Impact of Semi-Fowler's Position in Chronic Heart Failure (CHF) Patients: Scoping Review

Authors

Ni Kadek Diah Purnamayanti , Santalia Bane Tondok , Wibowo Hanafi Ari Susasnto , Rohmani

DOI:

10.29303/jppipa.v9i11.5074

Published:

2023-11-25

Issue:

Vol. 9 No. 11 (2023): November

Keywords:

Body position, CHF, Heart failure, Nursing, Semi-fowler

Review

Downloads

How to Cite

Purnamayanti, N. K. D. ., Tondok, S. B. ., Susasnto, W. H. A. ., & Rohmani, R. (2023). Impact of Semi-Fowler’s Position in Chronic Heart Failure (CHF) Patients: Scoping Review. Jurnal Penelitian Pendidikan IPA, 9(11), 1229–1236. https://doi.org/10.29303/jppipa.v9i11.5074

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Abstract

Epidemic heart failure patients are a scourge of world health which has an increasing trend as old age increase. Heart failure is a state of heart function not adequately supplying blood for the body's metabolism, known as Congestive Heart Failuren the productive age population, CHF patients have high morbidity, frequent exacerbations, and mortality. Treatment in the hospital requires intensive care. One of the forms of treatment in question is positioning.  This study aimed to determine the impact of the semi-fowler's position on CHF patients. The research design is a systematic review using Google Scholar, Pubmed, and Garuda searches. Inclusion criteria were the research of the last five years; all articles were available. Exclusion criteria are non-experimental research, such as literature and observational studies—critical review using the JBI checklist for quasi-experimental. The results of the study were seven experimental research articles in Indonesia, three studies only giving semi-fowler's position, two studies recommending semi-fowler's position is better than right/left, and two other studies recommending semi-fowler's + Fowler's and semi-fowler's' positions. This study concludes that the semi-fowler's position is the correct position in the treatment of CHF patients.

References

Al-Mashat, M., Jögi, J., Carlsson, M., Borgquist, R., Ostenfeld, E., Magnusson, M., Bachus, E., Rådegran, G., Arheden, H., & Kanski, M. (2020). Increased pulmonary blood volume variation in patients with heart failure compared to healthy controls: A noninvasive, quantitative measure of heart failure. Journal of Applied Physiology, 128(2), 324–337. https://doi.org/10.1152/japplphysiol.00507.2019

Aprilia, R., Aprilia, H., , Solikin, , Solikin, & Sukarlan, S. (2022). Efektivitas Pemberian Posisi Semi Fowler Dan Posisi Fowler Terhadap Saturasi Oksigen Pada Pasien Gagal Jantung Di Instalasi Gawat Darurat Rumah Sakit Umum Daerah Ulin Banjarmasin. Jurnal Keperawatan Suaka Insan (Jksi), 7(1), 31–37. https://doi.org/10.51143/jksi.v7i1.332

Asmara, W., Sari, S. A., & Fitri, N. L. (2021). Penerapan Pemberian Posisi Semi-fowler Terhadap Kualitas Tidur Pasien Congestive Gagal Jantung. Jurnal Cendikia Muda, 1(2), 159–165.

AW, W. A., & Sulistyo, F. A. (2019). Hubungan Intensitas Tindakan Suction Dengan Perubahan Kadar Saturasi Oksigen Pada Pasien Yang Terpasang Ventilator Di Ruang Icu RSUD Kota Bogor. Jurnal Ilmiah Wijaya, 11(2), 134–142.

Bayu, P. I. E. W. A. K. (2019). Pengaruh Pemberian Sudut Posisi Tidur 45˚ Terhadap Kualitas Tidur Pada Pasien Gagal Jantung. Jurnal Ilmiah Keperawatan Indonesia [JIKI], 3(Vol 3, No 1 (2019): Jurnal Ilmiah Keperawatan Indonesia [JIKI]), 81–88.

Buchman-Pearle JM, Gruevski KM, Gallagher KM, Barrett JM, C. J. (2023). Defining the lumbar and trunk-thigh neutral zone from the passive stiffness curve: application to hybrid sit-stand postures and chair design. Ergonomics., 66(3), 338-349. https://doi.org/doi: 10.1080/00140139.2022.2084164. Epub 2022 Jun 8.

