Implementation of a 30° Head up Position on Respiratory Distress in an Infant with Bronchopneumonia
DOI:
https://doi.org/10.70963/jm.v2i4.715Keywords:
Bronchopneumonia, Head-Up 30°, Respiratory Distress, InfantAbstract
Bronchopneumonia is one of the leading causes of mortality in children under five years old and, if not managed properly, may progress to Acute Respiratory Distress Syndrome or severe hypoxia. Respiratory distress is one of the most common clinical symptoms observed. The head-up 30° position can reduce the work of breathing, facilitate mucus clearance, and prevent secretion accumulation. This study aimed to describe the response of an infant with bronchopneumonia to the head-up 30° intervention based on changes in respiratory distress indicators. This case report involved one infant with bronchopneumonia who received the head-up 30° position for four days. Parameters measured included respiratory rate, oxygen saturation, and chest retraction before and after the intervention. The results showed an improvement in respiratory parameters following the head-up 30° position; on the second day, when oxygen was reduced to 1 L/min, the respiratory rate decreased from 48 breath/min to 38 breath/min, chest retraction decreased, and oxygen saturation increased from 95% to 100%. The head-up 30° position was effective in improving respiratory distress in an infant with bronchopneumonia.
Downloads
References
Council for Medical Schemes. (2019). Bronchopneumonia in children (CMScript, Issue 4, 2019). Council for Medical Schemes. Retrieved from https://www.medicalschemes.co.za
Ernstmeyer, K., & Christman, E. (Eds.). (2021). Nursing skills (Table 11.2b, Symptoms and signs of hypoxia). Eau Claire, WI: Chippewa Valley Technical College. In Open Resources for Nursing (Open RN). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK593208/table/ch11oxytherapy.T.symptoms_and_signs_of_h/
Güner, C. K., & Kutlutürkan, S. (2022). Role of head-of-bed elevation in preventing ventilator-associated pneumonia: Bed elevation and pneumonia. Nursing in Critical Care, 27(5), 635–645. https://doi.org/10.1111/nicc.12633
Hockenberry, M. J., & Wilson, D. (2019). Wong’s Nursing Care of Infants and Children (11th ed.). Elsevier.
Imani, N. N., & Hudiyawati, D. (2023). Increasing oxygen saturation with head-up position in stroke non-hemorrhagic patient. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP), 5(2), 9–15. Retrieved from https://proceedings.ums.ac.id/index.php/semnaskep
Inayati, S., Oktarina, Y., & Junaidi, A. (2025). Penerapan posisi head up 30° pada pasien cedera kepala post craniotomy dengan penurunan kapasitas adaptif intrakranial di ruang ICU RSUD Raden Mattaher Kota Jambi. Malahayati Nursing Journal, 7(2), 468–485. https://doi.org/10.33024/mnj.v7i2.16194
Kaunang, C. T., Runtunuwu, A. L., & Wahani, A. M. (2016). Gambaran karakteristik pneumonia pada anak yang dirawat di ruang perawatan intensif anak RSUP Prof. Dr. R. D. Kandou Manado periode 2013–2015. E-CliniC, 4(2). https://doi.org/10.35790/ecl.4.2.2016.14399
Kementerian Kesehatan Republik Indonesia. (2024a). Pneumonia terus ancam anak-anak. Retrieved from https://kemkes.go.id/id/pneumonia-terus-ancam-anak-anak
Kementerian Kesehatan Republik Indonesia. (2024b). Profil Kesehatan Indonesia 2024. Kementerian Kesehatan RI
Johnson, J. Y. (2009). Pediatric Nursing Demystified. McGraw-Hill Professional
Magee, S., McAvey, M., Bellus, M., Wendt, J., Smock, D., & Brown, K. (2015). Incredibly easy! (Issue C).
Memı, M. B. N., & Azizah, N. (2024). Pengaruh pemberian intervensi posisi lateral elevasi kepala 30º terhadap saturasi oksigen pada bayi Ny. A dengan pneumonia yang terpasang ventilator di ruang PICU. Brawijaya Knowledge Garden. Retrieved from https://repository.ub.ac.id/id/eprint/236196/
Munandar, A. (Ed.). (2022). Keperawatan anak. CV Media Sains Indonesia.
National Heart, Lung, and Blood Institute. (2022). What is pneumonia? Retrieved from https://www.nhlbi.nih.gov/health/pneumonia/causes
Pabary, R., & Balfour-Lynn, I. M. (2013). Complicated pneumonia in children. Breathe, 9(3), 210–222. https://doi.org/10.1183/20734735.043012
Potter, P. A., & Perry, A. G. (2021). Fundamentals of Nursing (10th ed.). Elsevier
Rahmawati, Y., Muadi, & Azrilliyani, R. (2024). Intervensi pemberian terapi dan posisi semi Fowler pada anak dengan bronkopneumonia. Mejora Medical Journal, 2(2). Retrieved from https://journal.awatarapublisher.com/index.php/mejora/article/view/191
Santama, O. R., Immawati, I., & Utami, I. T. (2025). Implementasi posisi head up 30° terhadap saturasi oksigen pasien stroke non hemoragik. Jurnal Cendikia Muda, 5(1), 136–144.
Sweet, L. R., Keech, C., Klein, N. P., Marshall, H. S., Tagbo, B. N., Quine, D., Kaur, P., Tikhonov, I., Nisar, M. I., Kochhar, S., & Muñoz, F. M. (2017). Respiratory distress in the neonate: Case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine, 35(48), 6506–6517. https://doi.org/10.1016/j.vaccine.2017.01.046
Tim POKJA SLKI DPP PPNI. (2018). Standar Luaran Keperawatan Indonesia (Edisi 1, Cetakan II). DPP PPNI
Tolomeo, C. (Ed.). (2012). Nursing care in pediatric respiratory disease (1st ed.). John Wiley & Sons, Inc.
UNICEF. (2024). Pneumonia in children: Statistics. Retrieved November 5, 2025, from https://data.unicef.org/topic/child-health/pneumonia/
Villarreal, M. (2025). Bronchopneumonia: What is it, contagiousness, diagnosis, treatment, and more. Osmosis. Retrieved from https://www.osmosis.org/answers/bronchopneumonia
Downloads
Published
How to Cite
License
Copyright (c) 2026 Eriska Nur Handayani, Windy Rakhmawati, Ai Mardhiyah

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


