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Prone Position Improve Physiological Parameters of Preterm Infants Weaning from CPAP: A Randomized Control Trial

Jurnal Keperawatan Padjadjaran · Vol. 9 No. 1 (2021) · hlm. 84–96

DOI
10.24198/jkp.v9i1.1609
ISSN
2442-7276, 2338-5324
Terbit
2021-04-01
Penerbit
Faculty of Nursing Universitas Padjadjaran
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Inggris

The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).

Bahasa Indonesia

The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).

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  • University of Indonesia
  • Mulawarman University
  • Sekolah Tinggi Ilmu Kesehatan Dirgahayu Samarinda
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Rekan penulisOrganisasiArtikel bersama
Fajar Tri WaluyantiAfiliasi tidak diketahui4
Dian SariAfiliasi tidak diketahui4
Dessie WandaAfiliasi tidak diketahui3
Elfi SyahreniAfiliasi tidak diketahui3
Yusron NasutionAfiliasi tidak diketahui2
Nani NurhaeniAfiliasi tidak diketahui2
Yati AfiyantiUniversity of Indonesia2
Ida Ayu Kade Sri WidiastutiMulawarman University2
Made ErmayaniSekolah Tinggi Ilmu Kesehatan Dirgahayu Samarinda2
Nopi Nur KhasanahAfiliasi tidak diketahui1
Dyah Wiji Puspita SariAfiliasi tidak diketahui1
Apriliani Yulianti WuriningsihAfiliasi tidak diketahui1
Siti NurlaelahAfiliasi tidak diketahui1
Permaida PermaidaAfiliasi tidak diketahui1
Defi EffendiAfiliasi tidak diketahui1
Neni Ampi Juwita SiraitAfiliasi tidak diketahui1
Sulistiyawati SulistiyawatiAfiliasi tidak diketahui1
Sutanto Priyo HastonoUniversity of Indonesia1
Justina PurwariniAfiliasi tidak diketahui1
Maria UlfahAfiliasi tidak diketahui1
Yuyun SetyoriniAfiliasi tidak diketahui1
Hening PujasariAfiliasi tidak diketahui1
Ema HikmahAfiliasi tidak diketahui1
Wiwin WiarsihAfiliasi tidak diketahui1
Luknis SabriAfiliasi tidak diketahui1
Nyimas Hany PurwatiAfiliasi tidak diketahui1
Suni HariatiAfiliasi tidak diketahui1
Hanny HandiyaniAfiliasi tidak diketahui1
Qori’Ila SaidahAfiliasi tidak diketahui1
Rahmadevita S.A.MAfiliasi tidak diketahui1
Zolla Amely IldaAfiliasi tidak diketahui1
Dini MarianiAfiliasi tidak diketahui1
Yusran NasutionAfiliasi tidak diketahui1
Nur AgustiniAfiliasi tidak diketahui1
Ninis IndrianiAfiliasi tidak diketahui1
Laviana Nita LudyantiAfiliasi tidak diketahui1
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Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://jkp.fkep.unpad.ac.id/index.php/jkp/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Prone Position Improve Physiological Parameters of Preterm Infants Weaning from CPAP: A Randomized Control Trial</dc:title>
	<dc:title xml:lang="id-ID">Prone Position Improve Physiological Parameters of Preterm Infants Weaning from CPAP: A Randomized Control Trial</dc:title>
	<dc:creator>Simorangkir, Ayu Ferissa</dc:creator>
	<dc:creator>Rustina, Yeni</dc:creator>
	<dc:creator>Efendi, Defi</dc:creator>
	<dc:subject xml:lang="en-US">Preterm infant</dc:subject>
	<dc:subject xml:lang="en-US">prone position</dc:subject>
	<dc:subject xml:lang="en-US">wearing CPAP</dc:subject>
	<dc:subject xml:lang="id-ID">Pediatric Nursing</dc:subject>
	<dc:description xml:lang="en-US">The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).</dc:description>
	<dc:description xml:lang="id-ID">The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).</dc:description>
	<dc:publisher xml:lang="en-US">Faculty of Nursing Universitas Padjadjaran</dc:publisher>
	<dc:date>2021-04-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/1609</dc:identifier>
	<dc:identifier>10.24198/jkp.v9i1.1609</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Keperawatan Padjadjaran; Vol. 9 No. 1 (2021): Jurnal Keperawatan Padjadjaran; 84-96</dc:source>
	<dc:source>2442-7276</dc:source>
	<dc:source>2338-5324</dc:source>
	<dc:source>10.24198/jkp.v9i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/1609/286</dc:relation>
	<dc:relation>10.24198/jkp.v9i1.1609.g286</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2021 Jurnal Keperawatan Padjadjaran</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
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