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The effect of awake prone position in non-intubated patients with COVID-19: A feasibility randomized controlled trial

Jurnal Keperawatan Padjadjaran · Vol. 13 No. 1 (2025) · hlm. 44–50

DOI
10.24198/jkp.v13i1.2450
ISSN
2442-7276, 2338-5324
Terbit
2025-04-25
Penerbit
Faculty of Nursing Universitas Padjadjaran
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0/

Abstrak

Introduction: The duration of discomfort and clinical benefits of lying prone in Indonesian clinical settings remain unknown, with the accumulation of prone hours potentially impacting results. The study aimed to test the effect of awake prone position in non-intubated patients with covid-19. Methods: This study used a feasibility randomized control trial. The research was conducted at two general hospitals in Jakarta, Indonesia. This study used a computerized random number generator was used to assign patients to intervention and control groups. The sample is adult patients who admitted to the hospital with hypoxic respiratory failure due to a positive COVID-19 test. A total of 70 patients were randomly assigned to each group, with 35 individuals being included in the analysis. The intervention involved bed-side nurses encouraging patients to lie prone for at least 6 hours daily, with additional pillows provided for comfort. Significant prone position sessions were recorded if they lasted more than 30 minutes in both arms, lasting for 7 days. Results: The intervention group of patients achieved 65.7% adherence to the intervention protocol. After 2 hours, the P/F ratio was significantly different across the groups, but no significant different between intervention and control group, in term of respiratory escalation, length of stay, or mortality. However, 5.7% of patients in intervention group and 11.4% of patients in control group died due to respiratory failure. Conclusions: Clinical trial conditions have shown that non-intubated patients can be placed in an awake prone position without harm, and this information could be used to help design protocols for future large randomized controlled trials.

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  • Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
  • University of Indonesia
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Rekan penulisOrganisasiArtikel bersama
Dadang MakmunAfiliasi tidak diketahui3
Hasan MaulahelaAfiliasi tidak diketahui3
Hamzah ShatriAfiliasi tidak diketahui3
Nikko DarnindroAfiliasi tidak diketahui2
Ari F SyamAfiliasi tidak diketahui2
Marcellus SimadibrataAfiliasi tidak diketahui2
Murdani AbdullahAfiliasi tidak diketahui2
Kaka RenaldiAfiliasi tidak diketahui2
Ari Fahrial SyamAfiliasi tidak diketahui2
Cleopas M RumendeAfiliasi tidak diketahui1
Amanda P UtariAfiliasi tidak diketahui1
Bella YunitaAfiliasi tidak diketahui1
Em YunirUniversity of Indonesia1
Sukamto SukamtoAfiliasi tidak diketahui1
Cleopas Martin RumendeAfiliasi tidak diketahui1
Bradley Jimmy WalelengAfiliasi tidak diketahui1
Vesri YogaAfiliasi tidak diketahui1
Saskia Aziza NursyirwanAfiliasi tidak diketahui1
Ikhwan RinaldiAfiliasi tidak diketahui1
Ryan HerardiAfiliasi tidak diketahui1
Sharon SandraAfiliasi tidak diketahui1
Anisya Zakiyyahaya ArvantAfiliasi tidak diketahui1
Tony DarmadiAfiliasi tidak diketahui1
Djoa Theadora Rebecca SantosoAfiliasi tidak diketahui1
Andhika RachmanAfiliasi tidak diketahui1
Irsan HasanAfiliasi tidak diketahui1
Rudi PutrantoAfiliasi tidak diketahui1
Eka GinanjarAfiliasi tidak diketahui1
Diana ErlitaAfiliasi tidak diketahui1
Rabbinu Rangga PribadiAfiliasi tidak diketahui1
Virly Nanda MuzellinaAfiliasi tidak diketahui1
Raisa WibowoAfiliasi tidak diketahui1
Ahmad Fariz Malvi Zamzam ZeinAfiliasi tidak diketahui1

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) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">The effect of awake prone position in non-intubated patients with COVID-19: A feasibility randomized controlled trial</dc:title>
	<dc:creator>Indawati, Eli </dc:creator>
	<dc:creator>Fauzi, Achmad</dc:creator>
	<dc:creator>Farida, Siti Ida </dc:creator>
	<dc:subject xml:lang="en-US">COVID-19</dc:subject>
	<dc:subject xml:lang="en-US">prone position</dc:subject>
	<dc:subject xml:lang="en-US">oxygen saturation</dc:subject>
	<dc:description xml:lang="en-US">Introduction: The duration of discomfort and clinical benefits of lying prone in Indonesian clinical settings remain unknown, with the accumulation of prone hours potentially impacting results. The study aimed to test the effect of awake prone position in non-intubated patients with covid-19.
Methods: This study used a feasibility randomized control trial. The research was conducted at two general hospitals in Jakarta, Indonesia. This study used a computerized random number generator was used to assign patients to intervention and control groups.  The sample is adult patients who admitted to the hospital with hypoxic respiratory failure due to a positive COVID-19 test. A total of 70 patients were randomly assigned to each group, with 35 individuals being included in the analysis. The intervention involved bed-side nurses encouraging patients to lie prone for at least 6 hours daily, with additional pillows provided for comfort. Significant prone position sessions were recorded if they lasted more than 30 minutes in both arms, lasting for 7 days.
Results: The intervention group of patients achieved 65.7% adherence to the intervention protocol. After 2 hours, the P/F ratio was significantly different across the groups, but no significant different between intervention and control group, in term of respiratory escalation, length of stay, or mortality. However, 5.7% of patients in intervention group and 11.4% of patients in control group died due to respiratory failure.
Conclusions: Clinical trial conditions have shown that non-intubated patients can be placed in an awake prone position without harm, and this information could be used to help design protocols for future large randomized controlled trials.</dc:description>
	<dc:publisher xml:lang="en-US">Faculty of Nursing Universitas Padjadjaran</dc:publisher>
	<dc:date>2025-04-25</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/2450</dc:identifier>
	<dc:identifier>10.24198/jkp.v13i1.2450</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Keperawatan Padjadjaran; Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran; 44-50</dc:source>
	<dc:source>2442-7276</dc:source>
	<dc:source>2338-5324</dc:source>
	<dc:source>10.24198/jkp.v13i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/2450/423</dc:relation>
	<dc:relation>10.24198/jkp.v9i2.1668.s838</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 Eli Indawati, Achmad Fauzi, Siti Ida Farida</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0/</dc:rights>
</oai_dc:dc>