The Effect of Nebulization Positions in Asthmatic Children
Condition: Asthma Attack; Asthma in Children; Asthma Acute; Asthma
MeSH terms: Asthma
Study type: Interventional

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.
    

Detailed description: 
      In the first stage, data on the children who agreed to participate in the study were recorded
      on the "Patient Identification Form" 10 minutes before the procedure by the researcher during
      a face-to-face interview. The children's body temperature, oxygen saturation, pulse rate and
      respiratory rate were measured. Upon explaining the FPS-R, the children were asked whether
      they had experienced pain before treatment, and to point at the pain level felt from among
      the faces on the scale. Then, CSA was explained and the children, and their level of anxiety
      on the scale was recorded. The pre-nebulization findings were recorded.

      In the second stage, the salbutamol therapy prescribed by the physician was administered to
      the participating children with a nebulizer three times at 20-minute intervals. During
      nebulization, the study group patients were placed in forward-leaning position, placing a
      pillow on their knees, while the control group was placed in Fowler's position on a chair.
      Nebulization took an average of 10 minutes for each child. Oxygen saturation, pulse and
      respiratory rate were recorded immediately after the mask was removed. The children were
      allowed to rest for 20 minutes in Fowler's position.

      In the third stage, oxygen saturation, pulse and respiratory rate were determined immediately
      after the mask was removed following a 10-minute second nebulization. The values determined
      were recorded, and the children were allowed to rest for 20 minutes in Fowler's position.

      In the fourth stage, oxygen saturation, pulse and respiratory rate were determined
      immediately after the mask was removed following the 10-minute third nebulization. The
      children were asked whether they had pain, and to point at the pain level represented by the
      faces on the scale. The patients then marked their level of anxiety on the CSA. The
      post-nebulization findings were recorded.
    

Intervention name(s): A Randomized Controlled Study
Intervention type(s): Other
Intervention description(s): 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.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A randomized controlled study
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Asthma attack; Child; Nurse; Nebulization; Chest Pain