Effect of knee-chest, semi-sitting, and right lateral position on preterm neonates with respiratory distress syndrome

Abstract

Body position enhances oxygen transport by the operational effect of gravity on cardiopulmonary and cardiovascular function. This study was aimed to investigate the effect of knee-chest, semi-sitting, and right lateral position on preterm neonates with respiratory distress syndrome. Subjects and Method: A quasi-experimental research design was utilized, and it was carried out at the Neonatal Intensive Care Unit at the Obstetric and Pediatric Minia University Hospital. A purposive sample was composed of 57 preterm neonates with respiratory distress syndrome. One tool was used, which included two parts: Preterm bio-demographic data and an assessment sheet for monitoring respiratory system functions. Results: The knee-chest position significantly improved respiratory rate, decreased heart rate, and increased oxygen saturation flowed by the right lateral position. Also, improvement of respiratory rate, heart rate, and oxygen saturation when using knee-chest position in the items of newborn age, gestational age, and birth weight at P-value <0.0001 and improved oxygen saturation when using semi-sitting. Conclusion: Both knee-chest and right lateral positions effectively improve the respiratory system function among preterm neonates with respiratory distress syndrome compared to a semi-sitting position.Recommendation: Program education for neonatal nurses about applying for knee-chest position among incubated preterm infants with respiratory problems.

Benefits of Prostrate Position and Coughing Exercises in the Management of Cardiopulmonary Parameters Alteration among Patients with COVID-19

“…Since some studies indicated that there was a positive effect of prostration on some cardiopulmonary parameters. Mahrous and Aboelmagd (2022) exposed that the prostration position had an effect on improving the rate of blood saturation with oxygen and reducing the heart rate and the respiratory rate. Furthermore, Wadsworth, et al, (1996) reported that the prostrate position had an effect on reducing the heart rate and mean arterial pressure of patients undergoing different surgeries.…”