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Comparison of Forward-Leaning and Fowler Position: Effects on Vital Signs, Pain, and Anxiety Scores in Children With Asthma Exacerbations.
- Source :
- Respiratory Care; Aug2024, Vol. 69 Issue 8, p968-974, 7p
- Publication Year :
- 2024
-
Abstract
- BACKGROUND: It is essential to relieve bronchospasm or specific asthma symptoms by administering immediate inhaler treatment during an asthma exacerbation. The present study compared the effect of Fowler position and forward-leaning positions during nebulization on heart rate, S<subscript>pO2</subscript>, breathing frequency, pain, and anxiety levels in children experiencing asthma exacerbations. METHODS: The data originated from a randomized trial that compared 86 participants (study group n = 43, control group n = 43) who presented to the pediatric emergency department with asthma exacerbations between October 2019-February 2020. The subjects were administered nebulization 3 times, during which the study group was placed in the forward-leaning position and the control group in the routine Fowler position. The subjects provided information on chest pain and anxiety levels before and after nebulization, and heart rate, S<subscript>pO2</subscript>, and breathing frequency were measured before and after each nebulization. RESULTS: The difference in the mean S<subscript>pO2</subscript> measured at admission and after the third nebulization was significantly higher (3.2 ± 1.5% vs 2.3 ± 1.9%, P = .01); the difference in the mean breathing frequency was considerably higher (-6.0 ± 1.7 breaths/min vs -3.2 ± 1.8 breaths/min, P < .001), and the difference in the mean pain scores was significantly higher (-3.3 ± 2.5 vs -2.0 ± 2.3, P = .02) in the study group than in the control group. In addition, after the third nebulization, the breathing frequency (22.8 ± 2.8 breaths/min vs 24.2 ± 2.7 breaths/min, P = .02) and pain score of the study group were lower (0.8 ± 1.3 vs 1.5 ± 1.5, P = .01). There was no difference in the mean heart rate (20.6 ± 16.2 beats/min vs 20.0 ± 15.4 beats/min, P = .85) and anxiety levels (-2.0 ± 2.2 vs -1.9 ± 2.2, P = .90) between the groups. CONCLUSIONS: Placing children in a forward-leaning position during nebulization was effective in improving S<subscript>pO2</subscript> and reducing breathing frequency and chest pain. The forward-leaning position implemented during nebulization is a non-pharmacologic method that supports recovery in children with asthma exacerbations. [ABSTRACT FROM AUTHOR]
- Subjects :
- DRUG therapy for asthma
DISEASE exacerbation
VITAL signs
OXYGEN saturation
PAIN measurement
PEARSON correlation (Statistics)
HEART rate monitoring
CHEST pain
ACADEMIC medical centers
DATA analysis
T-test (Statistics)
STATISTICAL sampling
FISHER exact test
ANXIETY
RANDOMIZED controlled trials
DESCRIPTIVE statistics
CHI-squared test
MULTIVARIATE analysis
MANN Whitney U Test
HOSPITAL emergency services
PEDIATRICS
CONTROL groups
PRE-tests & post-tests
NEBULIZERS & vaporizers
RESPIRATORY measurements
STATISTICS
ONE-way analysis of variance
ANALYSIS of variance
ALBUTEROL
DATA analysis software
HUMAN comfort
PATIENT positioning
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 00201324
- Volume :
- 69
- Issue :
- 8
- Database :
- Supplemental Index
- Journal :
- Respiratory Care
- Publication Type :
- Academic Journal
- Accession number :
- 178493930
- Full Text :
- https://doi.org/10.4187/respcare.11752