Department of Nursing, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Department of Nursing, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Am J Infect Control. 2019 Jul;47(7):811-815. doi: 10.1016/j.ajic.2018.12.008. Epub 2019 Jan 10.
Bed bath in daily nursing care is crucial for cleaning and moisturizing patients' skin. The purpose of this study was to compare the effectiveness of cleaning and level of comfort of towel and disposable baths. The 2 methods were evaluated based on measurements of the transition of resident skin bacteria, stratum corneum water content, transepidermal water loss, and perceived relaxation levels.
Twenty-six healthy women aged 65-90 years participated in this study and received disposable and towel baths. We measured 4 indicators before and after bathing. The participants' relaxation levels were measured by the Japanese adult version of the Profile of Mood States Second Edition short form.
Both disposable and towel baths significantly decreased resident skin bacteria. Disposable bath also significantly reduced Staphylococcus aureus and effectively maintained the water content of the stratum corneum. Furthermore, disposable bath was as effective as towel bath at contributing to participants' relaxation levels.
This study suggested that using a disposable bath for daily cleaning of patients' skin is more comfortable and effective than using a towel bath.
床上擦浴是日常护理中清洁和滋润患者皮肤的关键步骤。本研究旨在比较毛巾擦浴和一次性擦浴的清洁效果和舒适度。这两种方法基于居民皮肤细菌迁移、角质层水分含量、经皮水分流失和感知放松程度的测量来评估。
26 名 65-90 岁健康女性参与了这项研究，她们接受了一次性擦浴和毛巾擦浴。我们在擦浴前后测量了 4 项指标。参与者的放松程度通过日本成人版心境状态问卷第二版短表进行测量。
一次性擦浴和毛巾擦浴均显著降低了居民皮肤细菌。一次性擦浴还显著减少了金黄色葡萄球菌，并有效维持了角质层的水分含量。此外，一次性擦浴在促进参与者的放松水平方面与毛巾擦浴同样有效。
本研究表明，与毛巾擦浴相比，使用一次性擦浴对患者皮肤进行日常清洁更舒适、更有效。