David J Marlin & Thea L Vincent. (2007). Pulmonary Blood Flow. In J. S. E. R. M. and S. Bruce C McGorum, Padraic M Dixon, N Edward Robinson & W. B. Saunders (Eds.), Equine Respiratory Medicine and Surgery (pp. 33–43). https://doi.org/https://doi.org/10.1016/B978-0-7020-2759-8.50008-8

Diah Purnamayanti, N. K., Pari Usemahu, N. Y., M, F. H., & Layun, M. K. (2020). Aplikasi Latihan Rentang Gerak Dengan Berbagai Pendekatan Pada Pasien Stroke. Jurnal Kesehatan, 13(1), 22–34. https://doi.org/10.23917/jk.v13i1.11098

Dimitru, I. (2023). Heart failure.

Edwards Z & Annamaraju P. (2023). Physiology, Lung Compliance (Treasure Island (FL): StatPearls Publishing (ed.)). Available from: https://www.ncbi.nlm.nih.gov/books/NBK554517/.

Fitriyanti, D., & Sulung, R. (2020). INTERNATIONAL COLUMN Effectiveness of ginger to overcome nausea and vomiting caused by chemotherapy in breast cancer patients. Canadian Oncology Nursing Journal, 30(1), 3–5. https://doi.org/10.5737/2368807630135

Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of heart failure. European Journal of Heart Failure, 22(8), 1342–1356. https://doi.org/10.1002/ejhf.1858

Hayati, K., Karokaro, T. M., & Witama, F. (2023). Pengaruh Kombinasi Posisi Semi Fowlerdenganlateral Kanan Terhadap Perubahan Hemodinamika Pada Pasien Gagal Jantung di Ruang CVCU Rumah Sakit Grandmed Lubuk Pakam. Jurnal Kesmas Dan Gizi (Jkg), 5(2), 266–272. https://doi.org/10.35451/jkg.v5i2.1644

Hoffmann, U., Koschate, J., Coriolano, H. J. A., Drescher, U., Thieschäfer, L., Dumitrescu, D., & Werner, A. (2019). Adaptation of systemic and pulmonary circulation to acute changes in gravity and body position. Aerospace Medicine and Human Performance, 90(8), 688–695. https://doi.org/10.3357/AMHP.5300.2019

Hur, D. J., & Sugeng, L. (2019). Non-invasive Multimodality Cardiovascular Imaging of the Right Heart and Pulmonary Circulation in Pulmonary Hypertension. Frontiers in Cardiovascular Medicine, 6(March), 1–26. https://doi.org/10.3389/fcvm.2019.00024

Isrofah, Indriono, A., & Mushafiyah, I. (2020). Tidur dan saturasi oksigen pada pasien congestive hearth faillure. Jurnal Ilmiah Permas, 10(4), 557–568.

Javaheri, S., Blackwell, T., Ancoli-Israel, S., Ensrud, K. E., Stone, K. L., & Redline, S. (2016). Sleep-disordered breathing and incident heart failure in older men. American Journal of Respiratory and Critical Care Medicine, 193(5), 561–568. https://doi.org/10.1164/rccm.201503-0536OC

Kubota, S., Endo, Y., Kubota, M., & Shigemasa, T. (2017). Assessment of effects of differences in trunk posture during Fowler’s position on hemodynamics and cardiovascular regulation in older and younger subjects. Clinical Interventions in Aging, 12, 603–610. https://doi.org/10.2147/CIA.S132399

Laginestra, F. G., Berg, O. K., Nyberg, S. K., Venturelli, M., Wang, E., & Helgerud, J. (2023). Stroke volume response during prolonged exercise depends on left ventricular filling: Evidence from a beta-blockade study. AJP Regulatory Integrative and Comparative Physiology, 325(2). https://doi.org/DOI:10.1152/ajpregu.00293.2022

Lai, C., Monnet, X., & Teboul, J. L. (2023). Hemodynamic Implications of Prone Positioning in Patients with ARDS. Critical Care, 27(1), 1–8. https://doi.org/10.1186/s13054-023-04369-x

Lee, J. H., Kim, M. S., Kim, E. J., Park, D. G., Cho, H. J., Yoo, B. S., Kang, S. M., & Choi, D. J. (2019). KSHF guidelines for the management of acute heart failure: Part I. Definition, epidemiology and diagnosis of acute heart failure. Korean Circulation Journal, 49(1), 1–21. https://doi.org/10.4070/kcj.2018.0373

Malik A, B. D. (2023). Heart Failure.

