Bed and shower baths: comparing the perceptions of patients with acute myocardial infarction

Lopes, José Maria de Andrade; Nogueira-Martins, Luiz Antônio; Barros, Alba Lbl de

doi:10.1111/j.1365-2702.2012.04320.x

Cited by 17 publications

(15 citation statements)

References 19 publications

(26 reference statements)

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“…However, the most traditional bed bath with water, soap, towels and wash basins is argued to have some adverse outcomes. First of all, regarding stakeholder experiences, patients often feel dependent and uncomfortable during the traditional bed bath [8]. Therefore, the bed bath can trigger aggressive and agitated behaviors, especially if patients are cognitively impaired [3, 9, 10].…”

Section: Introductionmentioning

confidence: 99%

How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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BackgroundFor immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing without water is one such alternative that has been claimed to offer several advantages, such as improved hygiene and skin condition. This systematic review aims to provide a comprehensive overview of the evidence on outcomes of the washing without water concept compared to the traditional bed bath.MethodsControlled trials about washing without water outcomes published after 1994 were collected by means of a systematic literature search in CINAHL, Embase, MEDLINE, and PUBMED at the 25th of February, 2016. Additionally, references and citations were searched and experts contacted. Studies were eligible if (1) the study designs included outcomes of washing without water products developed for the full body wash compared to the traditional bed bath, and (2) they were controlled trials. Two researchers independently used a standardized quality checklist to assess the methodological quality of the eligible studies. Finally, outcomes were categorized in (1) physiological outcomes related to hygiene and skin condition, (2) stakeholder-related outcomes, and (3) organizational outcomes in the data synthesis.ResultsOut of 33 potentially relevant articles subjected to full text screening, six studies met the eligibility criteria. Only two studies (of the same research group) were considered of high quality. The results of these high quality studies show that washing without water performed better than the traditional bed bath regarding skin abnormalities and bathing completeness. No differences between washing without water and the traditional bed bath were found for outcomes related to significant skin lesions, resistance during bathing and costs in the studies of high quality.ConclusionsThere is limited moderate to high quality evidence that washing without water is not inferior to the traditional bed bath. Future research on washing without water is needed and should pay special attention to costs, hygiene, and to stakeholder-related outcomes, such as experiences and value perceptions of patients, nursing staff and family.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0425-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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“…This association was also observed in other studies both in patients with heart disease and in other groups. (19)(20)(21) Regarding the short-term outcomes analyzed, it could not be demonstrated that anxiety is a predictor of the occurrence of non-fatal arrhythmias. Although our initial hypothesis has not been confirmed, there is underlying pathophysiological foundation.…”

Section: Discussionmentioning

confidence: 99%

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

2018

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Resumo Objetivos Descrever o nível de ansiedade traço e estado em pacientes com síndrome coronariana aguda submetidos a cateterismo não programado; verificar a influência da ansiedade traço na ansiedade estado antes e após o cateterismo e verificar se a ansiedade (traço e estado) é preditiva da ocorrência de arritmias não fatais, da gravidade dos pacientes medida pela classificação Killip e pelo índice de comorbidade de Charlson, e do tempo de permanência hospitalar. Métodos Estudo observacional, correlacional e longitudinal, no qual foram avaliados participantes com síndrome coronariana aguda aguardando cateterismo cardíaco não programado. No encontro inicial (Ti) foram coletados dados sociodemográficos e clínicos, aplicados inventários de ansiedade traço e estado (IDATE) e de depressão de Beck. No encontro final (Tf), aplicou-se o IDATE-estado. Os participantes foram acompanhados até alta hospitalar ou óbito quanto a ocorrência de arritmias não fatais e tempo de permanência hospitalar. Resultados Foram incluídos 100 participantes (62,2±11,4 anos; 61% do sexo masculino). O escore do IDATE-traço foi 42,2±10,4 e influenciou o escore do IDATE-estado em Ti e Tf (p<0,005). O IDATE-estado diminuiu significativamente de Ti para Tf (40,2±10,4 vs 37,2±11,2, respectivamente, p=0,002). Não se observou associação do IDATE-traço ou do IDATE-estado com os índices de gravidade, tempo de permanência hospitalar ou ocorrência de arritmias. Entretanto, o escore de depressão aumentou 9,5% a chance de ocorrência de arritmias (OR=1,009; IC95%=0,913-1,115). Conclusão O nível de ansiedade reduziu de forma significativa após a realização do cateterismo, e não foi um preditor de desfechos clínicos em curto prazo.

