俯卧位对提高COVID-19患者血氧饱和度的影响

I. Antara, Ni Wayan Erik Juniantari, I. Ariawan, I. K. Artawan
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摘要

2019冠状病毒病(COVID-19)是由SARS-CoV-2病毒引起的一种侵袭呼吸系统的疾病,血氧饱和度(SpO2)是衡量COVID-19感染严重程度的指标之一。COVID-19患者给予俯卧位作为护士的自我干预,可明显增加血氧饱和度升高患者的氧合。本研究旨在确定俯卧位对提高COVID-19患者血氧饱和度的影响。本研究采用实验前设计,一组前后测试设计,不设对照组。研究人员在COVID-19患者采取俯卧姿势之前(前测)和之后(后测)测量氧饱和度。研究人群为在巴厘岛一家医院隔离室接受治疗的所有COVID-19患者。该研究的样本是30名符合研究标准的人,使用了有目的的抽样技术。研究结果显示,俯卧位前平均血氧饱和度为94.90%,干预后平均血氧饱和度为98.40%。根据Wilcoxon检验分析得到p值= 0.001。结论俯卧位对提高新冠肺炎患者血氧饱和度有显著效果。希望护士对新冠肺炎患者进行俯卧位教育,并建议患者进行俯卧位练习,以加速愈合,降低死亡率
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The Effect of Prone Position for Increasing OXygen Saturation of COVID-19 Patients
Coronavirus Disease 2019 (COVID-19) is a disease caused by the SARS-CoV-2 virus that attacks the respiratory system, Oxygen saturation (SpO2) is one of the indicators of the severity of COVID-19 infection. Prone position is given as a nurse's self-intervention in COVID-19 patients which can evidently increase oxygenation in patients characterized by increased oxygen saturation. This study aims to determine the effect of prone position for increasing oxygen saturation of COVID-19 patients. This study used a pre-experimental design with a one-group pre-post test design without a control group. Researchers measure oxygen saturation before (pre-test) and after (post-test) to perform prone position in COVID-19 patients. The study population was all COVID-19 patients treated in the Isolation Room of a hospital in Bali. The sample in the study was 30 people who met the research criteria using purposive sampling techniques. The results of the study were obtained before prone position the average oxygen saturation was 94.90% while after being given the intervention prone position became 98.40%. Based on the Wilcoxon test analysis obtained p-value = 0.001. It concluded that there was a significant effect of prone position for increasing oxygen saturation of COVID-19 patients.  Nurses are expected to provide education about prone position for COVID-19 patients, and the patients is recommended to practice prone position exercise to accelerate healing and reduce mortality
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