Patients on Mechanical Ventilation Support, The Effect of Two Different Bed Baths
Conditions
Keywords
Nursing, Mechanical Ventilation, Baths, Vital Sings
Brief summary
The aim of this study was to determine the effect of two different methods (traditional bed bathing and disposable antibacterial wipe bathing) on vital signs in patients on mechanical ventilation support.
Detailed description
The study is planned as a randomized controlled study to determine the effect of the performance of two types of bed (bed-traditional and disposable antibacterial wipe bath) on respiratory parameters and vital signs in adult patients with different clinical conditions connected to mechanical ventilation. At the end of the study, it is aimed to evaluate the effect of traditional and disposable antibacterial wiping baths on vital signs in patients on mechanical ventilation support. Relatives of the patients who meet the inclusion criteria will be informed about the purpose, content and method of the study and the sample group (experimental and control) will be formed by obtaining written permission from those who voluntarily agree to participate in the study. Determination of the experimental and control groups will be provided by https://www.randomizer.org/ website. The wiping bath protocol with disposable antibacterial wipes will be applied to the experimental group in accordance with the literature, and the traditional bed bath protocol will be applied to the patients in the control group by the researcher himself. Patient Information Form containing information about the demographic characteristics and medical status of the patients included in the study; vital signs (pulse, systolic and diastolic blood pressure, body temperature, respiratory rate and SpO2) and blood gas data will be recorded 3 times in total (before the bath - current blood gas value, immediately after the bath - morning routine blood gas, 30 minutes or more after the bath - the first blood gas taken with the physician's order) based on the values in the routine blood gas measurements of the clinic, partial arterial oxygen and partial arterial carbon dioxide parameters will be recorded in the vital signs follow-up form. All data collection tools will be completed by the researcher himself.
Interventions
PROCEDUREDisposable Wipes for wiping baths
A disposable wipe bath is a type of bath that is applied to bed-bound or unconscious patients and weak individuals by wiping the entire body.
PROCEDURETraditional bed bath
Traditional bed bathing is a type of bathing applied to bed-bound or unconscious patients and weak individuals by wiping the entire body with soap and water.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older, whose voluntary consent is obtained from a relative or legal guardian, * Dependent on mechanical ventilation, * Not receiving antihypertensive and sedation therapy, * Not taking inotropic drugs that directly affect vital signs (esmolol, noradrenaline dopamine, adrenaline, dopamine nitrate, etc.), * No wound that prevents bathing, * Moving it does not cause any problems, * Minimum 24 hours in intensive care, * Patients with blood gas readings taken 30 minutes or more after bathing
Exclusion criteria
* Not dependent on mechanical ventilation, * Receiving antihypertensive and sedation therapy, * Taking inotropic drugs that directly affect vital signs (esmolol, noradrenaline dopamine, adrenaline, dopamine nitrate, etc.), * A person with a wound that prevents bathing, * It is important to note that moving it does not cause any problems, * Less than 24 hours in intensive care, * Patients in whom blood gas readings were not taken 30 minutes or more after bathing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). | Baseline and immediately after bathing, 30 minutes after bathing | Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). |
| Change in Blood Pressure | Baseline and immediately after bathing, 30 minutes after bathing | Blood pressure will be measured on the patient monitor. Results will be reported in mmHg. |
| Change in Pulse Rate | Baseline and immediately after bathing, 30 minutes after bathing | Pulse rate will be measured on the patient monitor. The results presented as beat per minute. |
| Change in Respiratory Rate | Baseline and immediately after bathing, 30 minutes after bathing | Respiratory rate will be measured on the patient monitor. Higher scores mean a worse result. |
| Change in Body Temperature | Baseline and immediately after bathing, 30 minutes after bathing | A calibrated non-contact infrared thermometer will be used to measure body temperature. Results will be reported in Celcius. |
| Change in Oxygen Saturation | Baseline and immediately after bathing, 30 minutes after bathing | Oxygen Saturation will be measured on the patient monitor. Approaching %100 is concidered positive. Higher scores mean a better result. |
| Change in Mechanical Ventilation Mode | Baseline and immediately after bathing, 30 minutes after bathing | The patient's mechanical ventilation mode will be observed. SIMV, CBAP, etc. |
| Change in Partial Oxygen Pressure (PaO2) | Baseline and immediately after bathing, 30 minutes after bathing | The level of partial oxygen pressure is measured as mmHg in arterial blood gase analysis |
| Change in Partial Carbon Dioxide Pressure | Baseline and immediately after bathing, 30 minutes after bathing | Change in the partial carbon dioxide pressure in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min) |
Countries
Turkey (Türkiye)
Outcome results
None listed