Banho no leito de infartados: crossover do controle hidrotérmico 40ºC versus 42,5º

Silva, Cleivison José Barbosa da; Silva, Monyque Evelyn dos Santos; Reis, Fernanda Faria; Miranda, Gabriela Cristina Oliveira de; Santos, Luiz dos; Lima, Dalmo Valério Machado de

doi:10.17665/1676-4285.20164233

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…Few studies have addressed the body temperature after hygiene care. In one study in cardiology patients, da Silva et al 28 reported an increase in body temperature when using a water temperature of 42.5°C. In our study, we found a significant decrease in body temperature both during night and day bed baths.…”

Section: Discussionmentioning

confidence: 99%

Respective Impact of Day and Night Bed Baths on Critical Care Patients

Bernard¹,

Godard²,

Camara³

et al. 2022

Dimens Crit Care Nurs

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Background: Despite data supporting the reduction of interactions with patients during nighttime, bed bathing is sometimes performed within this period in sedated patients unable to manage their own hygiene care.Objectives: To compare patient physiologic variables and adverse effect incidence between night and day bed baths.Methods: This was a single-center prospective observational study in a 12-bed intensive care unit during 2 months. Night period was defined to run from 10 PM to 6 AM. Night bed baths were provided to sedated ventilated patients whatever their sedation, if their Richmond Agitation Sedation Scale score was −2 or deeper. Bed bath-induced changes in physiological variables, treatments, and related unscheduled events were registered during both night and day bed baths.Results: Twenty-one patients (aged 62.9 [52.5-73.2] years, 14 male patients) were included. We registered 97 night bed baths and 95 day bed baths. Heart rate increased only after day bed baths (85 beats/min [bpm] [69-97 bpm] vs 88 bpm [73-98 bpm], P = .02). Increase in Richmond Agitation Sedation Scale score occurred, respectively, during 13 (13.4%) and 8 (8.4%) night and day bed baths, without significant differences. Body temperature significantly decreased during both night and day bed baths (respectively, 37°C [36.6°C-37.4°C] vs 36.6°C [36.2°C-37.2°C], P < .0001; and 36.9°C [36. 5°C-37.2°C] vs 36.7°C [36.2°C-37.2°C], P = .0006). Overall, unscheduled events, whether physiologic changes, pain, or calling a physician in rescue occurred in 97 procedures (50.5%), irrespective of their timing (night vs day, respectively 53% [54.6%] vs 44% [46.3%], P = .31).Discussion: Although unscheduled events occurred in half of bed baths, differences evidenced between nighttime and daytime bed baths were scarce. The appropriateness of nighttime bed bathing remains questionable.

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Section: Discussionmentioning

confidence: 99%

Respective Impact of Day and Night Bed Baths on Critical Care Patients

Bernard¹,

Godard²,

Camara³

et al. 2022

Dimens Crit Care Nurs

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“…Because AHT10s has a significantly short duration and provides warmth and comfort to healthy and elderly adults' forearm and back , it may solve the dilemma of bed baths in clinical practice. Furthermore, by adjusting the hot water temperature to 40-42.5°C depending on the patient's preference and condition (Silva et al, 2016) and combining with dry wiping to avoid maceration and undue cooling, it seems possible to efficiently provide warmth and comfort to the patient.…”

Section: Bed Bath Methods For Enhancing Comfortmentioning

confidence: 99%

“…Three studies performed interventions regarding differences in thermal stimulation Silva et al, 2016).…”

Section: Thermal Stimulationmentioning

confidence: 99%

“…For (I), AHT10s raised the skin surface temperature of healthy adults' backs and provided comfort (p Skin surface temperature The TEWL in elderly participant's forearms increased significantly when bed bath involved (C) (p = .035), butthere was no such increase when bed bath involved (I). The latter provided all the residents with subjective warmth, comfort, and raised skin surface temperature Silva et al (2016)…”

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Effectiveness of bed bath methods for skin integrity, skin cleanliness and comfort enhancement in adults: A systematic review

2021

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

Ayhan,

Yılmaz

2024

Int J of Nursing Practice

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BackgroundThe bed bath is an important part of nursing care. There are few studies evaluating the effects of traditional and dry bed baths on patients.AimThis 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.MethodsThis 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.ResultsIt 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).ConclusionsIt 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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Banho no leito de infartados: crossover do controle hidrotérmico 40ºC versus 42,5º

Cited by 8 publications

References 17 publications

Respective Impact of Day and Night Bed Baths on Critical Care Patients

Respective Impact of Day and Night Bed Baths on Critical Care Patients

Effectiveness of bed bath methods for skin integrity, skin cleanliness and comfort enhancement in adults: A systematic review

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

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