{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:36:28Z","timestamp":1777516588048,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100014895","name":"Southwest Medical University","doi-asserted-by":"publisher","award":["2023XGZX005"],"award-info":[{"award-number":["2023XGZX005"]}],"id":[{"id":"10.13039\/501100014895","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020207","name":"health commission of sichuan province","doi-asserted-by":"publisher","award":["24LCYJZD03"],"award-info":[{"award-number":["24LCYJZD03"]}],"id":[{"id":"10.13039\/501100020207","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    This study aimed to explore the effects of the incomplete prone position in non-mechanically ventilated adults with a tracheostomy, providing evidence for its clinical management. Non-mechanically ventilated adults (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200964) with a tracheostomy who met the inclusion and exclusion criteria were included in this randomized controlled trial. They were randomly assigned to either a control group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200932) and or an experimental group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200932). Both groups received standard tracheostomy care. The experimental group was positioned in the incomplete prone position, while the control group was maintained in the lateral position. Continuous intervention lasted for 7\u2009days. We compared the differences in respiratory oxygenation indicators, pulmonary infection rates, sputum volume, hemodynamics, and the complications between the two groups. After 7\u2009days of intervention, the experimental group demonstrated significantly higher arterial partial pressure of oxygen and oxygenation index than the control group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05). From day 2 onward, pulse oxygen saturation was consistently higher in the experimental group compared to the control group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001). Furthermore, a significantly lower respiratory rate was observed in the experimental group from day 4 onward (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001). No statistically significant difference was found in the incidence of pulmonary infection between the two groups (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&gt;\u2009.05). However, a significant intergroup difference was observed in the Clinical Pulmonary Infection Score (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05). From day 1 to 7, the experimental group exhibited significantly higher daily sputum volume than the control group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001). The analysis of sputum volume revealed significant effects for both time and group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001), but the group-by-time interaction effect was not statistically significant (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.064). No significant effects for time or group were found on hemodynamic parameters, including heart rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&gt;\u2009.05). Additionally, the group-by-time interaction effect was not statistically significant (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&gt;\u2009.05). Importantly, no severe complications occurred in either group. The incomplete prone position significantly improved oxygenation, promoted airway secretion clearance, and reduced pulmonary infection severity in non-mechanically ventilated adults with a tracheostomy.\n                  <\/jats:p>","DOI":"10.1177\/10547738251398357","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T10:32:39Z","timestamp":1765881159000},"page":"14-26","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Randomized Controlled Trial of Incomplete Prone Position Versus Lateral Position in Non-Mechanically Ventilated Adults With a Tracheostomy"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3187-5403","authenticated-orcid":false,"given":"Ling","family":"Xiao","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China"},{"name":"Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1643-4762","authenticated-orcid":false,"given":"Hong","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8124-1970","authenticated-orcid":false,"given":"Qinglian","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5862-0419","authenticated-orcid":false,"given":"Houqiang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0643-8527","authenticated-orcid":false,"given":"Ping","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3082-6114","authenticated-orcid":false,"given":"Liping","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0090-0773","authenticated-orcid":false,"given":"Delong","family":"Huang","sequence":"additional","affiliation":[{"name":"Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4077-8764","authenticated-orcid":false,"given":"Mingkuan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Chengdu Fifth People\u2019s Hospital, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6161-8750","authenticated-orcid":false,"given":"Lingyi","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3196-8804","authenticated-orcid":false,"given":"Shengmin","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Affiliated Hospital of Southwest Medical University, Luzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Abulhasan Y. 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