Martin-Du Pan, R. C., Benoit, R., & Girardier, L. (2004). The role of body position and gravity in the symptoms and treatment of various medical diseases. Swiss Medical Weekly, 134(37–38), 543–551. https://doi.org/10.4414/smw.2004.09765

McGee, K. (2020). How to find neutral spine.

Melani, T., Budi, M., & Putranti, D. (2022). Asuhan Keperawatan Penurunan Curah Jantung Pada Tn. S dengan Congestive Heart Failure (CHF) di Ruang Lavender RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Journal of Management Nursing, 2(1), 147–157. https://doi.org/10.53801/jmn.v2i1.71

Mireskandari, S. M., Makarem, J., Emami, K. H., Jafarzadeh, A., Karvandian, K., Samadi, S., Eslami, B., & Movafegh, A. (2022). Comparison the Effect of Changing from the Supine to Lateral Position and Vice Versa on Plethysmographic Variability Index and Hemodynamic Values Assessed by Ultrasonic Cardiac Output Monitors in Patients Who Undergo Thoracotomy. Archives of Anesthesiology and Critical Care, 8(Autumn), 354–357.

MlÄek, M., Borges, J. B., Otáhal, M., Alcala, G. C., Hladík, D., KuriÅ¡Äák, E., Tejkl, L., Amato, M., & Kittnar, O. (2023). Real-time effects of lateral positioning on regional ventilation and perfusion in an experimental model of acute respiratory distress syndrome. Frontiers in Physiology, 14(March), 1–10. https://doi.org/10.3389/fphys.2023.1113568

Mukerji, V. (1990). Dyspnea, Orthopnea, and Paroxysmal Nocturnal Dyspnea. Clinical Methods: The History, Physical, and Laboratory Examinations, 78–80.

Nakamura, A., Sato, K., & Endo, H. (2022). Transradial peripheral vascular intervention using Fowler’s position and Terumo R2P system for patients with heart failure: two case reports. Journal of Medical Case Reports, 16(1), 1–6. https://doi.org/10.1186/s13256-021-03242-1

National Health Service. (2023). Postural orthostatic tachycardia syndrome (PoTS).

Pambudi, D. A., & Widodo, S. (2020). Posisi Fowler Untuk Meningkatkan Saturasi Oksigen Pada Pasien (CHF) Congestive Heart Failure Yang Mengalami Sesak Nafas. Ners Muda, 1(3), 156. https://doi.org/10.26714/nm.v1i3.5775

PERKI, K. K. G. J. dan K. (2020). Pedoman Tatalaksana Gagal Jantung. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia.

Purnamayanti, N. K. D., Sutrisna, I. G. A. A., & Kresnayana, M. Y. (2021). Herbs In Treatment Covid 19, Recomended Or Not? Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6, 21–26. https://doi.org/10.30604/jika.v6is1.755

Puspita, D., Nur, B. M., & Jumaiyah, W. (2019). Efektifitas Posisi Tidur Miring Kanan dan Semifowler Terhadap Kualitas Tidur Pada Pasien Gagal Jantung Kongestif Di RSUD Dr. Soedarso Pontianak. Jurnal Keperawatan Dan Kesehatan, 77(1), 1–15.

Ramos J MD. (2020). Pulmonary Hypertension and Heart Failure – Physiological Markers Assessed by Cardiovascular Magnetic Resonance. Karolinska Institute, Stockholm, Sweden.

