Efektivitas ventilator mekanik melalui intervensi posisi semi fowler
DOI: https://doi.org/10.56922/quilt.v6i8.3221
ICU Impaired spontaneous ventilation Mechanical ventilator Semi-Fowler's position
Abstract
Background: Critically ill patients who use mechanical ventilators require nursing care to maintain ventilation and oxygenation. One intervention that can be provided is the semi-Fowler position to help improve lung expansion and gas exchange.
Purpose: This final paper aims to describe nursing care for Mrs. K with impaired spontaneous ventilation through the provision of a semi-Fowler's position in the ICU.
Method: A case study using a nursing process approach encompassing assessment, diagnosis, intervention, implementation, and evaluation.
Results: The patient experienced decreased consciousness with a medical diagnosis of infarction stroke, respiratory failure, and bronchopneumonia and was placed on a mechanical ventilator in AMV mode. Interventions included monitoring oxygenation status, maintaining a patent airway, administering oxygenation, and maintaining a semi-Fowler's position.
Conclusion: Providing a semi-Fowler's position helps maintain ventilation and oxygenation in patients on mechanical ventilators in the ICU.
Keywords: ICU; Impaired spontaneous ventilation; Mechanical ventilator; Semi-Fowler's position.
Downloads
References
American Association for Respiratory Care. (2023). Mechanical Ventilation Guidelines in Critical Care. Respiratory Care Journal. Diakses dari: https://www.aarc.org
Brunner, L. S. (2010). Brunner & Suddarth's textbook of medical-surgical nursing (Vol. 1). Lippincott Williams & Wilkins.
European Respiratory Society. (2023). ICU Positioning and Respiratory Support Guidelines. Diakses dari: https://www.ersnet.org
Fari, A. I., & Windahandayani, V. Y. (2026). Overview of nursing problems in patients undergoing hemodialysis using Virginia Henderson's nursing theory approach: A descriptive study. Lentera Perawat, 7(2), 491-497.
Hikhmat, R., & Arisandi, D. (2026). Effectiveness of Procedural Education in The Reduction of Hars Anxiety Scores in Pre-Surgical Patients. Journal of Scientific Research, Education, and Technology (JSRET), 5(2), 1376-1387.
Kim, S., Lee, J., & Park, H. (2024). Effectiveness of Semi Fowler Position in Mechanically Ventilated Patients in Intensive Care Unit. Journal of Critical Care Nursing, 18(2), 110–118.
Kozier, B., Erb, G., Berman, A., & Snyder, S. (2022). Fundamentals of Nursing: Concepts, Process and Practice. Pearson Education. Diakses dari: https://www.pearson.com
Lee, M., Choi, Y., & Kim, H. (2023). Semi Fowler Position Improves Oxygen Saturation in Mechanically Ventilated Patients. International Journal of Nursing Practice, 29(4), 1–8.
Lewis, S. L., Bucher, L., Heitkemper, M., & Harding, M. (2023). Medical Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier.
Martinez, R., Gomez, A., & Silva, P. (2024). Positioning Therapy in ICU Patients with Mechanical Ventilation. Critical Care Journal, 12(1), 45–52.
Melendez Tuesta, J. (2025). Cuidado de enfermería a persona adulta con derrame pericárdico: Caso clínico.
Moorhead, S., Johnson, M., Maas, M., & Swanson, E. (2022). Nursing Outcomes Classification (NOC). Elsevier.
NANDA International. (2023). NANDA International Nursing Diagnoses: Definitions and Classification 2023–2025. Thieme Medical Publishers. Diakses dari: https://nanda.org
Potter, P. A., & Perry, A. G. (2023). Fundamentals of Nursing. Elsevier.
PPNI. (2022). Standar Diagnosis Keperawatan Indonesia (SDKI). Jakarta: DPP PPNI. Diakses dari: https://ppni-inna.org
PPNI. (2022). Standar Intervensi Keperawatan Indonesia (SIKI). Jakarta: DPP PPNI. Diakses dari: https://ppni-inna.org
PPNI. (2022). Standar Luaran Keperawatan Indonesia (SLKI). Jakarta: DPP PPNI. Diakses dari: https://ppni-inna.org
Urden, L. D., Stacy, K. M., & Lough, M. E. (2010). Critical care nursing: diagnosis and management. K. Sanchez (Ed.). St. Louis: Mosby/Elsevier.
World Health Organization. (2023). Clinical Care for Severe Respiratory Infections Toolkit. Diakses dari: https://www.who.int
Zhang, Y., Lin, H., & Xu, Q. (2024). Effect of Semi Fowler Position on Respiratory Status in ICU Patients with Mechanical Ventilation. Nursing in Critical Care, 29(3), 220–227
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Lestari Noor Imandari, Arif Wahyu Setyo Budi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
