RELATIONSHIP BETWEEN POSITIONING OF RESPIRATORY DISTRESSED NEWBORNS AND OXYGEN SATURATION
Shimaa Mohammed Moursy Mosaad;
Abstract
Respiratory distress is considered to be one of the major health problems in the neonatal period. Its treatment is largely supportive and includes all the general measures required for any high risk newborn. Proper positioning of the newborn with respiratory distress can improve oxygenation and reduce the need for supplemental oxygen. Newborns can benefit from being placed in either the Fowler's ,prone and supine position with " a roll " under the shoulder positions to maximize airway caliber and promote efficient air flow. The NICU nurse should be a ware of the effect of different positions on oxygenation regarding their frequency and durations. Therefore, the aim of the present study was to identifY the duration required to achieve maximum 02 saturation in different positions for newborn with respiratory distress.
Material and methods
This study was conducted at the neonatal high risk unit of " El-Minia General Hospital ". The study subject included 30 high risk neonates. All cases had fulfilled the following criteria:
• Full term newborn.
• Had respiratory distress assessed by the following " Tachpnea, Dyspnea, Cyanosis, Nasal flaring and intercostal and I or suprasternal retraction "
• Not on mechanical ventilator.
• Free from any other health problems.
• Had normal body temperature and hemoglobin level.
Tools
Two tools were developed by the researcher and used for data collection :
Tool 1:
An assessment sheet which included Demographic data of newborn such as name, sex and age, history: past medical history and concurrent diagnosis, vital signs (Temperature, heart rate and respiratory rate), newborn body weight, inculcator temperature, oxygen therapy and its flow rate.
Tool II:
"Positions record's sheet" which included the three positions supine position, prone position and Fowler's position, the vital signs "Temperature, pulse, respiratory rate" and oxygen saturation (Sp02) which were recorded at baseline, after 30 minute, after 60 minute, after 90 minute and after 120 minute, a duration for each position to achieve maximum 02 saturation.
Material and methods
This study was conducted at the neonatal high risk unit of " El-Minia General Hospital ". The study subject included 30 high risk neonates. All cases had fulfilled the following criteria:
• Full term newborn.
• Had respiratory distress assessed by the following " Tachpnea, Dyspnea, Cyanosis, Nasal flaring and intercostal and I or suprasternal retraction "
• Not on mechanical ventilator.
• Free from any other health problems.
• Had normal body temperature and hemoglobin level.
Tools
Two tools were developed by the researcher and used for data collection :
Tool 1:
An assessment sheet which included Demographic data of newborn such as name, sex and age, history: past medical history and concurrent diagnosis, vital signs (Temperature, heart rate and respiratory rate), newborn body weight, inculcator temperature, oxygen therapy and its flow rate.
Tool II:
"Positions record's sheet" which included the three positions supine position, prone position and Fowler's position, the vital signs "Temperature, pulse, respiratory rate" and oxygen saturation (Sp02) which were recorded at baseline, after 30 minute, after 60 minute, after 90 minute and after 120 minute, a duration for each position to achieve maximum 02 saturation.
Other data
| Title | RELATIONSHIP BETWEEN POSITIONING OF RESPIRATORY DISTRESSED NEWBORNS AND OXYGEN SATURATION | Other Titles | العلاقة بين وضعية حديثى الولادة الذين يعانون من ضائقة التنفس والتشبع بالأكسجين | Authors | Shimaa Mohammed Moursy Mosaad | Issue Date | 2007 |
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