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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Individuals who have undergone wiping bathing with disposable wipes |
|
| Control Group | Sham Comparator | Individualswho have undergone bathing with a traditional bath |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Disposable Wipes for wiping baths | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Blood Pressure | Blood pressure will be measured on the patient monitor. Results will be reported in mmHg. | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Pulse Rate | Pulse rate will be measured on the patient monitor. The results presented as beat per minute. | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Respiratory Rate | Respiratory rate will be measured on the patient monitor. Higher scores mean a worse result. | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Body Temperature | A calibrated non-contact infrared thermometer will be used to measure body temperature. Results will be reported in Celcius. | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Oxygen Saturation | Oxygen Saturation will be measured on the patient monitor. Approaching %100 is concidered positive. Higher scores mean a better result. | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). | Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Mechanical Ventilation Mode |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sercan KARA | Istanbul | 34000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Aydın, A. (2011). Kişisel Hijyen ve Yatak Yapımı. İçinde T. Aştı ve A. Karadağ (Ed.). Klinik Uygulama Becerileri ve Yöntemleri. Adana: Nobel Tıp Kitabevi; (375-462). | ||
| 20829060 | Background | Coyer FM, 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 Aug;24(3):198-209. doi: 10.1016/j.aucc.2010.08.001. Epub 2010 Sep 15. | |
| Background | EI-Soussi AH, Asfour Hl.( 2016). Examining bed-bath practices ofcritically ill patients. J Nurs Educ Practice .;( 12):1-11. doi : https: / /doi.org/10 .5430/ jnep.v6n12pl. | ||
| 29581913 |
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Randomized Controlled Trial
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| Traditional bed bath | Procedure | 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. |
|
The patient's mechanical ventilation mode will be observed. SIMV, CBAP, etc. |
| Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Partial Oxygen Pressure (PaO2) | The level of partial oxygen pressure is measured as mmHg in arterial blood gase analysis | Baseline and immediately after bathing, 30 minutes after bathing |
| Change in Partial Carbon Dioxide Pressure | Change in the partial carbon dioxide pressure in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min) | Baseline and immediately after bathing, 30 minutes after bathing |
| Background |
| Garrido D, Assioun JJ, Keshishyan A, Sanchez-Gonzalez MA, Goubran B. Respiratory Rate Variability as a Prognostic Factor in Hospitalized Patients Transferred to the Intensive Care Unit. Cureus. 2018 Jan 23;10(1):e2100. doi: 10.7759/cureus.2100. |
| 28118815 | Background | Groven FM, Zwakhalen SM, Odekerken-Schroder G, Joosten EJ, Hamers JP. How does washing without water perform compared to the traditional bed bath: a systematic review. BMC Geriatr. 2017 Jan 25;17(1):31. doi: 10.1186/s12877-017-0425-4. |
| Background | Kızıl, H.(2015). Mekanik Ventilasyonda Olan Entübe Çocuklara Uygulanan Yatak Banyosunun Yaşam Bulgularına Ve Oksijen Satürasyonuna Etkileri. Yüksek Lisans Tezi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul |
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