The Effect of Nebulization Positions in Asthmatic Children

NCT05318885 | Completed

• 1 other identifier: 0000-0001-7140-6540
• Study Type: interventional
• Target: 86
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to establish the effect on pulse rate, oxygen saturation, respiratory rate, pain and anxiety levels of Fowler's and the forward-leaning positions during nebulization in children experiencing asthma attacks.

Conditions

Asthma Attack; Asthma in Children; Asthma Acute; Asthma

Keywords

Asthma attack; Child; Nurse; Nebulization; Chest Pain

Outcome Measures

Primary Outcomes (5)

• Change in Oxygen Saturation

  Oxygen saturation will be monitored

  90 minute

• Change in respiratory rate

  Respiratory rate will be monitored

  90 minute

• Change in Pulse Rate

  Heart rate will be monitored

  90 minute

• Change in chest pain score

  Pain score will be evaluated with The faces pain scale-revised (FPS-R).

  90 minute

• Change in anxiety score

  Anxiety score will be evaluated with The children state anxiety scale (CSA).

  90 minute

Study Arms (2)

Forward leaning position

EXPERIMENTAL

The children in asthma attacks were administered nebulization three times, during which the study group children were placed in the forward-leaning position.

Other: A Randomized Controlled Study

Fowler position

NO INTERVENTION

The children in asthma attacks were administered nebulization three times, during which the control group children in the routine Fowler's position.

Interventions

A Randomized Controlled Study OTHER

For forward-leaning position, the child is first placed on a suitable chair with a soft pillow on their knees. The child will remain in the same position for the duration of the nebulization, and the pillow provides support, ensuring the child does not get tired. The child leans forward at an angle of 45°, places their arms on the pillow as shown in the figure and holds their head upright with their eyes facing forward (slight hyperextension). The upright head position of the child prevents spillage of the liquid medicine from the nebulizer chamber.

Forward leaning position

Eligibility Criteria

• Age: 6 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• To be between 6-11 ages,
• Having a body temperature below 37.2°C at admission,
• Having been prescribed nebulized salbutamol by the physician during data collection,
• Having not using bronchodilators or corticosteroid drugs within the last 6 hours,
• Having no other respiratory system disease,
• Verbal and written consent of the child and parent to participate in the study.

You may not qualify if:

• Administering drugs other than nebulized salbutamol to the child during data collection,
• Having an obstacle for positioning (Lordosis, kyphosis, scoliosis, chest wall deformities, previous surgical procedure, etc.),
• Child and parent not knowing Turkish.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul University-Cerrahpaşa

Istanbul, Turkey (Türkiye)

Location

Related Publications (14)

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  PMID: 25263689 BACKGROUND

• Sheldon G, Heaton PA, Palmer S, Paul SP. Nursing management of paediatric asthma in emergency departments. Emerg Nurse. 2018 Nov 6;26(4):32-42. doi: 10.7748/en.2018.e1770. Epub 2018 Oct 17.

  PMID: 30362669 BACKGROUND

• Kocaaslan EN, Akgun Kostak M. Effect of disease management education on the quality of life and self-efficacy levels of children with asthma. J Spec Pediatr Nurs. 2019 Apr;24(2):e12241. doi: 10.1111/jspn.12241. Epub 2019 Mar 19.

  PMID: 30887669 BACKGROUND

• Camargo CA Jr, Spooner CH, Rowe BH. Continuous versus intermittent beta-agonists in the treatment of acute asthma. Cochrane Database Syst Rev. 2003;2003(4):CD001115. doi: 10.1002/14651858.CD001115.

  PMID: 14583926 BACKGROUND

• Iramain R, Castro-Rodriguez JA, Jara A, Cardozo L, Bogado N, Morinigo R, De Jesus R. Salbutamol and ipratropium by inhaler is superior to nebulizer in children with severe acute asthma exacerbation: Randomized clinical trial. Pediatr Pulmonol. 2019 Apr;54(4):372-377. doi: 10.1002/ppul.24244. Epub 2019 Jan 22.

  PMID: 30672140 BACKGROUND

• Myint WW, Htay MNN, Soe HHK, Renjue L, Shirying G, Yuan NSB, et al. Effect of body positions on lungs volume in asthmatic patients: A cross-sectional study. Journal of Advances in Medical and Pharmaceutical Sciences 2017;13(4):1-6. http://doi.org/10.9734/JAMPS/2017/33901

  BACKGROUND

• Ganapathi LV, Vinoth S. The estimation of pulmonary functions in various body postures in normal subjects. International Journal of Advances in Medicine 2015;2(3):250-4. https://doi.org/10.18203/2349-3933.IJAM20150554

  BACKGROUND

• Martinez JA, Rodrigues HB, Portelinha AM. A novel position for postural relief of dyspnea. J Bras Pneumol. 2011 Nov-Dec;37(6):829-30. doi: 10.1590/s1806-37132011000600020. No abstract available. English, Portuguese.

  PMID: 22241044 BACKGROUND

• Sharp JT, Drutz WS, Moisan T, Foster J, Machnach W. Postural relief of dyspnea in severe chronic obstructive pulmonary disease. Am Rev Respir Dis. 1980 Aug;122(2):201-11. doi: 10.1164/arrd.1980.122.2.201. No abstract available.

  PMID: 7416599 BACKGROUND

• Tuncer M, Khorshtd L. Obez bireylerde pozisyonların oksijen satürasyonuna etkisi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2018;34:54-65. https://dergipark.org.tr/tr/download/article-file/456669

  BACKGROUND

• Korkmaz M, Kızılcı S. Posture and ıts effect on peripheral oxygen saturation, and some hemodynamic parameters in patients with heart failure. Turkiye Klinikleri Journal of Nursing Science 2012;4(2):85-93. https://www.turkiyeklinikleri.com/article/posture-and-its-effect-on-peripheral-oxygen-saturation-and-some-hemodynamic-parameters-in-patients-with-heart-failure-63546.html

  BACKGROUND

• Baysal E, Midilli ST, Ergin E. Effects of different position changes on hemodynamic parameters and dyspnea severity in patients with dyspnea. Clinical and Experimental Health Sciences 2018;8:261-7. doi: 10.5152/clinexphealthsci.2017.751

  BACKGROUND

• Mohammed J, Abdulateef A, Shittu A, Sumaila FG. Effect of different body positioning on lung function variables among patients with bronchial asthma. Archives of Physiotherapy and Global Researches 2017;21(3):7-12. http://apgr.wssp.edu.pl/wp-content/uploads/2017/12/APGR-21-3-A.pdf

  BACKGROUND

• Hojat B, Mahdi E. Effect of different sitting posture on pulmonary function in students. Journal of Physiology and Pathophysiology 2011;2(2):29-33. https://academicjournals.org/article/article1381307359_Hojat%20and%20mahdi%20PDF.pdf

  BACKGROUND

MeSH Terms

Conditions

Asthma; Chest Pain

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Gamze KAŞ ALAY, Msc

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: A randomized controlled study

Study Record Dates

• First Submitted: March 6, 2022
• First Posted: April 8, 2022
• Study Start: October 15, 2019
• Primary Completion: February 20, 2020
• Study Completion: February 20, 2020
• Last Updated: April 8, 2022

Record last verified: 2022-04

Locations

TU (1)