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

Chia-Hui Tai, Tsung-Cheng Hsieh, Ru-Ping Lee, Chia-Hui Tai, Tsung-Cheng Hsieh, Ru-Ping Lee

Abstract

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.

Keywords: bed bath; cost; critical illness; disposable wipes; soap and water.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Enrollment process.
Figure 2
Figure 2
Vital sign trends for the two groups: (a) body surface temperature, (b) heart rate, (c) systolic blood pressure, and (d) oxygen saturation.
Figure 2
Figure 2
Vital sign trends for the two groups: (a) body surface temperature, (b) heart rate, (c) systolic blood pressure, and (d) oxygen saturation.

References

    1. Haque M., McKimm J., Sartelli M., Dhingra S., Labricciosa F.M., Islam S., Jahan D., Nusrat T., Chowdhury T.S., Coccolini F., et al. Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview. Risk Manag. Healthc. Policy. 2020;13:1765–1780. doi: 10.2147/RMHP.S269315.
    1. Kaye K.S., Marchaim D., Chen Y.T., Baures T., Anderson D.J., Choi Y., Sloane R., Schmader K.E. Effect of nosocomial bloodstream infections on mortality, length of stay, and hospital costs in older adults. J. Am. Geriatr. Soc. 2014;62:306–311. doi: 10.1111/jgs.12634.
    1. Lee X.J., Stewardson A.J., Worth L.J., Graves N., Wozniak T.M. Attributable length of stay, mortality risk and costs of bacterial healthcare-associated infections in Australia: A retrospective case-cohort study. Clin. Infect. Dis. 2020 doi: 10.1093/cid/ciaa1228.
    1. Al-Tawfiq J.A., Tambyah P.A. Healthcare associated infections (HAI) perspectives. J. Infect. Public Health. 2014;7:339–344. doi: 10.1016/j.jiph.2014.04.003.
    1. Lloyd Jones M. Personal hygiene 3.4: Assisting with bathing. Br. J. Healthc. Assist. 2014;8:439–440. doi: 10.12968/bjha.2014.8.9.439.
    1. Schoonhoven L., van Gaal B.G.I., Teerenstra S., Adang E., van der Vleuten C., van Achterberg T. Cost-consequence analysis of “washing without water” for nursing home residents: A cluster randomized trial. Int. J. Nurs. Stud. 2015;52:112–120. doi: 10.1016/j.ijnurstu.2014.08.001.
    1. Larson E.L., Ciliberti T., Chantler C., Abraham J., Lazaro E.M., Venturanza M., Pancholi P. Comparison of traditional and disposable bed baths in critically ill patients. Am. J. Crit. Care. 2004;13:235–241. doi: 10.4037/ajcc2004.13.3.235.
    1. Coyer F.M., O’Sullivan J., Cadman N. The provision of patient personal hygiene in the intensive care unit: A descriptive exploratory study of bed-bathing practice. Aust. Crit. Care. 2011;24:198–209. doi: 10.1016/j.aucc.2010.08.001.
    1. Marchaim D., Taylor A.R., Hayakawa K., Bheemreddy S., Sunkara B., Moshos J., Chopra T., Abreu-Lanfranco O., Martin E.T., Pogue J.M., et al. Hospital bath basins are frequently contaminated with multidrug-resistant human pathogens. Am. J. Infect. Control. 2012;40:562–564. doi: 10.1016/j.ajic.2011.07.014.
    1. Johnson D., Lineweaver L., Maze L.M. Patients’ bath basins as potential sources of infection: A multicenter sampling study. Am. J. Crit. Care. 2009;18:31–38, 41. doi: 10.4037/ajcc2009968.
    1. Yang L.-C., Wang Q.-J., Lin L.-G., Liu Y.-Y., Liao S.-C., Tsou Y.-C. Using Disposable Bathing Wipes to Improve Bathing for Critically Ill Patients. VGH Nurs. 2018;35:145–151.
    1. Groven F.M.V., Zwakhalen S.M.G., Odekerken-Schröder G., Joosten E.J.T., Hamers J.P.H. How does washing without water perform compared to the traditional bed bath: A systematic review. BMC Geriatr. 2017;17:31. doi: 10.1186/s12877-017-0425-4.
    1. Veje P.L., Chen M., Jensen C.S., Sørensen J., Primdahl J. Bed bath with soap and water or disposable wet wipes: Patients’ experiences and preferences. J. Clin. Nurs. 2019 doi: 10.1111/jocn.14825.
    1. de Lima Lopes J., Nogueira-Martins L.A., Gonçalves M.A.B., de Barros A.L.B.L. Comparing levels of anxiety during bed and shower baths in patients with acute myocardial infarction. Rev. Lat. Am. Enferm. 2010;18:217–223. doi: 10.1590/S0104-11692010000200012.
    1. Noddeskou L.H., Hemmingsen L.E., Hordam B. Elderly patients’ and nurses’ assessment of traditional bed bath compared to prepacked single units—Randomised controlled trial. Scand. J. Caring Sci. 2015;29:347–352. doi: 10.1111/scs.12170.
    1. Tai C.-H., Yu L.-Y., Hsu H.-Y., Lu C.-W., Chen H.-L. Comparison of Body Temperature and Heart Rate Variations between Two Bed Bathing Practices for Critically Ill Patients: A Pilot Study. Tzu Chi Nurs. J. 2019;18:63–74.
    1. Veje P.L., Chen M., Jensen C.S., Sørensen J., Primdahl J. Effectiveness of two bed bath methods in removing microorganisms from hospitalized patients: A prospective randomized crossover study. Am. J. Infect. Control. 2020;48:638–643. doi: 10.1016/j.ajic.2019.10.011.
    1. Lopes J.L., Nogueira-Martins L.A., de Barros A.L. Bed and shower baths: Comparing the perceptions of patients with acute myocardial infarction. J. Clin. Nurs. 2013;22:733–740. doi: 10.1111/j.1365-2702.2012.04320.x.
    1. Frazier S.K., Moser D.K., Riegel B., McKinley S., Blakely W., An Kim K., Garvin B.J. Critical care nurses’ assessment of patients’ anxiety: Reliance on physiological and behavioral parameters. Am. J. Crit. Care. 2002;11:57–64. doi: 10.4037/ajcc2002.11.1.57.
    1. El-Soussi A.H., Asfour H.I. Examining bed-bath practices of critically ill patients. J. Nurs. Educ. Pract. 2016;6 doi: 10.5430/jnep.v6n12p1.

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