International Journal of Nursing Education and Research

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

The effect of Positions on selected Physiological parameters among Term Neonates in a selected Hospital, Kerala


Affiliations
1 Assistant Professor, St. James College of Nursing, Chalakudy, Kerala., India
     

   Subscribe/Renew Journal


Simple intervention like appropriate positioning of neonate is vital since it affects many physiological parameters and reduces neonatal morbidity. This study was conducted to assess the effect of positions on selected physiological parameters among term neonates in a selected hospital, Kerala. The objectives were (1) To assess the effect of supine position on selected physiological parameters among term neonates. (2) To assess the effect of lateral position on selected physiological parameters among term neonates. (3) To assess the effect of prone position on selected physiological parameters among term neonates. (4) To compare the effects of supine, lateral and prone positions on physiological parameters among term neonates. (5) To associate the effect of positions on physiological parameters among term neonates with selected variables. One group pre-test post- test design was used to collect data from a total of forty subjects, by purposive sampling method. Baseline proforma and observation chart were used to collect the data. The heart rate, respiratory rate and oxygen saturation were recorded at 5th, 15th and 30th minutes in supine, lateral and prone positions. The data was analyzed by descriptive and inferential statistics. Comparison of effect of positions revealed that the mean heart rate and mean oxygen saturation showed the highest values in supine position. Highest mean respiratory rate was same in supine and prone position. With neonatal age in days and gestational age in weeks oxygen saturation showed a positive correlation. The Fisher test revealed that there was statistical difference at 5% significant level only in heart rate and respiratory rate in supine and prone position.

Keywords

Effect, Positions, Heart rate, Respiratory rate, Oxygen saturation, Term neonates.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Kumar D, Verma A, Sehgal VK. Neonatal mortality in India. Rural and remote health online. 2007; 7:833. Available from: http://www.rrh.org.au

  • Baqui AH, Williams EK, Darmstadt GL, Kumar V, Kiran TV. Newborn care in rural Uttar Pradesh. Indian Journal of paediatrics.2007; 74:241-7.

  • Brundtland GH. Director General, plenary address delivered at United Nations General Assembly special session on children. New York: May 9, 2005. Available from:http://www.iisd.ca/ymb/mdg/summit2010/html/ymbvol 153 num9e.html.

  • Arvind R. Principles and practice of neonatology.1st ed. New -Delhi: BI Livingstone pvt.ltd; 2001.

  • Hockenberry, Wilson. Wong’s nursing care of infants and children.8th ed. India: Mosby Elsevier publishers; 2007.

  • Dipak K Guha. Practical New-born Critical Care Nursing.1st ed. New Delhi: Jay pee publishers; 2006.

  • ParulDatta. Paediatric Nursing. 2nd ed. New Delhi: Medical publishers; 2007.

  • Indu AS, Valsamma Joseph. Effect of selected positions on physiological parameters of neonates admitted with respiratory problems. The Journal of Nursing Research.2008; September, 3[2]: 5.

  • Anju Pandey. Positioning premature babies, which position is best? Nightingale Nursing Times.2005; March, 5: 24-7.

  • Leipala JA, Bhat RY, Rafferty GF, Hannam S, Greenough A. Effect of posture on respiratory function and drive in preterm infants prior to discharge. Paediatric pulmonology.2003; October, 36[4]:295-300p. Available from:www.ncbi.nlm. nih.gov/pubmed/12950041

  • Dimitriou G, Greenough A, Pink L, Mcghee A, Hickey A, Rafferty GF. Effect of posture on oxygenation and respiratory muscle strength in convalescent infants. Archives of disease in childhood, foetal and neonatal edition.2002; 86: 147-150p. Available from: www.ncbi.nlm.nih.gov/pubmed/11978742

  • Shen XM, Zhoa W, Huang DS, Lin FG, WuSM. Effect of positioning on pulmonary functions of new-borns. Comparison of supine and prone position. Paediatric pulmonology. 1996; 21: 167-170p. Available from: www.ncbi. nlm.nih.gov/pubmed/7970915


Abstract Views: 95

PDF Views: 0




  • The effect of Positions on selected Physiological parameters among Term Neonates in a selected Hospital, Kerala

Abstract Views: 95  |  PDF Views: 0

Authors

K. D. Betty
Assistant Professor, St. James College of Nursing, Chalakudy, Kerala., India

Abstract


Simple intervention like appropriate positioning of neonate is vital since it affects many physiological parameters and reduces neonatal morbidity. This study was conducted to assess the effect of positions on selected physiological parameters among term neonates in a selected hospital, Kerala. The objectives were (1) To assess the effect of supine position on selected physiological parameters among term neonates. (2) To assess the effect of lateral position on selected physiological parameters among term neonates. (3) To assess the effect of prone position on selected physiological parameters among term neonates. (4) To compare the effects of supine, lateral and prone positions on physiological parameters among term neonates. (5) To associate the effect of positions on physiological parameters among term neonates with selected variables. One group pre-test post- test design was used to collect data from a total of forty subjects, by purposive sampling method. Baseline proforma and observation chart were used to collect the data. The heart rate, respiratory rate and oxygen saturation were recorded at 5th, 15th and 30th minutes in supine, lateral and prone positions. The data was analyzed by descriptive and inferential statistics. Comparison of effect of positions revealed that the mean heart rate and mean oxygen saturation showed the highest values in supine position. Highest mean respiratory rate was same in supine and prone position. With neonatal age in days and gestational age in weeks oxygen saturation showed a positive correlation. The Fisher test revealed that there was statistical difference at 5% significant level only in heart rate and respiratory rate in supine and prone position.

Keywords


Effect, Positions, Heart rate, Respiratory rate, Oxygen saturation, Term neonates.

References