Improving Oxygen Saturation in Congestive Heart Failure Patients Through the Semi-Fowler Position: A Case Study at Prof. Dr. Margono Soekarjo Hospital

Abstrak

Background: Congestive Heart Failure (CHF) often results in impaired oxygenation and shortness of breath due to reduced cardiac output and pulmonary congestion. One non-pharmacological intervention to improve oxygenation is the semi-Fowler position. Objective: To explore the effect of the semi-Fowler position on oxygen saturation in a CHF patient. Methods: This is a single case study conducted in the Alamanda Room of Prof. Dr. Margono Soekarjo Hospital. Nursing care was provided using the nursing process framework. Oxygen saturation was monitored over three days while applying the semi-Fowler position intervention. Results: The patient, Mr. L, a 58-year-old male with a diagnosis of Congestive Heart Failure, presented with shortness of breath, a respiratory rate of 27 breaths per minute, and an oxygen saturation (SpO₂) level of 94% on room air. He was given oxygen therapy through a nasal cannula and was positioned in a semi-Fowler position consistently. On the first day of intervention, his SpO₂ increased to 96% and respiratory rate slightly decreased to 26 breaths per minute, with the patient reporting mild relief in dyspnea. On the second day, SpO₂ rose to 98% with oxygen reduced to 3 L/min, and respiratory rate decreased to 24 breaths per minute. The patient reported no shortness of breath unless oxygen was removed. By the third day, his SpO₂ was maintained at 98% on room air, respiratory rate further decreased to 23 breaths per minute, and breath sounds were clear without wheezing. The patient's dyspnea had completely resolved.