Effects of traditional and dry bed baths on patients admitted in intensive units: A randomized crossover clinical trial

IF 1.9 4区 医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-05-15 DOI:10.1111/ijn.13262
Dilan Ayhan MSc, RN, Dilek Yılmaz PhD, RN
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Abstract

Background

The bed bath is an important part of nursing care. There are few studies evaluating the effects of traditional and dry bed baths on patients.

Aim

This study was performed with the aim of investigating the effect of traditional and dry bed baths given to intensive care unit patients on the patients' hemodynamic parameters, the duration of the bathing procedure and the cost of consumable items.

Methods

This was a randomized crossover clinical trial and a prospective study. The study was conducted in a General Surgery Intensive Care Unit with 22 intensive care patients aged 18 and over, who had a nursing diagnosis of bathing personal care deficiency. Each patient was given two types of bed baths at an interval of 24 h: a traditional bed bath and a dry bed bath performed with single-use tissues. Immediately before each bath, in the 5th, 10th and 15th minute of bathing, immediately after bathing and 30 min after bathing, body temperature, heart rate, blood pressure, breathing rate and peripheral oxygen saturation measurement changes over time were compared within the group using the Friedman test. The Wilcoxon signed ranks test was used to compare the variables of bathing duration and bathing consumable item costs between the bathing procedures.

Results

It was found that at the completion of traditional and dry bed bathing, the participants' body temperature, blood pressure, heart rate and breathing rate parameters were statistically significantly lower than before bathing, whereas peripheral oxygen saturation values showed a significant increase (p < 0.05). It was found that the dry bed bath took a statistically significantly shorter time than the traditional bed bath and that the cost of consumable bathing materials was less (p < 0.05).

Conclusions

It was concluded that traditional and dry bed baths given to intensive care patients affected their hemodynamic parameters and that the dry bed bath was superior to the traditional bed bath in that it took less time and that it cost less.

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传统床浴和干式床浴对重症监护室住院病人的影响:随机交叉临床试验。
背景介绍床上沐浴是护理工作的重要组成部分。目的:本研究旨在调查重症监护病房患者接受传统和干式床浴对患者血液动力学参数、沐浴过程持续时间和耗材成本的影响:这是一项随机交叉临床试验和前瞻性研究。研究在普外科重症监护室进行,22 名重症监护患者年龄在 18 岁及以上,护理诊断为洗澡个人护理缺陷。每位患者每隔 24 小时接受两种类型的床浴:传统床浴和使用一次性纸巾的干式床浴。在每次洗澡前、洗澡第 5 分钟、第 10 分钟和第 15 分钟、洗澡后和洗澡后 30 分钟,采用 Friedman 检验比较组内体温、心率、血压、呼吸频率和外周血氧饱和度测量值随时间的变化。采用 Wilcoxon 符号秩检验比较不同沐浴程序之间的沐浴持续时间和沐浴耗材费用等变量:结果发现,传统洗浴和干床洗浴结束后,受试者的体温、血压、心率和呼吸频率参数在统计学上显著低于洗浴前,而外周血氧饱和度值则显著增加(P 结论:传统洗浴和干床洗浴的优点在于,受试者的体温、血压、心率和呼吸频率参数在统计学上显著低于洗浴前,而外周血氧饱和度值则显著增加:结论:对重症监护患者进行传统床浴和干式床浴会影响他们的血液动力学参数,干式床浴优于传统床浴,因为它花费的时间更短,费用更低。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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