Effect of Nurse-Directed Therapeutic Positioning in Children With Pneumonia
Effectiveness of Nurse- Directed Therapeutic Positioning on Vital Signs, Oxygen Saturation, and Respiratory Distress Severity Among Children With Pneumonia: A Comparative Study
Pneumonia is a common respiratory infection in children that may cause respiratory distress and impaired oxygenation. This quasi-experimental study aims to evaluate the effectiveness of nurse-directed therapeutic positioning on vital signs, oxygen saturation, and respiratory distress severity among children aged 3-5 years diagnosed with pneumonia. The study will compare two therapeutic positioning interventions, side-lying position and semi-Fowler's position, with a control group receiving routine nursing care. The outcomes will be assessed to determine the effects of these positioning interventions on the respiratory status of children with pneumonia.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Nidaa H Mardan
- Phone Number: +9647807779284
- Email: nedaa.hazem2504m@conursing.uobaghdad.edu.iq
Study Contact Backup
- Name: Adraa H Shawq, Phd
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Children aged 3-5 years.
- Children diagnosed with pneumonia.
- Children admitted to the selected pediatric hospitals.
- Children whose parents/guardians provide informed consent.
Exclusion Criteria:
- Children with chronic respiratory diseases.
- Children with congenital heart disease.
- Children with neuromuscular disorders.
- Children requiring mechanical ventilation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Side - Lying position Group
Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the side-lying position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be placed in the side-lying position under nursing supervision, with attention to comfort, safety, and clinical tolerance. The selected side, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention. |
|
Experimental: Semi - Fowler's Position Group
Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the semi-Fowler's position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be positioned in the semi-Fowler's position, with the head and upper body elevated according to the study protocol. Nursing supervision will be provided to maintain the child's comfort and safety and to monitor clinical tolerance. The elevation angle, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention. |
|
No Intervention: Control Group
Children aged 3-5 years diagnosed with pneumonia will receive routine nursing care according to the hospital's standard practice. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Respiratory Rate
Time Frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
Respiratory rate will be measured in breaths per minute and compared among the semi-Fowler, side-lying, and control groups. |
At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
|
Change in Respiratory Distress Severity
Time Frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
Respiratory distress severity will be assessed using the Clinical Respiratory Score (CRS), which consists of six parameters: respiratory rate, auscultation, use of accessory muscles, mental status, room air oxygen saturation, and skin color. Each parameter is scored from 0 to 2, yielding a total score ranging from 0 to 12. Higher scores indicate greater respiratory distress. Change in respiratory distress severity will be compared among the semi-Fowler, side-lying, and control groups. |
At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
|
Change in Peripheral Oxygen Saturation (SpO₂)
Time Frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
Peripheral oxygen saturation will be measured using a pulse oximeter and compared among the semi-Fowler, side-lying, and control groups. |
At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
|
Change in Heart Rate
Time Frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
Heart rate will be measured in beats per minute and compared among the semi-Fowler, side-lying, and control groups. |
At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Adraa H Shawq, Phd, University of Baghdad, College of Nursing
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- NUR-TP-PNEU
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Individual participant data will not be shared with other researchers. Data confidentiality will be maintained, and study findings will be reported in aggregate form without identifying individual participants.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.