The Application of Semi-Fowler Position to Oxygen Saturation in Chronic Kidney Disease Patients

DOI: https://doi.org/10.33650/jkp.v13i2.11593

Authors (s)


(1) * Indi Inesta   (Institut Teknologi dan Kesehatan Mahardika, Cirebon)  
        Indonesia
(2)  Nonok Karlina   (Institut Teknologi dan Kesehatan Mahardika, Cirebon)  
        Indonesia
(3)  Muadi Muadi   (Institut Teknologi dan Kesehatan Mahardika, Cirebon)  
        Indonesia
(*) Corresponding Author

Abstract


Chronic Kidney Disease (CKD) is a decline in kidney function that occurs gradually over a long period of time and will get worse over time. One of the clinical symptoms of CKD is shortness of breath which is a lack of oxygen entering the lungs. Sem-fowler position as one of the nursing actions that can reduce shortness of breath so that oxygen intake increases and shortness of breath decreases. This study aims to analyze nursing care by giving sem-fowler position to CKD patients with nursing problems of gas exchange disorders. This research method uses a case study method conducted from January 30 - February 01, 2025. The subject in this scientific work involves 1 patient with CKD cases.  Data collection using interview techniques, observation, and physical examination. Implementation carried out for 3 consecutive days, accompanied by measurement of peripheral capillary oxygen saturation (SpO2) using a Mindray PM 60 Oxymeter. The characteristics of this case study patient are a 61-year-old female patient and experiencing end-stage CKD (Stage V). Based on the results of oxygen saturation values before application with a value of 94% and after application including the normal category with a value of 98%. The conclusion of the application of the semi-fowler position is able to increase oxygen saturation in CKD patients.







References


de Medeiros C, Fuzari B, Rattesa C, Brandão C, de Melo É. Inspiratory muscle training improves respiratorymuscle strength, functional capacity and quality of life in patients with chronic kidney disease: a systematic review. J Physiother. 2017;63(2):76–83. https://doi.org/10.1016/j.jphys.2017.02.016

El-Moaty M, EL-Mokadem M, Elhy H. Effect of semi fowler‘s positions on oxygenation and hemodynamic status among critically ill patients with traumatic brain injury. International Journal of Novel Research in Healthcare and Nursing. 2017;4(2):227–36.

Filipska, A., Bohdan, B., Wieczorek, P. P., & Hudz, N. (2021). Chronic kidney disease and dialysis therapy: incidence and prevalence in the world. Pharmacia, 68(2), 463–470. https://doi.org/10.3897/PHARMACIA.68.E65501

Hidayati, N., Atmojo, J. T., Syauqi, A., Program, M., Keperawatan, S. D.-3, Tinggi, S., & Kesehatan Mamba’, I. (t.t.). EFEKTIVITAS POSISI FOWLER TERHADAP PENURUNAN SESAK NAFAS: LITERATURE REVIEW. http://jurnal.globalhealthsciencegroup.com/index.php/JLH

Jankowski, J., Floege, J., Fliser, D., Böhm, M., & Marx, N. (2021). Cardiovascular Disease in Chronic Kidney Disease Pathophysiological Insights and Therapeutic Options. Dalam Circulation (Vol. 143, Nomor 11, hlm. 1157–1172). Lippincott Williams and Wilkins. https://doi.org/10.1161/CIRCULATIONAHA.120.050686

Kurnia Sari, N., Hudiyawati, D., Herianto, A., Studi Profesi Ners, P., Ilmu Kesehatan, F., Muhammadiyah Surakarta, U., & ruang ICU RSUP Soeradji Tirtonegoro, P. (t.t.). Pengaruh Pemberian Posisi Semi-Fowler Terhadap Saturasi Oksigen Pada Pasien Kritis Di Ruang Intensive Care Unit di RSUD dr. Soeradji Tirtinegoro Klaten. Dalam Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP) (Vol. 2022, Nomor 1).

Lilis Suryani, 2016. Pemberian Posisi Semi Fowler Terhadap Kesatabilitasan Hemodinamik Asuha Keperawatan Pada Tn. E Dengan Diagnosa Medis Cedra Kepala Ringan Diruag IGD Rumah Sakit Sataliga. Surakarta : Program Studi DIII Keperawatan Sekolah Tinggi Ilmu Kesehtan Kusuma Husada.

Narsa, A. C., Maulidya, V., Reggina, D., Andriani, W., & Rijai, H. R. (2022). Studi Kasus: Pasien Gagal Ginjal Kronis (Stage V) dengan Edema Paru dan Ketidakseimbangan Cairan Elektrolit. Jurnal Sains dan Kesehatan, 4(SE-1), 17–22. https://doi.org/10.25026/jsk.v4ise-1.1685

Patil S, Nagarwala R. A comparative study of supine lying, side lying and prone positioning on oxygen saturation, in mechanically ventilated patients, in acute respiratory failure. Int J Res Med Sci. 2015;3(7):1627.

PPNI. (2017). Standar Diagnosa Keperawatan Indonesia: Definisi dan Indikator Diagnostik, Edisi 1. Jakarta: DPP PPNI

PPNI. (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan, Edisi 1. Jakarta: DPP PPNI

PPNI. (2018). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil, Edisi 1. Jakarta: DPP PPNI

Putranto, T., Murharyati, A., & Prodi Sarjana Keperawatan Universitas Kusuma Husada Surakarta, M. (t.t.). PROGRAM STUDI KEPERAWATAN PROGRAM SARJANA FAKULTAS ILMU KESEHATAN UNIVERSITAS KUSUMA HUSADA SURAKARTA 2021.

Scott, I.A., Scuffham,P., Gupta, D., Harch, T.M., Borchi, J., & Richards, B.75 (2020). Going digital: a narrative overview of the effects, quality and utility of mobile apss in chronic disease self management. Aus Health Rev. 44 (10) : 62-82. https://doi.org/10.1071/ah18064

Suriyong, P., Ruengorn, C., Shayakul, C., Anantachoti, P., & Kanjanarat, P. (2022). Prevalence of chronic kidney disease stages 3–5 in low- and middle-income countries in Asia: A systematic review and meta-analysis. Dalam PLoS ONE (Vol. 17, Nomor 2 February). Public Library of Science. https://doi.org/10.1371/journal.pone.0264393


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