The Effectiveness of Body Positioning Interventions on Respiratory Parameters in Pediatric Pneumonia: A Systematic Review
DOI:
https://doi.org/10.37287/ijghr.v8i6.2720Keywords:
body positioning, oxygen saturation, pediatric pneumonia, respiratory parametersAbstract
Pneumonia in children can cause impaired oxygenation and an increased respiratory rate. Body positioning is a simple nonpharmacological intervention with the potential to improve respiratory parameters. To analyze the effectiveness of body positioning interventions on respiratory parameters in pediatric patients with pneumonia. This study employed a systematic review design based on the PRISMA 2020 guidelines and the PICO framework. A literature search was conducted through PubMed, DOAJ, and Google Scholar for articles published between 2021 and 2026. A total of 859 articles were identified; 106 duplicates were removed, and 753 articles underwent title and abstract screening. Subsequently, 55 articles were sought for full-text retrieval, 13 articles were assessed for eligibility, and 8 studies met the inclusion criteria and were included in the analysis. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools according to each study design. Data were extracted and synthesized narratively because of study heterogeneity. The eight included studies examined various body positioning interventions, including lateral, prone, and semi-recumbent positions, which showed potential to improve SpO₂ and respiratory rate. Body positioning interventions have the potential to improve respiratory parameters in children with pneumonia.
References
Abd El-Monem El-Deeb, H. A., Abd El Hafeez, N. A. A., Rashwan, M. A., El-Sayed, M. M., Khedr, M. A., & Fathy Ahmed Dawood, R. (2025). Effect of Self-Proning on Respiratory Functions, Pneumonia Severity, and Mortality Risk Among Patients Diagnosed With Community-Acquired Pneumonia: A Nursing-Based Quasi-Experimental Study. Clinical Nursing Research, 34(1), 47–57. https://doi.org/10.1177/10547738241298030
Agustina, N., Nurhaeni, N., & Hayati, H. (2021a). Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia. La Pediatria Medica e Chirurgica, 43(s1). https://doi.org/10.4081/pmc.2021.262
Agustina, N., Nurhaeni, N., & Hayati, H. (2021b). Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia. La Pediatria Medica e Chirurgica, 43(s1). https://doi.org/10.4081/pmc.2021.262
Al-Sofyani, K. A., Uddin, M. S., & Alasnag, M. (2026). Prone positioning in pediatric acute respiratory distress syndrome: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Pediatrics, 13. https://doi.org/10.3389/fped.2025.1709397
Bhandari, A. P., Nnate, D. A., Vasanthan, L., Konstantinidis, M., & Thompson, J. (2022). Positioning for acute respiratory distress in hospitalised infants and children. Cochrane Database of Systematic Reviews, 2022(6). https://doi.org/10.1002/14651858.CD003645.pub4
Danal, P. H., Nurhaeni, N., & Wanda, D. (2021). Pengaruh Pemberian Posisi Lateral Terhadap Saturasi Oksigen dan Frekuensi Pernapasan pada Anak dengan Gangguan Pemenuhan Kebutuhan Oksigenasi di Ruang Rawat Infeksi Anak. The Indonesian Journal of Infectious Diseases, 7(2), 9–19. https://doi.org/10.32667/ijid.v7i2.122
DEREBE, M. A., TEGEGNE, A. S., & FENTA, H. M. (2022). Factors Affecting Acute Respiratory Rate Change Among Under-Five Children Hospitalized with Severe Pneumonia: A Longitudinal Study. Turkiye Klinikleri Journal of Pediatrics, 31(2), 74–84. https://doi.org/10.5336/pediatr.2021-83974
Estela-Zape, J. L., Sanclemente-Cardoza, V., & Ordoñez-Mora, L. T. (2025). Protocols for Prone Positioning in Pediatric Patients with Hypoxemia: Impact on Oxygenation, Lung Function, and Clinical Safety. Children, 12(6), 743. https://doi.org/10.3390/children12060743
Kaş Alay, G., & Yıldız, S. (2024). Comparison of Forward-Leaning and Fowler Position: Effects on Vital Signs, Pain, and Anxiety Scores in Children With Asthma Exacerbations. Respiratory Care, 69(8), 968–974. https://doi.org/10.4187/respcare.11752
Nizar, A., Mandaland, A. K., & Mondal, G. (2024). Is Prone Positioning Worth the Turn in Pediatrics? Unraveling the Oxygenation Mystery in Ventilated Patients with Acute Respiratory Distress Syndrome: An Observational Study Introducing a Novel SF Ratio Method for Non-Invasive Monitoring in Children. Asian Journal of Pediatric Research, 14(2), 20–30. https://doi.org/10.9734/ajpr/2024/v14i2324
Riri Maria, R. (2022). The Position of Leaning Forward to Reduce Breathing of COPD Patients: Literature Review. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 5(2), 62–68. https://doi.org/10.46749/jiko.v5i2.73
Sundari, E., & Rimbun, L. R. (2021). Pengaruh Posisi Prone Pada Balita Dengan Pneumonia Terhadap Peningkatan Saturasi Oksigen di Ruang PICU RSAB Harapan Kita Jakarta. Journal of Nursing and Health Science, 1(1), 22–26. https://doi.org/10.58730/jnhs.v1i1.19
World Health Organization. (2022, November 11). Pneumonia in children. World Health Organization.
Yadav, K. K., & Awasthi, S. (2023). Childhood Pneumonia: What’s Unchanged, and What’s New? Indian Journal of Pediatrics, 90(7), 693–699. https://doi.org/10.1007/s12098-023-04628-3
Zata, O. K., Novikasari, L., & Setiawati, S. (2026). Aplikasi Posisi Semi Recumbent Terhadap Saturasi Oksigen Dan Tingkat Kenyamanan Pada Anak Dengan Pneumonia Di Rsud Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2025. Health Research Journal of Indonesia, 4(4), 296–304. https://doi.org/10.63004/hrji.v4i4.1107
zheng, A., Sun, K., Ma, S., Liu, P., Shen, Y., Gu, L., & Peng, J. (2024). Effect of high-flow nasal cannula oxygen therapy with awake prone position ventilation vs. supine position ventilation in patients with severe pneumonia: a quasi-experimental study. Clinical Problems, PA1149. https://doi.org/10.1183/13993003.congress-2024.PA1149
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