Effect of Semi Fowler and Right Lateral Position on Increased Oxygen Saturation in Adhf Patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital
Keywords:
Semi Fowler, Right Lateral, ADHF
Abstract
Acute Heart Failure (ADHF) is often found, namely Acute Decompensated Heart Failure (ADHF) is one of the health problems with a high morbidity and mortality rate, the symptoms that occur are difficulty breathing when resting during the treatment period. Non-pharmacological interventions such as body position regulation are alternatives used by nurses, The most commonly used positions are the semi-fowler and right lateral positions. The purpose of the study was to analyze the effect of the semi-fowler and right lateral position on the Increase in Oxygen Saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. This study is a quantitative research using a Quasi-Experimental, Pretest and Posttest Control group research design.The population in this study was patients treated in a CVCU room with ADHF. Sampling using accidental sampling was a sample size of 30. The research instrument used an oxygen saturation observation sheet. Analysis of univariate and bivariate data of frequency distribution tests and paired t-tests. The results showed a p value of 0.000 which means that there was an influence of the semi fowler and right lateral positions on the increase in oxygen saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. Patients with the right semi-fowler and lateral positions are advised to continue to monitor their oxygen saturation.
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Tamrin, I. N., . I., Asikin, M., & Adam, A. (2025). The Battle of the
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Nursing Concepts, Process, and Practice (Global Edition)_11zon.
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M. M., Deswal, A., Drazner, M. H.,
Dunlay, S. M., Evers, L. R., Fang, J.
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Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. In Circulation (Vol. 145, Issue 18, pp. E895–E1032).
Hickey, Sean M., M. (2019). Acute heart failure is decompensated.
Howard E. LeWine, M. (2023). 5 warning signs of early heart failure - Harvard Health.
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Akbar, S. K. M. , M. E. (2024).
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Izumo, M. (2021). Value of echocardiography in the treatment of patients with acute heart failure.
Januzzi, J. L., Omar, A. M. S., Liu, Y.,
Murphy, S., Butler, J., Felker, G. M.,
Piña, I. L., Ward, J., Solomon, S., & Contreras, J. (2022). Association Between Sacubitril/Valsartan Initiation and Mitral Regurgitation Severity in Heart Failure With Reduced Ejection Fraction: The PROVE-HF Study. In Circulation (Vol. 146, Issue 21, pp. 1638–1640).
Lippincott Williams and Wilkins.
Kobayashi, M., Fukuda, S., Takano, K. I., Kamizono, J., & Ichikawa, K. (2018). Can a pulse oxygen saturation of 95% to 96% help predict further vital sign destabilization in school-aged children? Medicine (United States), 97(25)
McDonagh, T. A., Metra, M., Adamo, M.,
Baumbach, A., Böhm, M., Burri, H., ?elutkiene, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gardner, R. S., Gilard, M., Heymans, S., Hoes, A. W., Jaarsma, T., Jankowska, E. A., Lainscak, M.,
... Koskinas, K. C. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. In European Heart Journal (Vol. 42, Issue 36, pp. 3599– 3726). Oxford University Press.
McMurray, J. J. V., Solomon, S. D.,
Inzucchi, S. E., Køber, L., Kosiborod, M. N., Martinez, F. A., Ponikowski, P., Sabatine, M. S., Anand, I. S., B?lohlávek, J., Böhm, M., Chiang, C. E., Chopra, V. K., de
Boer, R. A., Desai, A. S., Diez, M.,
Drozdz, J., Dukát, A., Ge, J., ...
Langkilde, A.-M. (2019). Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction. New England Journal of Medicine, 381(21), 1995–2008.
Miranda, F., Nurse Professional Study Program, M., Nursing at Syiah University
Kuala, F., & Emergency Nursing Sciences Emergency Faculty of Nursing, B. (2022)). Treatment of Acute Decompensated Heart Failure Patients at ICCU: A Case Study Treatment of Acute Decompensated Heart Failure in ICCU: A Case Study (Vol. 1).
