Lateral Versus Supine Position on Breathing Patterns Among Premature Neonates: A comparative Study | ||||
Egyptian Journal of Health Care | ||||
Article 68, Volume 13, Issue 3, September 2022, Page 902-911 PDF (355.14 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2022.255693 | ||||
View on SCiNiTO | ||||
Authors | ||||
Doaa Mahdey Mohamed1; Safy Salah Eldin Ibrahim1; Haym Rafaat Tantawi1; Fatam Mohamed2 | ||||
1Prof. of Pediatric Nursing Faculty of Nursing, Ain Shams University-Cairo-Egypt. | ||||
2Lecturer. of Pediatric Nursing Faculty of Nursing, Ain Shams University-Cairo-Egypt. | ||||
Abstract | ||||
Background: Positioning of preterm neonates is basic neonatal nursing care and one of the important aspects of developmental care to keep the preterm infants comfortable. Positioning premature neonates in lateral position and supine with flexion position resulted in higher mean oxygen saturation than in supine extended position.. Premature neonates with assisted ventilation benefit from positioning as it increase oxygen saturation therefore it is recommended that neonatal nurse should arrange position of premature neonates with assisted ventilation and promote flexion side-lying position. Aim: To compare the effect of lateral versus supine position on breathing pattern among premature neonates. Design: A descriptive comparative study design. Setting: At Neonatal Intensive care Units in Children's University Hospital affiliated to Ain Shams University and Saied Galal University Hospital, Al- Azhar University. Sample: A purposive sample was used to recruit 162 neonates according to certain criteria: Premature babies less than or equal 36 week, Weight between 2000: 2500 gm. Tools: 1) Pre-designed questionnaire, and 2) Observational checklist. Results: Findings of the present study showed that more than half of the studied premature neonates suffer from respiratory distress and were small for gestational age (53.1%& 59.9% respectively). Furthermore, nearly three quarters (74.1% ) of the studied premature neonates were spending more than ten days in hospital. Finally, there were a highly statistical significance differences for premature neonates heart , respiratory rate and oxygen saturation at supine position at (P< 0.0001respectively). Conclusion: Supine position was an effective way to improve premature neonates cardiac and respiratory function Recommendations: 1) Promotes awareness among neonatology nurses about the benefits and importance of positioning preterm neonates in the neonatal intensive care unit to improve cardio- respiratory function of ventilated neonates, 2) Replication of the study on a larger sample and in different geographical areas in Egypt for generalization of findings. | ||||
Keywords | ||||
Premature Neonates; Lateral Position; Supine Position; Breathing Patterns | ||||
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