<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_ajon-2017-111_s_001"><h3>Purpose</h3><p>In the field of neuroscience nursing in Japan, the “sitting position without back support” (SB) has promoted earlier ambulation, improved level of consciousness, and prevented disuse syndrome in patients with disturbance of consciousness and impaired mobility. This research was conducted with the aim of examining if respiratory function improved using SB on acute patients on ventilation in ICU.</p></sec><sec id="j_ajon-2017-111_s_002"><h3>Method</h3><p>The research design involved daily administration of SB to 10 participants in a controlled trial to compare respiratory function before, during, and after implementation. The measurement indexes were respiratory functions such as tidal volume and lung compliance value and the number of incidences that occurred during implementation, and tools such as APACHE II were used to measure deteriorations of physical condition. Analysis used non-parametric and parametric methods and an alpha level of 0.05 was used for all statistical tests.</p></sec><sec id="j_ajon-2017-111_s_003"><h3>Results</h3><p>Tidal volume and lung compliance value during SB implementation significantly increased, compared to before and after implementation. There were no incidents such as decannulation during implementation, and APACHE II scores were seen to significantly drop after the commencement of SB until discharge from ICU. However, a decline in pulse rate and blood pressure were seen during implementation of SB (4.8%).</p></sec><sec id="j_ajon-2017-111_s_004"><h3>Conclusion</h3><p>The sitting position without back support administered to acutely ill patients on a ventilator was effective in improving respiratory function. In the future, there is a need to create a nurse’s assessment guide for implementation of SB and test the SB on a larger population.</p></sec></abstract>

PurposeIn the field of neuroscience nursing in Japan, the “sitting position without back support” (SB) has promoted earlier ambulation, improved level of consciousness, and prevented disuse syndrome in patients with disturbance of consciousness and impaired mobility. This research was conducted with the aim of examining if respiratory function improved using SB on acute patients on ventilation in ICU.MethodThe research design involved daily administration of SB to 10 participants in a controlled trial to compare respiratory function before, during, and after implementation. The measurement indexes were respiratory functions such as tidal volume and lung compliance value and the number of incidences that occurred during implementation, and tools such as APACHE II were used to measure deteriorations of physical condition. Analysis used non-parametric and parametric methods and an alpha level of 0.05 was used for all statistical tests.ResultsTidal volume and lung compliance value during SB implementation significantly increased, compared to before and after implementation. There were no incidents such as decannulation during implementation, and APACHE II scores were seen to significantly drop after the commencement of SB until discharge from ICU. However, a decline in pulse rate and blood pressure were seen during implementation of SB (4.8%).ConclusionThe sitting position without back support administered to acutely ill patients on a ventilator was effective in improving respiratory function. In the future, there is a need to create a nurse’s assessment guide for implementation of SB and test the SB on a larger population.

Effectiveness of the Sitting Position Without Back Support

Australasian Journal of Neuroscience

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Effectiveness of the Sitting Position Without Back Support"}

PurposeIn the field of neuroscience nursing in Japan, the “sitting position without back support” (SB) has promoted earlier ambulation, improved level of...

Effectiveness of the Sitting Position Without Back Support

Published Online: Jan 03, 2018

Page range: 31 - 39

DOI: https://doi.org/10.21307/ajon-2017-111

Keywords
Backless sitting chair, respiratory function, ICU, ventilator

© 2015 Nobuko Okubo et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Effectiveness of the Sitting Position Without Back Support

Published Online: Jan 03, 2018

Page range: 31 - 39

DOI: https://doi.org/10.21307/ajon-2017-111

KeywordsBackless sitting chair, respiratory function, ICU, ventilator

© 2015 Nobuko Okubo et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Backless sitting chair, respiratory function, ICU, ventilator