The Effect of Nebulization Positions in Asthmatic Children

Not Applicable

Completed

• Conditions: Asthma in Children; Asthma Acute; Asthma; Asthma Attack
• Interventions: Other: A Randomized Controlled Study

• Registration Number: NCT05318885
• Lead Sponsor: Istanbul University - Cerrahpasa (IUC)

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.

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.

Study Timeline

• Study Start: 2019-10-15
• Primary Completion: 2020-02-20
• Study Completion: 2020-02-20
• Study First Submitted: 2022-03-06
• Status Verified: 2022-04
• Study First Submitted QC: 2022-04-01
• Last Update Submitted: 2022-04-01
• Study First Posted: 2022-04-08
• Last Update Posted: 2022-04-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

• 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.

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Forward leaning position	A Randomized Controlled Study	The children in asthma attacks were administered nebulization three times, during which the study group children were placed in the forward-leaning position.

Primary Outcome Measures

Name	Time	Method
Change in chest pain score	90 minute	Pain score will be evaluated with The faces pain scale-revised (FPS-R).
Change in Oxygen Saturation	90 minute	Oxygen saturation will be monitored
Change in respiratory rate	90 minute	Respiratory rate will be monitored
Change in anxiety score	90 minute	Anxiety score will be evaluated with The children state anxiety scale (CSA).
Change in Pulse Rate	90 minute	Heart rate will be monitored

Trial Locations

Locations (1)

Istanbul University-Cerrahpaşa; 🇹🇷 Istanbul, Turkey