Effect of Postural Drainage and Effective Cough After Nebulizer Intervention to in Oxygen Saturation Among Children with Bronchopneumonia

Selly Amelia Suryana Putri, Lisbet Octovia Manalu, Budi Somantri, A. Hutapea
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Abstract

Bronchopneumonia is a disease that occurs at the distal end of the bronchioles, where this portion of the bronchiole is blocked by mucopurulent exudate. One of the main problems of children with bronchopneumonia is an increase in excessive sputum secretion that will affect the process of oxygen exchange, which ultimately can reduce the oxygen saturation in the blood of the patients.  The purpose of this study was to determine the differences between postural drainage and effective cough exercises in nebulizer intervention on oxygen saturation changes in children aged 3-5 years with bronchopneumonia.  Analytical quasi-experimental study design with pre- and post-test approach among 30 children in a hospital was utilized. Sampling was done with non-probability sampling technique. The methods used were postural drainage and effective cough. The result was analyzed using t-Test.  The mean difference in oxygen saturation value in the postural drainage group was higher (4.53 %) than in the effective cough group (3.64 %). Result of unpaired t-Test indicated a p = 0.343. Thus, there is no difference in postural drainage and effective cough exercises in nebulizer intervention to oxygen saturation change in bronchopneumonia. Future studies can be done on the effects of these methods when applied before nebulizer intervention.
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体位引流及雾化后有效咳嗽对支气管肺炎患儿血氧饱和度的影响
支气管肺炎是一种发生在细支气管远端的疾病,细支气管的这一部分被粘液化脓性渗出物阻塞。支气管肺炎患儿的主要问题之一是痰液分泌过多,会影响氧交换过程,最终可使患者血液中的氧饱和度降低。本研究的目的是确定体位引流和有效咳嗽运动在雾化器干预3-5岁支气管肺炎患儿血氧饱和度变化中的差异。采用分析性准实验研究设计,采用前测法和后测法对某医院30名儿童进行调查。抽样采用非概率抽样技术。采用体位引流法和有效止咳法。结果采用t检验进行分析。体位引流组血氧饱和度平均差值(4.53%)高于有效止咳组(3.64%)。非配对t检验结果p = 0.343。因此,体位引流和有效咳嗽运动在雾化器干预中对支气管肺炎的氧饱和度变化没有差异。未来的研究可以在雾化器干预前应用这些方法的效果。
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