Efektivitas Posisi Prone Dibandingkan Posisi Supine terhadap Fungsi Fisiologis Bayi Prematur
Abstract
This study aims to examine the differences in the effectiveness of the prone position compared to the supine position on the physiological functions of premature infants. The method used is the literature review. The search for articles was adjusted to the research question formulation with the PICO formula using sources from the Clinicalkey, Proquest and EBSCO databases. The results showed that the prone position intervention increased oxygen saturation, decreased heart rate and respiratory rate, reduced bradycardia and desaturation frequency, improved sleep quality and reduced stress caused by environmental factors. In conclusion, the prone position intervention proved to be more effective on the physiological function of premature infants than supine.
Keywords: Premature Baby, Physiological Function, Prone Position, Supine Position, Oxygen Saturation
References
Ballout, R. A., Foster, J. P., Kahale, L. A., & Badr, L. (2017). Body Positioning for Spontaneously Breathing Preterm Infants with Apnoea. Cochrane Database of Systematic Reviews, 1(1), 16–54. https://doi.org/10.1002/14651858.CD004951.pub3
Çakıcı, M., & Mutlu, B. (2020). Effect of Body Position on Cardiorespiratory Stabilization and Comfort in Preterm Infants on Continuous Positive Airway Pressure. Journal of Pediatric Nursing, 54, 1–8. https://doi.org/10.1016/j.pedn.2020.06.015
Correia, A., & Lourenço, M. (2020). Sleep Promotion in Neonatal Intensive Care Units: Scoping Review. Enfermeria Global, 19(1), 561–575. https://doi.org/10.6018/eglobal.19.1.370941
De Groot, E. R., Bik, A., Sam, C., Wang, X., Shellhaas, R. A., Austin, T., Tataranno, M. L., Benders, M. J. N. L., Van den Hoogen, A., & Dudink, J. (2022). Creating an Optimal Observational Sleep Stage Classification System for Very and Extremely Preterm infants. Sleep Medicine, 90, 167–175. https://doi.org/10.1016/j.sleep.2022.01.020
De Groot, E. R., Knoop, M. S., van den Hoogen, A., Wang, X., Long, X., Pillen, S., Benders, M., & Dudink, J. (2021). The Value of Cardiorespiratory Parameters for Sleep State Classification in Preterm Infants: A Systematic Review. Sleep Medicine Reviews, 58. https://doi.org/10.1016/j.smrv.2021.101462
Dimitriou, G., Tsintoni, A., Vervenioti, A., Papakonstantinou, D., & Dassios, T. (2021). Effect of Prone and Supine Positioning on the Diaphragmatic Work of Breathing in Convalescent Preterm Infants. Pediatric Pulmonology, 56(10), 3258–3264. https://doi.org/10.1002/ppul.25594
Efendi, D., Sari, D., Riyantini, Y., Novardian, N., Anggur, D., & Lestari, P. (2019). Pemberian Posisi (Positioning) dan Nesting pada Bayi Prematur: Evaluasi Implementasi Perawatan di Neonatal Intensive Care Unit (NICU). Jurnal Keperawatan Indonesia, 22(3), 169–181. https://doi.org/10.7454/jki.v22i3.619
Ekhaguere, O. A., Mairami, A. B., & Kirpalani, H. (2019). Risk and Benefits of Bubble Continuous Positive Airway Pressure for Neonatal and Childhood Respiratory Diseases in Low- And Middle-Income Countries. Paediatric Respiratory Reviews, 29, 31–36. https://doi.org/10.1016/j.prrv.2018.04.004
Griffiths, N., Spence, K., Loughran-Fowlds, A., & Westrup, B. (2019). Individualised Developmental Care for Babies and Parents in the NICU: Evidence-Based Best Practice Guideline Recommendations. Early Human Development, 139. https://doi.org/10.1016/j.earlhumdev.2019.104840
Güler, F., & Çalışır, H. (2020). The Effect of Positioning on Adaptation to Spontaneous Breathing in Premature Infants After Weaning from Mechanical Ventilation: A Randomized Controlled Trial. The Journal of Pediatric Research, 7(2), 102–109. https://doi.org/10.4274/jpr.galenos.2019.19042
Hannan, K. E., Smith, R. A., Barfield, W. D., & Hwang, S. S. (2020). Association between Neonatal Intensive Care Unit Admission and Supine Sleep Positioning, Breastfeeding, and Postnatal Smoking among Mothers of Late Preterm Infants. Journal of Pediatrics, 227, 114–120.e1. https://doi.org/10.1016/j.jpeds.2020.07.053
