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El-Nagger N. and BayoumiO. (2016). Effect of Applying Nesting Technique as a Developmental Care on Physiological Functioning and Neurobehavioral Organization of Premature Infants. Life Sci J; 13(1s): 79-92.

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Article

Effect of Different Body Positions on Cardiorespiratory Parameters of Preterm Neonates Undergoing Mechanical Ventilation

1Department of Nursing Science, College of Applied Medical Science- Wadi Addawasir, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia

2Department of Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt


American Journal of Nursing Research. 2020, Vol. 8 No. 4, 463-470
DOI: 10.12691/ajnr-8-4-6
Copyright © 2020 Science and Education Publishing

Cite this paper:
Atyat Mohammed Hassan, Fathia Zaky Mohamed, Nahed Thabet Mohamed. Effect of Different Body Positions on Cardiorespiratory Parameters of Preterm Neonates Undergoing Mechanical Ventilation. American Journal of Nursing Research. 2020; 8(4):463-470. doi: 10.12691/ajnr-8-4-6.

Correspondence to: Atyat  Mohammed Hassan, Department of Nursing Science, College of Applied Medical Science- Wadi Addawasir, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia. Email: atyathassan@aun.edu.eg

Abstract

High prevalence of preterm infants' birth is considered a serious problem in health system in recent decades. Positions of the body in preterm neonates who receive respiratory support are accounted an important factor for ventilation and tissue oxygenation. Therefore, this study aimed to determine the effects of different body positions on cardiorespiratory parameters of preterm neonates undergoing mechanical ventilation. Crossover non-randomized clinical trial study design was used. Setting: The study was conducted at neonatal intensive care unit (NICU) in Assiut University Children Hospital. The study subjects included 40 preterm neonates undergoing mechanical ventilation and met the inclusion criteria. A structured questionnaire was designed especially to collect the required data for this study; it included three parts: preterm neonates' personal and clinical data, and assessment of cardiorespiratory parameters including: Heart Rate (HR), Respiratory Rate (RR), and oxygen saturation (SpO2) in each position. Each preterm neonate was placed in three different positions (supine, right lateral and semi-prone). Results of the current study revealed a significant improvement in heart rate, respiratory rate and increase in oxygen saturation in neonates placed in semi-prone position with statistically significant differences were found between them during the three different body positions (p=0.02*, p=0.012*&p<0.001)respectively. The study concluded that positioning of preterm neonates can be considered as an effective way of modifying the cardiorespiratory parameters and improving oxygenation in neonates undergoing mechanical ventilation. Likewise, semi-prone position was a safe, simple, noninvasive method which can be helpful in stabilizing preterm neonates’ cardiorespiratory status. Also, the right lateral position was slightly effective while, the supine position was the least effective. Recommendation: Use of semi-prone position in the routine pediatric care of ventilated neonates as it is a safe, simple, non-invasive method that can help in improving oxygenation of preterm neonates’.

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