Muti, R. T. (2020). Viva Medika The Effect of the Semi Fowler Position with the Right Lateral Combination on Haemodynamic Changes in Heart Failure Patients in the ICCU Room of Margono Soekarjo Regional General Hospital Purwokerto.
Nafisah, H., & Yuniartika, W. (2023). The Effect of Semi Fowler Position on Oxygen Saturation Levels in Heart Failure Patients: Literature Review.
Notoatmodjo, S. (2017). Health research methodology. Rineka Cipta.
Nur Antika, F., Hudiyawati, D., & Widiastuti, A. (2025). Nursing Care in Acute Decompensated Heart Failure (ADHF) Patients with the Main Intervention of Semi Fowler Position (30 0-45 0 ) : A Case Study.
Nursalam. (2020). Nursing Science Research Methodology: A Practical Approach (5th Edition).
Oliver Jones. (2025). Cardiac Cycle.
Ostrominski, J. W., DeFilippis, E. M., Bansal, K., Riello, R. J., Bozkurt, B., Heidenreich, P. A., & Vaduganathan, M. (2024). Contemporary American and European Guidelines for Heart Failure Management: JACC: Heart Failure Guideline Comparison. In JACC: Heart Failure (Vol. 12, Issue 5, pp. 810–825). Elsevier Inc
Pambudi, D. A., & Widodo, S. (2020). Fowler position to increase oxygen saturation in patients (CHF)
Congestive heart failure that causes shortness of breath. Young Ners, 1(3), 156.
Rahmah, A., Kahtan, M. I., Fauzan, S., & Neri, E. L. (2024). The Effect Of Semi-Fowler Position On Oxygen Saturation In Patients With Chronic Heart Failure In West Kalimantan. 12(1), 31–37.
Riskesdas. (2018).
Sarah Jividen, R. (2025). All Parts of Heart Anatomy.
8654202? Utm_source=chatgpt. Co m.
Sean M. Hickey, M. (2019). Acute heart failure is decompensated.
Singh, K. P., Kannojiya, N., Singh, A., Nishad, U., & Kumar Mishra, R. P. (2025). Pathophysiological Mechanisms of Congestive Heart Failure: A Comprehensive Review. International Journal of Innovative Science and Research Technology, 1410–1416.
Sugiyono. (2019). Quantitative, qualitative, and R&D research methods. Bandung: Alfabeta.
Susanti. (2021). Effectiveness of Positioning Modification ( Semi Fowler 45? With Right Lateral) Against
Increasing oxygen saturation in CHF (Congestive Heart Failure) patients in the ICU Room of RSI Siti Aisyah Madiun.
Tazkirah, R., Kamal, A., Safuni, N., Program, M., Ners, S. P., University, K., Kuala, S., Nursing, B. K., Surgery, M., & Nursing, F. (2023). Asuhan Keperawatan Pada Pasien Acute Decompensated Heart Failure (Adhf): Suatu Studi Kasus Nursing Care Of Acute Decompensated Heart Failure (ADHF) Patients: A Case Study.
Tria Nursyifa, I., Tarigan University of Tarumanagara, C., & Author, C. (2024). ACE-inhibitors in HFrEF and HFpEF. Indonesian Nursing Journal of Education and Clinic, 4(1).
WHO. (2022). WHO Cardiovascular Disease (PKV).
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., Drazner, M. H., Filippatos, G. S., Fonarow, G. C., Givertz, M. M., Hollenberg, S. M., Lindenfeld, J. A., Masoudi, F. A., McBride, P. E., Peterson, P. N., Stevenson, L. W., & Westlake, C. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American College of Cardiology, 70(6), 776–803.
Published
2026-02-25
How to Cite
Nursila Rauf, Ita Sulistiani, & Ibrahim Suleman. (2026). Effect of Semi Fowler and Right Lateral Position on Increased Oxygen Saturation in Adhf Patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(2). https://doi.org/10.56338/ijhess.v8i2.10511
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Copyright (c) 2026 Nursila Rauf , Ita Sulistiani, Ibrahim Suleman
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