Jani, P. R., Lowe, K., Perdomo, A., Wakefield, L., Hinder, M., Galea, C., Goyen, T. A., Halliday, R., Waters, K. A., Badawi, N., & Tracy, M. (2021). Cerebral Oxygenation and Perfusion when Positioning Preterm Infants: Clinical Implications. Journal of Pediatrics, 235, 75–82. https://doi.org/10.1016/j.jpeds.2021.04.008
Jani, P., Skelton, H., Goyen, T., Fitzgerald, D. A., Waters, K., Badawi, N., & Tracy, M. (2021). Regional Oxygenation, Perfusion and Body and/or Head Position: Are Preterm Infants Adversely Impacted? A Systematic Review. Paediatric Respiratory Reviews. https://doi.org/10.1016/j.prrv.2021.09.004
Kaya, T. B., Aydemir, O., & Tekin, A. N. (2021). Prone Versus Supine Position for Regional Cerebral Tissue Oxygenation in Preterm Neonates Receiving Noninvasive Ventilation. Journal of Maternal-Fetal and Neonatal Medicine, 34(19), 3127–3132. https://doi.org/10.1080/14767058.2019.1678133
Lam, R., Schilling, D., Scottoline, B., Platteau, A., Niederhausen, M., Lund, K. C., Schelonka, R. L., MacDonald, K. D., & McEvoy, C. T. (2019). The Effect of Extended Continuous Positive Airway Pressure on Changes in Lung Volumes in Stable Premature Infants: A Randomized Controlled Trial. Journal of Pediatrics, 217, 66–72. https://doi.org/10.1016/j.jpeds.2019.07.074
Punthmatharith, B., & Mora, J. (2018). Effects of Positioning on Respiration Rate, Heart Rate, and Oxygen Saturation in Preterm Infants during Feeding: A Cross-Over Design. Pacific Rim International Journal of Nursing Research, 22(3), 187–199. https://www.nur.psu.ac.th/researchdb/file_warasarn/14298journal2.pdf
Sathish, Y., Lewis, L. E., Noronha, J. A., Nayak, B. S., Pai, M. S., & Altimier, L. (2019). Promoting Developmental Supportive Care in Preterm Infants and Families in a Level III Neonatal Intensive Care Unit (NICU) Setting in India. Nurse Education in Practice, 40, 1–8. https://doi.org/10.1016/j.nepr.2019.08.006
Shepherd, K. L., Yiallourou, S. R., Odoi, A., Brew, N., Yeomans, E., Willis, S., Horne, R. S. C., & Wong, F. Y. (2019). Effects of Prone Sleeping on Cerebral Oxygenation in Preterm Infants. Journal of Pediatrics, 204, 103–110. https://doi.org/10.1016/j.jpeds.2018.08.076
Shepherd, K. L., Yiallourou, S. R., Odoi, A., Yeomans, E., Willis, S., Horne, R. S. C., & Wong, F. Y. (2020). When Does Prone Sleeping Improve Cardiorespiratory Status in Preterm Infants in the NICU? Sleep, 43(4), 1–14. https://doi.org/10.1093/sleep/zsz256
Torabian, H., Alinejad, S., Bayati, A., Rafiei, F., & Khosravi, S. (2019). Comparison of the Effects of Supine and Prone Positions on Oxygen Saturation and Vital Signs in Premature Infants: A Crossover Clinical Trial. Iranian Journal of Neonatology, 10(2), 30–36. https://doi.org/10.22038/ijn.2019.32928.1465
Çakıcı, M., & Mutlu, B. (2020). Effect of Body Position on Cardiorespiratory Stabilization and Comfort in Preterm Infants on Continuous Positive Airway Pressure. Journal of Pediatric Nursing, 54, 1–8. https://doi.org/10.1016/j.pedn.2020.06.015
Correia, A., & Lourenço, M. (2020). Sleep Promotion in Neonatal Intensive Care Units: Scoping Review. Enfermeria Global, 19(1), 561–575. https://doi.org/10.6018/eglobal.19.1.370941
De Groot, E. R., Bik, A., Sam, C., Wang, X., Shellhaas, R. A., Austin, T., Tataranno, M. L., Benders, M. J. N. L., Van den Hoogen, A., & Dudink, J. (2022). Creating an Optimal Observational Sleep Stage Classification System for Very and Extremely Preterm infants. Sleep Medicine, 90, 167–175. https://doi.org/10.1016/j.sleep.2022.01.020
De Groot, E. R., Knoop, M. S., van den Hoogen, A., Wang, X., Long, X., Pillen, S., Benders, M., & Dudink, J. (2021). The Value of Cardiorespiratory Parameters for Sleep State Classification in Preterm Infants: A Systematic Review. Sleep Medicine Reviews, 58. https://doi.org/10.1016/j.smrv.2021.101462
Dimitriou, G., Tsintoni, A., Vervenioti, A., Papakonstantinou, D., & Dassios, T. (2021). Effect of Prone and Supine Positioning on the Diaphragmatic Work of Breathing in Convalescent Preterm Infants. Pediatric Pulmonology, 56(10), 3258–3264. https://doi.org/10.1002/ppul.25594
