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Vol. 8 No. 2 (2022): Jurnal Pendidikan Keperawatan Indonesia The intervention of trunk posture on fowler 30°...
Articles December 31, 2022

The intervention of trunk posture on fowler 30° to reduce shortness of breath in congestive heart failure patients: Case study

AJ
Anggi Jamiyanti Universitas Padjadjaran, Indonesia
SS
Sarah Arnika Simatupang Universitas Padjadjaran, Indonesia
TN
Trias Eka Nurlela Universitas Padjadjaran, Indonesia
ES
Eka Afrima Sari Universitas Padjadjaran, Indonesia
YH
Yusshy Kurnia Herliani Universitas Padjadjaran, Indonesia
R
Ramdani Rumah Sakit Umum Daerah dr. Slamet Garut, Indonesia
DOI https://doi.org/10.17509/jpki.v8i2.240

Abstract

Shortness of breath in patients with congestive heart failure is caused by impaired lung function due to pulmonary. One of the efforts that can be made to overcome shortness of breath and improve oxygenation status is to change the position of the trunk posture in fowler 30o. This case study was conducted to analyze the application of the 30o trunk posture in the fowler position in patients with congestive heart failure who experience shortness of breath. The research used a case study of patients with congestive heart failure who experience shortness of breath. After giving a 30o trunk posture in the fowler position for three days of treatment, there was a change of blood pressure, pulse rate, respiration, and oxygen saturation of the patient. The position of the trunk in fowler posture 30o can reduce shortness of breath in patients with congestive heart failure.

Keywords:
gagal jantung kongesti sesak nafas trunk posture in fowler 30°

References

Awolola, E. O., Maharaj, S. S., Ojo, O. T., & Adeyeye, O. O. (2022). Efficacy of Pulmoary exercise administered in Supine, 45 degrees, or 90 degrees long sitting position on pulmonary parameters of patients with COPD: A Study Protocol. medRxiv, 01, 1-24.
Bauersachs, J., König, T., van der Meer, P., Petrie, M. C., Hilfiker-Kleiner, D., Mbakwem, A., . . . de Boer, R. A. (2019). Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. European journal of heart failure, 21(7), 827-843.
Katz, S., Arish, N., Rokach, A., Zaltzman, Y., & Marcus, E.-L. (2018). The effect of body position on pulmonary function: a systematic review. BMC pulmonary medicine, 18(1), 1-16.
Kubota, S., Endo, Y., Kubota, M., Ishizuka, Y., & Furudate, T. (2015). Effects of trunk posture in Fowler's position on hemodynamics. Autonomic Neuroscience, 189, 56-59.
Kubota, S., Endo, Y., Kubota, M., & Shigemasa, T. (2017). Assessment of effects of differences in trunk posture during Fowler’s position on hemodynamics and cardiovascular regulation in older and younger subjects. Clinical interventions in aging, 12, 603-610.
Kupper, N., Bonhof, C., Westerhuis, B., Widdershoven, J., & Denollet, J. (2016). Determinants of Dyspnea in Chronic Heart Failure. Journal of Cardiac Failure, 22(3), 201–209.
Lippi, G., & Sanchis-Gomar, F. (2020). Global epidemiology and future trends of heart failure. AME Med J, 5(15), 1-6.
Muti, R. T. (2020). Pengaruh Posisi Semi Fowler Dengan Kombinasi Lateral Kanan Terhadap Perubahan Haemodinamik Pada Pasien Gagal Jantung Di Ruang ICCU Rumah Sakit Umum Daerah Margono Soekarjo Purwokerto. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 13(02), 124-140.
Najafi, S., Dehkordi, S. M., Haddam, M. B., Abdavi, M., & Memarbashi, M. (2018). The effect of position change on arterial oxygen saturation in cardiac and respiratory patients: A randomized clinical trial. Journal of Clinical and Diagnostic Research, 12(9), 33–37.
Pambudi, D. A., & Widodo, S. (2020). Posisi Fowler Untuk Meningkatkan Saturasi Oksigen Pada Pasien (CHF) Congestive Heart Failure Yang Mengalami Sesak Nafas. Ners Muda, 1(3), 146-151.
Puspita, D., Nur, B. M., & Jumaiyah, W. (2019). Efektifitas Posisi Tidur Miring Kanan dan Semifowler Terhadap Kualitas Tidur Pada Pasien Gagal Jantung Kongestif Di RSUD Dr. Soedarso Pontianak. Jurnal Keperawatan Dan Kesehatan,10(1), 35-47
Rahayu, L. P. (2020). Management Pengoptimalan Kebutuhan Oksigen Pada Pasien Gagal Jantung Di Unit Perawatan Intensif: A Literatur Review. Jurnal Berita Ilmu Keperawatan, 13(2), 84-92.
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Tsao, C. W. (2021). Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. In Circulation, 143(8), 127-144
Wijayati, S., Ningrum, D. H., & Putrono, P. (2019). Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di RSUD Loekmono Hadi Kudus. Medica Hospitalia: Journal of Clinical Medicine, 6(1), 13-19.
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey Jr, D. E., Colvin, M. M., . . . Givertz, M. M. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American College of Cardiology, 70(6), 776-803.