Bed bath with soap and water or disposable wet wipes: Patients’ experiences and preferences

Veje, Pia Lysdal; Chen, Ming; Jensen, Claus Munk; Sørensen, Jan; Primdahl, Jette

doi:10.1111/jocn.14825

Cited by 22 publications

(32 citation statements)

References 36 publications

(83 reference statements)

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“…Bed baths may be a source of stress for patients [13,18,19]. In this study, 73.9% of the participants had endotracheal tubes and could not complete the patient satisfaction survey because of limitations.…”

Section: Discussionmentioning

confidence: 85%

“…However, 62.2%-98.0% of basins used in giving SAW bed baths are contaminated with multidrugresistant pathogens [9,10]. As a result, SAW is increasingly being replaced with disposable wipes (DWs) for giving bed baths [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have found that using DWs can reduce the duration and cost of bed baths [6,7,15,16] as compared with SAW. Bed baths using DWs and SAW are equally efficient in the removal of microorganisms [13,16,17]; however, few studies have compared how the two bed-bathing practices affect vital signs [17]. We have observed in clinical practice that patients given bed baths with SAW experience agitation and physiological changes, such as increased blood pressure, increased heart rate, and chills.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients

Tai

Hsieh

Lee

2021

IJERPH

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By promoting personal hygiene and improving comfort, bed baths can decrease the risk of infection and help maintain skin integrity in critically ill patients. Current bed-bathing practices commonly involve the use of either soap and water (SAW) or disposable wipes (DWs). Previous research has shown both bed-bathing methods are equally effective in removing dirt, oil, and microorganisms. This experimental study compared the cost, staff satisfaction, and effects of two bed-bathing practices on critically ill patients’ vital signs. We randomly assigned 138 participants into 2 groups: an experimental group that received bed baths using DWs and a control group that received bed baths using SAW. We compared the bath duration, cost, vital sign trends, and nursing staff satisfaction between the two groups. We used the chi-square test and t-test for the statistical analysis, and we expressed the quantitative data as mean and standard deviation. Our results showed the bed baths using DWs had a shorter duration and lower cost than those using SAW. There were no significant differences in the vital sign trends between the two groups. The nursing staff preferred to use DWs over SAW. This study can help clinical nursing staff decide which method to use when assisting patients with bed baths.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients

Tai

Hsieh

Lee

2021

IJERPH

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“…Nowadays, the wet wipes were widely used for toilets [ 1 ], makeup removers [ 2 ], biomedical wipes [ 3 ], napkins and kitchen cleaning paper, etc. [ [4] , [5] , [6] ]. The wet wipe products on the market are mainly made of the non-woven, which have some shortcomings in terms of the comfort, the water absorption ratio and the degradability [ [7] , [8] , [9] ].…”

Section: Introductionmentioning

confidence: 99%

Balancing the decomposable behavior and wet tensile mechanical property of cellulose-based wet wipe substrates by the aqueous adhesive

Yun

Cheng

Qian

et al. 2020

International Journal of Biological Macromolecules

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With the current global outbreak of novel coronaviruses, the fabrication of decomposable wet wipe with sufficient wet strength to meet daily use is promising but still challenging, especially when renewable cellulose was employed. In this work, a decomposable cellulose-based wet wipe substrate is demonstrated by introducing a synthetic N-vinyl pyrrolidone-glycidyl methacrylate (NVP-GMA) adhesive on the cellulose surface. Experimental results reveal that the NVP-GMA adhesive not only significantly facilitates the chemical bonding between cellulose fibers in the wet state, but also increase the surface wettability and water retention. The as-fabricated cellulose-based wet wipe substrate displays a superb water retention capacity of 1.9 times, an excellent water absorption capacity (completely wetted with 0° water contact angle), and a perfect wet tensile index of 3.32 N.m.g −1 . It is far better than state-of-the-art wet toilet wipe on the market (non-woven). The prepared renewable and degradable cellulose-based substrate with excellent mechanical strength has potential application prospects in diverse commercially available products such as sanitary and medical wet wipes.

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“…Personal hygiene assistance, including bed baths, is one of many elements that contribute to maintaining skin integrity [2]. Therefore, bed bath is key nursing activity to maintain hygiene and to provide comfort for bedridden patients who are unable to perform self-care due to chronic or acute illness [3,4]. Furthermore, the quality and efficiency of bed baths can have large impact on quality of life, health, and health care [5,6].…”

Section: Introductionmentioning

confidence: 99%

Effect on autonomic nervous activity of applying hot towels for 10 s to the back during bed baths

Shishido

Konya

Yano

2020

J Physiol Anthropol

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Background Bed baths are a daily nursing activity to maintain patients’ hygiene. Those may provide not only comfort but also relaxation. Notably, applying a hot towel to the skin for 10 s (AHT10s) during bed baths helped to reduce the risk of skin tears and provided comfort and warmth in previous studies. However, it is still unclear whether autonomic nervous system is affected by bed baths. Thus, this study investigated the effect on the autonomic nervous activity of applying hot towels for 10 s to the back during bed baths. Methods This crossover study had 50 participants (25 men and women each; average age 22.2 ± 1.6 years; average body mass index 21.4 ± 2.2 kg/m2) who took bed baths with and without (control condition: CON) AHT10s on their back. Skin temperature, heart rate variability (HRV), and blood pressure (BP) were measured. Subjective evaluations and the State-Trait Anxiety Inventory in Japanese were also performed. Results A significant interaction of time and bed bath type on skin surface temperature was observed (p < .001). Regarding the means of skin surface temperature at each measurement time point, those for AHT10s were significantly higher than those for CON. Although the total state-anxiety score significantly decreased in both the bed bath types after intervention, the mean values of comfort and warmth were higher for bed baths with AHT10s than for CON (p < .05) during bed baths; AHT10s was significantly higher in warmth than CON after 15 min (p = .032). The interaction and main effects of time on HRV and BP and that of bed bath type were not significant. Conclusion Bed baths that involved AHT10s caused participants to maintain a higher skin temperature and warmer feeling than under the wiping-only condition; they also provided comfort during the interventions. However, the bed baths with AHT10s did not allow participants to reach a relaxed state; moreover, there was no change in autonomic nerve activity. This may be due to participants’ increased anxiety from skin exposure and the intervention being limited to one part of the body.

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Bed bath with soap and water or disposable wet wipes: Patients’ experiences and preferences

Cited by 22 publications

References 36 publications

The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients

The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients

Balancing the decomposable behavior and wet tensile mechanical property of cellulose-based wet wipe substrates by the aqueous adhesive

Effect on autonomic nervous activity of applying hot towels for 10 s to the back during bed baths

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