Effects of dry and traditional bed bathing on respiratory parameters: a randomized pilot study

Luana Vieira Toledo, Patrícia de Oliveira Salgado, Cristiane Chaves de Souza, Lídia Miranda Brinati, Carla de Fátima Januário, Flávia Falci Ercole, Luana Vieira Toledo, Patrícia de Oliveira Salgado, Cristiane Chaves de Souza, Lídia Miranda Brinati, Carla de Fátima Januário, Flávia Falci Ercole

Abstract

Objective: to compare the time for performance of dry and traditional bed bathing and its effects on transcutaneous arterial oxygen saturation and respiratory rates in critical adult patients.

Method: pilot study of a randomized, open, crossover clinical trial, performed with 15 adult critically ill patients. Each patient received a dry and a traditional bed bath. Analysis of variance with repeated measures was used, adopting p-value ≤ 0.05.

Results: most patients were male (73.3%), white (66.7%), with a mean age of 69.7 years. The dry bath was faster (20.0 minutes) than the traditional bath (30.0 minutes) (p<0.001). There was no significant difference between the patients' saturation means between baths (p=0.381), with 94.7% for the dry bath and 95.2% for the traditional bath. During the traditional bath, the patients' respiratory rate mean was higher (24.2 incursions per minute) and statistically different (p<0.001) from the value obtained for the dry bath (20.5 incursions per minute).

Conclusion: the dry bath had a shorter duration than did the traditional bath, resulting in less patient exposure. The traditional bed bath had a negative effect on patients' respiratory rate, increasing it. Brazilian Registry of Clinical Trials (ReBEC): RBR-5qwkqd.

Figures

Figure 1. Flowchart of procedures for inclusion,…
Figure 1. Flowchart of procedures for inclusion, allocation, follow-up and analysis of the study sample (n=15). Viçosa, MG, Brazil, 2018
Figure 2. Variation in Transcutaneous Arterial Oxygen…
Figure 2. Variation in Transcutaneous Arterial Oxygen Saturation (SpO2) in critically ill patients submitted to dry and traditional bed bathing, recorded as a percentage (%), (n=15). Viçosa, MG, Brazil, 2018
*SpO2 = Transcutaneous Arterial Oxygen Saturation;
Figure 3. Respiratory Rate (RR) variation in…
Figure 3. Respiratory Rate (RR) variation in critically ill patients submitted to dry and traditional bed bathing, recorded in ripm, (n=15). Viçosa, MG, Brazil, 2018
*RR = Respiratory Rate

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