Ricci, F., Barison, A., Todiere, G., Mantini, C., Cotroneo, A. R., Emdin, M., De Caterina, R., Galllina, S., & Aquaro, G. D. (2018). Prognostic value of pulmonary blood volume by first-pass contrast-enhanced CMR in heart failure outpatients: The PROVE-HF study. European Heart Journal Cardiovascular Imaging, 19(8), 896–904. https://doi.org/10.1093/ehjci/jex214

Riley, J. (2015). The Key Roles For The Nurse In Acute Heart Failure Management. Cardiac Failure Review, 1(2), 123. https://doi.org/10.15420/cfr.2015.1.2.123

Sato, N. T. d. S., & Tudella, E. (2018). Influence of sitting positions and level of trunk control during reaching movements in late preterm and full-term infants. Frontiers in Pediatrics, 6(June), 1–11. https://doi.org/10.3389/fped.2018.00185

Sugih, W., Ningrum, D. H., & Putrono, P. (2019). Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di RSUD Loekmono Hadi Kudus. Medica Hospitalia : Journal of Clinical Medicine, 6(1), 13–19. https://doi.org/10.36408/mhjcm.v6i1.372

Tanujiarso, B. A., Riani, S., & Tri, F. A. (2022). Pemberian Posisi 450 Efektif dalam Meningkatkan Saturasi Oksigen dan Menurunkan Respiration RatePasien Congestive Heart Failure (CHF). Jurnal Ilmiah Keperawatan, 13(4), 145–153.

Tufanaru C, Munn Z, Aromataris E, Campbell J, H. L. (2017). Checklist for Quasi-Experimental Studies. The Joanna Briggs Institute, 1–6.

Urbich, M., Globe, G., Pantiri, K., Heisen, M., Bennison, C., Wirtz, H. S., & Di Tanna, G. L. (2020). A Systematic Review of Medical Costs Associated with Heart Failure in the USA (2014–2020). PharmacoEconomics, 38(11), 1219–1236. https://doi.org/10.1007/s40273-020-00952-0

Vardhmaan Jain; Stephen J. Bordes; Abhishek Bhardwaj. (2023). Physiology, Pulmonary Circulatory System (StatPearls (ed.)). StatPearls Publishing, Treasure Island.

Wang, H., Gao, X., Shi, Y., Wu, D., Li, C., & Wang, W. (2022). Effects of trunk posture on cardiovascular and autonomic nervous systems: A pilot study. Frontiers in Physiology, 13(October), 1–12. https://doi.org/10.3389/fphys.2022.1009806

Wieslander, B., Ramos, J. G., Ax, M., Petersson, J., & Ugander, M. (2019). Supine, prone, right and left gravitational effects on human pulmonary circulation. Journal of Cardiovascular Magnetic Resonance, 21(1), 1–15. https://doi.org/10.1186/s12968-019-0577-9

Wirawan, N., Periadi, N., & Iqbal Kusuma, M. (2022). The Effect of Intervention on Semi Fowler and Fowler Positions on Increasing Oxygen Saturation in Heart Failure Patients. KESANS : International Journal of Health and Science, 1(11), 979–993. https://doi.org/10.54543/kesans.v1i11.104

Wu, T. W., Lien, R. I., Seri, I., & Noori, S. (2017). Changes in cardiac output and cerebral oxygenation during prone and supine sleep positioning in healthy term infants. Archives of Disease in Childhood: Fetal and Neonatal Edition, 102(6), F483–F489. https://doi.org/10.1136/archdischild-2016-311769

Yan, T., Zhu, S., Yin, X., Xie, C., Xue, J., Zhu, M., Weng, F., Zhu, S., Xiang, B., Zhou, X., Liu, G., Ming, Y., Zhu, K., Wang, C., & Guo, C. (2023). Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study. Journal of the American Heart Association, 12(6). https://doi.org/10.1161/JAHA.122.027852

Yulianti, Y., & Chanif, C. (2021). Penerapan Perubahan Posisi Terhadap Perubahan Hemodinamik Pada Asuhan Keperawatan Pasien Congestive Heart Failure. Ners Muda, 2(2), 82. https://doi.org/10.26714/nm.v2i2.6275

Author Biographies

Ni Kadek Diah Purnamayanti, Ganesha University of Education

Santalia Bane Tondok, poltekkes kemenkes jayapura

Wibowo Hanafi Ari Susasnto, Department of Nursing Poltekkes Jayapura Ministry of Health

Rohmani, Department of Nursing Poltekkes Jayapura Ministry of Health

License

Copyright (c) 2023 Ni Kadek Diah Purnamayanti, Santalia Bane Tondok, Wibowo Hanafi Ari Susasnto, Rohmani

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).