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The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure
Yossy Utario1, Yeni Rustina1, Fajar Tri Waluyanti1
1a Faculty of Nursing , Universitas Indonesia , Jalan Bahder Djohan Campus, Depok , Indonesia.
Insights
The quarter prone position significantly improves oxygenation in premature infants receiving continuous positive airway pressure (CPAP). This nursing intervention enhances oxygen saturation, benefiting neonatal respiratory support.
Area of Science:
- Neonatal care
- Respiratory physiology
Background:
- Premature infants frequently experience oxygenation disorders, necessitating respiratory support like continuous positive airway pressure (CPAP).
- Optimizing CPAP effectiveness may involve patient positioning strategies.
Purpose of the Study:
- To investigate the impact of the quarter prone position on the oxygenation status of preterm infants undergoing CPAP therapy.
Main Methods:
- A randomized controlled trial with a crossover design was employed.
- Fifteen preterm infants receiving CPAP were allocated to either the quarter prone or supine position.
- Oxygenation status was assessed using an observation form.
Main Results:
- A statistically significant improvement in oxygen saturation levels was observed in the quarter prone group compared to the supine group (p = .045).
Conclusions:
- The quarter prone position is an effective method for enhancing oxygenation in preterm infants on CPAP.
- Implementing the quarter prone position is recommended in neonatal nursing care protocols.
Abstract:
A primary problem that occurs in premature infants is oxygenation disorders, thus requiring respiratory support, including continuous positive airway pressure (CPAP). The effectiveness of CPAP can be improved by adjusting the body's position, so the aim of this study was to examine the effect of the quarter prone position on the oxygenation status of preterm infants using CPAP. This study used a randomized controlled trial with a crossover design. A group of 15 preterm infants receiving CPAP was selected, and randomization of allocation was done to divide the respondents into the intervention group (quarter prone) or the control group (supine). Oxygenation status was measured using an observation form, and the result showed a significant difference in the oxygen saturation levels of premature infants using CPAP in the quarter prone group compared to that in the supine group (p = .045). The quarter prone position was effective for improving the oxygenation status of premature infants using CPAP. It is recommended that the quarter prone position be applied as part of nursing care in neonatal nursing.
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