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“…In comparing the two bed-bath applications, researchers found that the disposable bed-bath method required less time, fewer nurses, and was less expensive than the traditional method [3,9,16,17]. Other studies concerning the cost analysis of disposable wipes were determined cost-effective for ensuring infection control when compared to the traditional method [14,16,18].…”

Section: Discussionmentioning

confidence: 99%

“…In ICUs, patients need specialized medical treatment and nursing care [1].Coyer et al [2] stated that most nursing interventions in the ICU included the promotion of personal hygiene, patient comfort, positioning, management of stressors, pain management, and sedation management. Maintaining personal hygiene is imperative for an individual's health and wellbeing and nurses should ensure that the hygiene needs of the patients in their care are adequately met [3,4]. Nurses maintain the personal hygiene needs (especially bed baths) of ICU patients because of their limited level of independence and self-care ability [4].…”

Section: Introductionmentioning

confidence: 99%

“…The goals are to promote personal hygiene and to encourage physical and psychological well-being [7]. During hospitalization, and especially in the ICUs, patients experienced situations involving the need for personal hygiene, a procedure provided due to physical limitations from their disease [1,3,9,10]. In meeting hygiene requirements, nurses play a key role in ensuring that individual needs are met [4,7].…”

Section: Introductionmentioning

confidence: 99%

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Opinions of Intensive Care Nurses: Traditional or Disposable Wipes Bed Bath? A Quasi-Qualitative and Cost Analysis Study

Büyükyılmaz¹,

Şendir²

2017

Int J Nurs Clin Pract

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Background: This study is to compare the traditional basin with the disposable washcloths bed bath in terms of two outcomes: ICU nurses' satisfaction/preference and cost analysis.Methods: This is a quasi-qualitative and descriptive study was performed in three ICUs (orthopaedic, neurosurgery, and general surgical) at a university hospital. The sample consisted of 41 ICU nurses agreed to participate in the study. The ICU nurses used a visual analogue scale to respond to the questions about the two types of bed-baths. The researchers conducted interviews with ICU nurses about the two bedbath practices based on open-ended questions. The interview, lasting for 20-30 minutes, was administered during a rest period. A cost analysis was calculated by researchers based on equipment and workload. Results:The application time, workload of nurses, and cost analysis scores favoured the disposable bedbath method (p≤0.05). The traditional bed-bath application scored higher than the disposable washcloth application in parameters (performing, providing communication to the patient, patient feedback, cleanliness, integrity, and softness of skin) (p≤0.01).ICU nurses reported that the three most important parameters that affect the preference for the traditional bed-bath application are communication with patients, patient satisfaction feedback, and the cleanness and integrity of skin. Conclusion:Disposable bed-bath method was performed less time, less workload of nurses, and cost effective than traditional method. Furthermore the ICU nurses preferred the traditional bed bath application. Researchers determined that a bridge between cultural habits and nursing science should be established.

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Bed and shower baths: comparing the perceptions of patients with acute myocardial infarction

Abstract: The perceptions of patients receiving baths are very important to guiding nursing care and developing strategies to minimise patient dissatisfaction.

Cited by 17 publications

References 19 publications

How does washing without water perform compared to the traditional bed bath: a systematic review

How does washing without water perform compared to the traditional bed bath: a systematic review

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

Opinions of Intensive Care Nurses: Traditional or Disposable Wipes Bed Bath? A Quasi-Qualitative and Cost Analysis Study

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