Outcomes of caring in patients with coronavirus disease 2019 receiving awake prone positioning in intermediate care unit
Keywords:
Patients with coronavirus disease 2019, Awake prone positioning, Outcomes of caringAbstract
Coronavirus disease 2019 (COVID-19) can lead to acute respiratory distress in patients. The prone position is a method to assist these patients. This retrospective descriptive study aimed to examine the outcomes of COVID-19 patient care and factors associated with mortality in COVID-19 patients who received awake prone positioning. Data were collected retrospectively from 87 medical records between May 1 to September 30, 2021. The research tools included the personal record forms, medical record forms and the Charlson Comorbidity Index. The data were analyzed using the descriptive statistics, Fisher’s exact test, and chi-square test. The results showed that the average oxygen saturation and the ratio of oxygen saturation and fraction of inspired oxygen were significantly increased after awake prone positioning (p<.05). A Charlson comorbidity Index score greater than 4 and blood creatinine greater than 1.73 mg/dl were significantly associated with mortality (p<0.05). Therefore, nurses should apply the awake prone position in caring for COVID-19 patients with acute respiratory distress in non-intubated endotracheal tube to improve the clinical outcomes.
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