PERBEDAAN EFEKTIVITAS POSISI SEMIFOWLER DENGAN POSISI TRIPOD PADA SATURASI OKSIGEN PASIEN ASMA

Abstract

Asthma patients may experience emergencies due to bronchoconstriction in the respiratory tract, which can lead to decreased oxygen saturation and increased respiratory rate. Curative management in the emergency department involves interventions that can be performed on asthma patients, which can be combined with the tripod position and semi-Fowler position. This study aims to determine the difference in effectiveness between the semi-Fowler position and the tripod position on oxygen saturation in asthma patients in the emergency department of Singasana General Hospital. The study was conducted using a pre-test and post-test control group design from February to March 2025 with a sample size of 24 respondents. Thus, 12 participants were assigned to the semi-Fowler position group and 12 asthma patients to the tripod position group, selected using purposive sampling. Data were collected using oximetry. Data were analyzed using the Mann-Whitney U test with a significance level of p<0.05. The results showed that before the tripod position, the average oxygen saturation was 93.91%, and there was an increase in oxygen saturation after the tripod position was applied, with an average of 96.50%. The measurement of oxygen saturation in asthma patients before the semi-Fowler position had an average of 93.83%, and there was an increase in oxygen saturation after the semi-Fowler position was applied, with an average of 97.66%. Analysis of the difference in oxygen saturation between asthma patients in the semi-Fowler position and the tripod position yielded a p-value <0.001, indicating a significant difference in oxygen saturation between asthma patients in the semi-Fowler position and the tripod position in the emergency department of Singasana General Hospital. The recommendations of this study are expected to serve as input for nurses to always provide the tripod position and semi-Fowler position as supportive curative therapy for asthma patients to improve oxygen saturation.