The Effect of Two Different Bed Baths Applied to Patients on Mechanical Ventilation Support

NCT ID: NCT05762081

Last Updated: 2023-03-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-15

Study Completion Date

2023-11-15

Brief Summary

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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.

Detailed Description

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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.

Conditions

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The Effect of Two Different Bed Baths Patients on Mechanical Ventilation Support

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention Group

Individuals who have undergone wiping bathing with disposable wipes

Group Type EXPERIMENTAL

Disposable Wipes for wiping baths

Intervention Type 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.

Control Group

Individualswho have undergone bathing with a traditional bath

Group Type SHAM_COMPARATOR

Traditional bed bath

Intervention Type 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.

Interventions

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Disposable 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.

Intervention Type PROCEDURE

Traditional 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.

Intervention Type PROCEDURE

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul University - Cerrahpasa

OTHER

Sponsor Role lead

Responsible Party

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Sercan Kara

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sercan KARA

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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).

Reference Type 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.

Reference Type BACKGROUND
PMID: 20829060 (View on PubMed)

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.

Reference Type 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.

Reference Type BACKGROUND
PMID: 29581913 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28118815 (View on PubMed)

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

Reference Type BACKGROUND

Moller G, Magalhaes AMM (2015). Bed baths: nursing staff workload and patient safety. Texto Contexto Enferm.;24(4) :1044-52. doi : http ://d x .doi. org/10.1590/ 0104-0707201500003110014.

Reference Type BACKGROUND

Oz O, Uysal G, Duzkaya DS. Effect of Two Bathing Methods on Physiologic Parameters in Pediatric Intensive Care. Clin Nurs Res. 2022 Jun;31(5):858-865. doi: 10.1177/10547738211043337. Epub 2021 Sep 18.

Reference Type BACKGROUND
PMID: 34538125 (View on PubMed)

Paulela DC, Bocchi SC, Mondelli AL, Martin LC, Regina A.(2018) Sobrinho. Effecti veness of bag bath on microbial load: clinical trial. Acta Paul Enferm . ;31(1) :7-16. doi: http://dx.doi.org/10.1590/1982-0194201800003

Reference Type BACKGROUND

Quiroz S, Castro C, Tirado AF, Rodriguez LM . (2012)Alteraciones hemodinamicas del paciente critico card iovascular durante larealizaci6n del bafio diario. Medicina UPB. https://redib.org/Record/oai_articulo1202311- modelo-de-adaptaci%C3%B3n-de-roy-en-el-ba%C3%B1o-en-cama erişim:04.06.2022

Reference Type BACKGROUND

Silva LF, Miranda AFA, Silva FVF, Rabelo ACS, Almeida PC, Ponte KMA. (2014) Vital signs and nursing procedures in postoperative period of cardiac surgery. J Nurs UFPE on line.; 8(3):719-25 . doi: 10.5205/reuol.5149-42141-1- SM .0803201429

Reference Type BACKGROUND

Skewes SM. Skin care rituals that do more harm than good. Am J Nurs. 1996 Oct;96(10):33-5. No abstract available.

Reference Type BACKGROUND
PMID: 8863646 (View on PubMed)

Şendir, M., ve Büyükyılmaz, F. (2014). Yoğun Bakım Ünitesinde Çalışan Hemşirelerin İki Farklı Yatak Banyosu Uygulamasına Ilişkin Görüşleri: YarıKalitatif Çalışma ve Maliyet Analizi. 19-22 Kasım 2014 3. Temel Hemşirelik Bakımı Kongresi Bildiri Kitabı, 19-22 Kasım, Antalya.

Reference Type BACKGROUND

Şendir,M..(2012). Hemşirelik Esasları Uygulama Rehberi. İçinde T. Aştı ve A. Karadağ (Eds.), Kişsel Temizlik ve Giyinme Aktivitesi (2. cilt). İstanbul: İstanbul Kitapevleri ve Yayıncılık;275-279.

Reference Type BACKGROUND

Tai CH, Hsieh TC, Lee RP. The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients. Int J Environ Res Public Health. 2021 Jan 19;18(2):816. doi: 10.3390/ijerph18020816.

Reference Type BACKGROUND
PMID: 33477909 (View on PubMed)

Taylor, C.R., Lillis, C., LeMone, P. and Lynn, P. (2011). Fundamentals of nursing (7thed). US: Lippincott Williams &Wilkins

Reference Type BACKGROUND

Toledo LV, Salgado PO, Souza CC, Brinati LM, Januario CF, Ercole FF. Effects of dry and traditional bed bathing on respiratory parameters: a randomized pilot study. Rev Lat Am Enfermagem. 2020;28:e3264. doi: 10.1590/1518-8345.3668.3264. Epub 2020 Jun 1.

Reference Type BACKGROUND
PMID: 32491124 (View on PubMed)

Uludağ, S.(2022). Yoğun Bakım Hastalarında İki Banyo Yönteminin Yaşam Bulguları Ve Oksijen Satürasyonu Üzerine Etkisi. Yüksek Lisans Tezi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul

Reference Type BACKGROUND

Ünsal, A.(2013). Hijyen Uygulamaları. İçinde T. Aştı ve A. Karadağ (Eds.), Hemşirelik Esasları Hemşirelik Bilimi ve Sanatı (2. cilt). İstanbul: Akademi Basım ve Yayıncılık;446-465.

Reference Type BACKGROUND

Zaybak, A. ve Güneş, Ü. (2009). Yatağa bağımlı hastalarda yatak banyosunun yaşam bulgularına etkisi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 12(4), 91-95.

Reference Type BACKGROUND

Other Identifiers

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2022-282

Identifier Type: -

Identifier Source: org_study_id

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