Authors: Zahrah Maulidia, Andi Setiyawan.
Background: Continuous Positive Airway Pressure (CPAP) is a ventilator mode which able to improve oxygenation for a patient whose adequate breathing ability with no respiratory muscle so that weakness, so that the patient was breathing spontaneously.
Purpose: The research’s aim is to determine the effectiveness of fowler position (sitting position) and lateral position on the change of tidal volume value of patients with CPAP mode ventilator in ICU General Hospital.
Method: The research used a quasi-experimental design with pre-test design post-test with the control group. The population in this study were all patients in ICU General Hospital, with CPAP mode ventilator. The sample was 36 patients consisting of 2 groups whereas 18 patients as an experimental group were given fowler positioning intervention and 18 control patients as the control group was given lateral position. Samples were taken by purposive sampling technique. The data were obtained by measuring tidal volume. Univariate and bivariate data analysis using independent T-test and dependent T-test.
Result: The research results were in the intervention group with Fowler positioning (sitting position) the average VT was obtained before the intervention (pretest) 433,39 ml and after intervention (posttest) 465,17 ml. There are differences of VT before and after given fowler positioning (sitting position) with an average increase of 31,778 ml (P-value = 0,000). In the control group with lateral positioning the mean of VT pretest was 435,33 ml and after posttest 455,22 ml. There are differences of VT before and after giving lateral position (P-value = 0,018) with an average increase of 19,889 ml.
Conclusion: The conclusion of Fowler positioning (sitting position) is more effective in increasing the tidal volume value than the lateral position for a patient in CPAP mode ventilator. Furthermore, recommendation for the hospital is to improve the nurses’ skills to conduct scheduled assignments through training or seminars.
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