OBJECTIVE: 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.
目的:本研究的目的是调查重症监护病房患者传统和干床浴对患者血液动力学参数的影响。洗浴程序的持续时间和消耗品的成本。
方法:这是一项随机交叉临床试验和前瞻性研究。这项研究是在普外科重症监护病房进行的,共有22名年龄在18岁及以上的重症监护患者,有个人护理不足的护理诊断。每位患者间隔24小时接受两种类型的床浴:传统的床浴和一次性使用组织的干床浴。每次洗澡前,在第五,洗澡的第10分钟和第15分钟,沐浴后立即和沐浴后30分钟,体温,心率,血压,使用Friedman检验比较了组内呼吸频率和外周血氧饱和度测量值随时间的变化.Wilcoxon符号等级测试用于比较沐浴程序之间的沐浴持续时间和沐浴消耗品成本的变量。
结果:发现在完成传统和干床沐浴时,参与者的体温,血压,心率和呼吸频率参数明显低于洗澡前,而外周血氧饱和度值显着增加(p<0.05)。发现干床浴花费的时间在统计学上明显短于传统的床浴,并且消耗性洗浴材料的成本更低(p<0.05)。
结论:得出的结论是,给予重症监护患者的传统和干床浴影响了他们的血液动力学参数,并且干床浴优于传统床浴,因为它花费的时间更短,成本更低。