An interventional study of Nurse - Directed Side - Lying Positioning and Nurse - Directed Semi-fowler's positioning in Pediatric Pneumonia, sponsored by University of Baghdad. Not yet recruiting. Open to participants aged 3 Years to 5 Years. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by University of Baghdad · Not applicable, Interventional, and Supportive care
Pneumonia is a common respiratory infection in children that may cause respiratory distress and impaired oxygenation. This quasi-experimental study aims to evaluate the effectiveness of nurse-directed therapeutic positioning on vital signs, oxygen saturation, and respiratory distress severity among children aged 3-5 years diagnosed with pneumonia. The study will compare two therapeutic positioning interventions, side-lying position and semi-Fowler's position, with a control group receiving routine nursing care. The outcomes will be assessed to determine the effects of these positioning interventions on the respiratory status of children with pneumonia.
2,076 studies on the registry are indexed under Pneumonia; 288 are open to participants now.
This study's planned enrollment of 150 is above the median of 107 across 1,267 interventional studies indexed under Pneumonia.
Browse Pneumonia studies →University of Baghdad is the lead sponsor of 169 studies on the registry; 68 are open to participants now.
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Exclusion Criteria:
Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the side-lying position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol.
Behavioral: Nurse - Directed Side - Lying Positioning
Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the semi-Fowler's position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol.
Behavioral: Nurse - Directed Semi-fowler's positioning
Children aged 3-5 years diagnosed with pneumonia will receive routine nursing care according to the hospital's standard practice. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol.
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be placed in the side-lying position under nursing supervision, with attention to comfort, safety, and clinical tolerance. The selected side, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention.
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be positioned in the semi-Fowler's position, with the head and upper body elevated according to the study protocol. Nursing supervision will be provided to maintain the child's comfort and safety and to monitor clinical tolerance. The elevation angle, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention.
Change in Respiratory Rate
Respiratory rate will be measured in breaths per minute and compared among the semi-Fowler, side-lying, and control groups.
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Respiratory Distress Severity
Respiratory distress severity will be assessed using the Clinical Respiratory Score (CRS), which consists of six parameters: respiratory rate, auscultation, use of accessory muscles, mental status, room air oxygen saturation, and skin color. Each parameter is scored from 0 to 2, yielding a total score ranging from 0 to 12. Higher scores indicate greater respiratory distress. Change in respiratory distress severity will be compared among the semi-Fowler, side-lying, and control groups.
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Peripheral Oxygen Saturation (SpO₂)
Peripheral oxygen saturation will be measured using a pulse oximeter and compared among the semi-Fowler, side-lying, and control groups.
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Heart Rate
Heart rate will be measured in beats per minute and compared among the semi-Fowler, side-lying, and control groups.
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
No study locations are listed for this record.
Plan to share: No — Individual participant data will not be shared with other researchers. Data confidentiality will be maintained, and study findings will be reported in aggregate form without identifying individual participants.
No publications or documents are linked to this record.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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