Effects of Positioning Changes on Oxygenation Parameters among Mechanically Ventilated Patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 98, Volume 13, Issue 1, March 2022, Page 1444-1456 PDF (251.72 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.228001 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Heba Abd Elazeem Mostafa1; Nayera Mohamed Tantaewy2; Shimaa Nabil Abd-Elsalam3 | ||||
| 1Assistant Professor of Medical-Surgical Nursing- Faculty of Nursing- Al-Azhar University | ||||
| 2Assistant Professor of CriticalCare & Emergency Nursing, Faculty of Nursing, Mansoura-Egypt. University | ||||
| 3Assistant Professor of Medical-Surgical Nursing-Faculty of Nursing, Ain Shams University | ||||
| Abstract | ||||
| Background: Body positioning denotes to augmenting oxygen transport by influencing the effect of gravity on cardiopulmonary and cardiovascular function. Positioning should be a crucial part of respiratory care, changes in the body position of patients receiving mechanical ventilation in intensive care unit are frequent which is one of the nursing activities during care for such group of patients, also body position changes affect the peak transport of blood and oxygen. Aim: The study aimed to evaluate the effects of positioning changes on oxygenation parameters among mechanically ventilated patients. Design: A quasi-experimental design was applied in the current study. Sample: A purposive of 60 adult patients from both genders who were admitted during the study period on mechanical ventilation and newly admitted (less than 3 days from admission to the ICU) was selected. Setting: Data were collected from Chest ICU units affiliated to Ain Shams University Hospitals. Tools: Data was collected utilizing two designed tools (1) Patient data sheet which includes Socio demographic data for mechanically ventilated patients with lung diseases and health - relevant information (2) Oxygenation assessment scale to assess oxygenation level twice immediately and after two hours from each position which includes ABG and vital signs. The results: Mechanically ventilated Patients who have received change position have had oxygenation levels better than those patients who were on the routine position (fowler position). Conclusion: The implementation of positioning changes among the study group according to the results of basic assessment has been successful and got an effective significant improvement in oxygenation level for mechanically ventilated patients that had respiratory failure. Recommendations: Positioning changes of mechanically ventilated patients should be applied by all staff nurses working in ICUs as essential careneeded to improve the oxygenation level and further replication of the study is recommended on a large sample and different settings. | ||||
| Keywords | ||||
| Mechanical Ventilation; Oxygenation; Positioning | ||||
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