Efendi, D., Sari, D., Riyantini, Y., Novardian, N., Anggur, D., & Lestari, P. (2019). Pemberian Posisi (Positioning) dan Nesting pada Bayi Prematur: Evaluasi Implementasi Perawatan di Neonatal Intensive Care Unit (NICU). Jurnal Keperawatan Indonesia, 22(3), 169–181. https://doi.org/10.7454/jki.v22i3.619
Ekhaguere, O. A., Mairami, A. B., & Kirpalani, H. (2019). Risk and Benefits of Bubble Continuous Positive Airway Pressure for Neonatal and Childhood Respiratory Diseases in Low- And Middle-Income Countries. Paediatric Respiratory Reviews, 29, 31–36. https://doi.org/10.1016/j.prrv.2018.04.004
Griffiths, N., Spence, K., Loughran-Fowlds, A., & Westrup, B. (2019). Individualised Developmental Care for Babies and Parents in the NICU: Evidence-Based Best Practice Guideline Recommendations. Early Human Development, 139. https://doi.org/10.1016/j.earlhumdev.2019.104840
Güler, F., & Çalışır, H. (2020). The Effect of Positioning on Adaptation to Spontaneous Breathing in Premature Infants After Weaning from Mechanical Ventilation: A Randomized Controlled Trial. The Journal of Pediatric Research, 7(2), 102–109. https://doi.org/10.4274/jpr.galenos.2019.19042
Hannan, K. E., Smith, R. A., Barfield, W. D., & Hwang, S. S. (2020). Association between Neonatal Intensive Care Unit Admission and Supine Sleep Positioning, Breastfeeding, and Postnatal Smoking among Mothers of Late Preterm Infants. Journal of Pediatrics, 227, 114–120.e1. https://doi.org/10.1016/j.jpeds.2020.07.053
Jani, P. R., Lowe, K., Perdomo, A., Wakefield, L., Hinder, M., Galea, C., Goyen, T. A., Halliday, R., Waters, K. A., Badawi, N., & Tracy, M. (2021). Cerebral Oxygenation and Perfusion when Positioning Preterm Infants: Clinical Implications. Journal of Pediatrics, 235, 75–82. https://doi.org/10.1016/j.jpeds.2021.04.008
Jani, P., Skelton, H., Goyen, T., Fitzgerald, D. A., Waters, K., Badawi, N., & Tracy, M. (2021). Regional Oxygenation, Perfusion and Body and/or Head Position: Are Preterm Infants Adversely Impacted? A Systematic Review. Paediatric Respiratory Reviews. https://doi.org/10.1016/j.prrv.2021.09.004
Kaya, T. B., Aydemir, O., & Tekin, A. N. (2021). Prone Versus Supine Position for Regional Cerebral Tissue Oxygenation in Preterm Neonates Receiving Noninvasive Ventilation. Journal of Maternal-Fetal and Neonatal Medicine, 34(19), 3127–3132. https://doi.org/10.1080/14767058.2019.1678133
Lam, R., Schilling, D., Scottoline, B., Platteau, A., Niederhausen, M., Lund, K. C., Schelonka, R. L., MacDonald, K. D., & McEvoy, C. T. (2019). The Effect of Extended Continuous Positive Airway Pressure on Changes in Lung Volumes in Stable Premature Infants: A Randomized Controlled Trial. Journal of Pediatrics, 217, 66–72. https://doi.org/10.1016/j.jpeds.2019.07.074
Punthmatharith, B., & Mora, J. (2018). Effects of Positioning on Respiration Rate, Heart Rate, and Oxygen Saturation in Preterm Infants during Feeding: A Cross-Over Design. Pacific Rim International Journal of Nursing Research, 22(3), 187–199. https://www.nur.psu.ac.th/researchdb/file_warasarn/14298journal2.pdf
Sathish, Y., Lewis, L. E., Noronha, J. A., Nayak, B. S., Pai, M. S., & Altimier, L. (2019). Promoting Developmental Supportive Care in Preterm Infants and Families in a Level III Neonatal Intensive Care Unit (NICU) Setting in India. Nurse Education in Practice, 40, 1–8. https://doi.org/10.1016/j.nepr.2019.08.006
Shepherd, K. L., Yiallourou, S. R., Odoi, A., Brew, N., Yeomans, E., Willis, S., Horne, R. S. C., & Wong, F. Y. (2019). Effects of Prone Sleeping on Cerebral Oxygenation in Preterm Infants. Journal of Pediatrics, 204, 103–110. https://doi.org/10.1016/j.jpeds.2018.08.076
Shepherd, K. L., Yiallourou, S. R., Odoi, A., Yeomans, E., Willis, S., Horne, R. S. C., & Wong, F. Y. (2020). When Does Prone Sleeping Improve Cardiorespiratory Status in Preterm Infants in the NICU? Sleep, 43(4), 1–14. https://doi.org/10.1093/sleep/zsz256
Torabian, H., Alinejad, S., Bayati, A., Rafiei, F., & Khosravi, S. (2019). Comparison of the Effects of Supine and Prone Positions on Oxygen Saturation and Vital Signs in Premature Infants: A Crossover Clinical Trial. Iranian Journal of Neonatology, 10(2), 30–36. https://doi.org/10.22038/ijn.2019.32928.1465
