in oxygen saturation in COVID-19 patients in the ICU COVID-19 Isolation.

Method: The research method using a quasi-experiment using a one group pre-test and post-test design with 30 sample. The results of this study indicate that there are differences in the increase in oxygen saturation levels of COVID-19 patients after the action of giving the pronation position. of P Value 0.001 with an increase in oxygen saturation of 96%.

Conclusion: there is an effect between giving the pronation position to changes in oxygen saturation in COVID-19 patients, that COVID 19 patients who are given Pronation position exercises experience an increase in oxygen saturation by 96%.

References

1. WHO. (2020). Transmission of SARS-CoV-2: implications for infection prevention precautions.1–10. https://www.who.int/docs/default-source/searo/indonesia/covid19/transmisi-sars-cov-2---implications-for-against-kewaspadaan-pentahanan-infection---pernyataan-keilmuan.
2. Burhan, E., Susanto, A. D., Nasution, S. A., Ginanjar, E., Pitoyo, C. W., Susilo, A., Firdaus, I., Santoso, A., & Juzar, D. A. (2020). Guidelines for the management of COVID-19, Edition 3 December 2020. In Guidelines for the Management of COVID-19. https://www.papdi.or.id/download/983-pedoman-tatalaksana-covid-19-edisi-3-december-2020
3. Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., Qiu, Y., Wang, J., Liu, Y., Wei, Y., Xia, J., Yu, T., Zhang, X., & Zhang, L. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395(10223), 507–513. https://doi.org/10.1016/S0140-6736(20)30211-7
4. Gattinoni, L., Chiumello, D., & Rossi, S. (2020). COVID-19 pneumonia: ARDS or not? Critical Care, 24(1), 154. https://doi.org/10.1186/s13054-020-02880-z
5. Dor Cohen,Yishay Wasserstrum,Amitai Segev,Chen Avaky, Liat Negru,1Natia Turpashvili, Sapir Anani, Eyal Zilber, Nir Lasman, Ahlam Athamna, Omer Segal, Gilat Shenhav-Saltzman and Gad Segal. (2020). Beneficial effect of awake prone position in hypoxaemicpatients with COVID-19: case reports and literature review. https://doi.org/10.1111/imj.14926
6. Bamford, P., Bentley, A., Dean, J., Whitmore, D., & Wilson-Baig, N. (2020). ICS guidance for prone positioning of the conscious COVID patient. Intensive care Society. Intensive Care Society. https://doi.org/https://emcrit.org/wp-content/uploads/2020/04/2020-04-12 Guidance-for-conscious-proning.pdf
7. Elharrar, X., Trigui, Y., Dols, A. M., Touchon, F., Martinez, S., Prud’Homme, E., & Papazian, L. (2020). Use of Prone Positioning in Nonintubated Patients with COVID-19 and Hypoxemic Acute Respiratory Failure. In JAMA - Journal of the American Medical Association (Vol. 323, Issue 22, pp. 2336–2338). https://doi.org/10.1001/jama.2020.8255
8. Matthay, M. A., Zemans, R. L., Zimmerman, G. A., Arabi, Y. M., Beitler, J. R., Mercat, A., Herridge, M., Randolph, A. G., & Calfee, C. S. (2021). Acute respiratory distress syndrome. The Lancet, 398(10300), 622–637. https://doi.org/10.1016/S0140 -6736(21)00439-6
9. Ministry of Health-RI. (2020). Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MenKes/413/2020 concerning Guidelines for the Prevention and Control of Corona Virus Disease 2019 (Covid-19). Minister of Health/413/2020, 2019, 207.
10. Kelana, D. K. (2011). Nursing Research Methodology: A Guide to Implementing and Applying Research Results. Media Info Trans.
11. Paul, V., Patel, S., Royse, M., Odish, M., Malhorta, A., Koenig, S. (2020). Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and a Review. Intensive Care Medicine, 35(8), 818-824. DOI:10.1177/0885066620934801
12. Guerin, C., Baboi, L., & Richard, J. C. (2014). Mechanisms of the effects of prone positioning in acute respiratory distress syndrome. Intensive Care Medicine, 40(11), 1634–1642. https://doi.org/10.1007/s00134-014-3500-8
13. Guérin, C., Albert, R. K., Beitler, J., Gattinoni, L., Jaber, S., Marini, J. J., Munshi, L., Papazian, L., Pesenti, A., Vieillard-Baron, A., & Mancebo, J. (2020). Prone position in ARDS patients: why, when, how and for whom. Intensive Care Medicine, 46(12), 2385–2396. https://doi.org/10.1007/s00134-020-06306-w
14. Kallet, R. H. (2015). A comprehensive review of prone position in ARDS. Respiratory Care, 60(11), 1660–1687. https://doi.org/10.4187/respcare.04271
15. Wiggermann, N., Zhou, J., & Kumpar, D. (2020). Proning Patients With COVID-19: A Review of Equipment and Methods. Human Factors, 62(7), 1069–1076. https://doi.org/10.1177/0018720820950532
16. Munshi, L., Del Sorbo, L., Adhikari, N. K. J., Hodgson, C. L., Wunsch, H., Meade, M. O., Uleryk, E., Mancebo, J., Pesenti, A., Ranieri, V. M., & Fan, E. (2017). Prone position for acute respiratory distress syndrome: A systematic review and meta-analysis. Annals of the American Thoracic Society, 14(October), S280–S288. https://doi.org/10.1513/AnnalsATS.201704-343OT

Downloads

Published

2021-12-10