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干性与传统床上擦浴对呼吸参数的影响:一项随机试验性研究

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

作者信息

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

机构信息

Departamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa, MG, Brasil.

Unidade de Terapia Intensiva, Hospital São Sebastião, Viçosa, MG, Brasil.

出版信息

Rev Lat Am Enfermagem. 2020;28:e3264. doi: 10.1590/1518-8345.3668.3264. Epub 2020 Jun 1.

DOI:10.1590/1518-8345.3668.3264
PMID:32491124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7266631/
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.

摘要

目的

比较成人危重症患者进行干式和传统床上擦浴的操作时间,以及其对经皮动脉血氧饱和度和呼吸频率的影响。

方法

一项随机、开放、交叉临床试验的初步研究,纳入15例成年危重症患者。每位患者均接受了一次干式床上擦浴和一次传统床上擦浴。采用重复测量方差分析,p值≤0.05。

结果

大多数患者为男性(73.3%)、白人(66.7%),平均年龄69.7岁。干式擦浴(20.0分钟)比传统擦浴(30.0分钟)更快(p<0.001)。两次擦浴之间患者的平均血氧饱和度无显著差异(p=0.381),干式擦浴为94.7%,传统擦浴为95.2%。在传统擦浴期间,患者的平均呼吸频率较高(每分钟24.2次),且与干式擦浴时的值(每分钟20.5次)相比有统计学差异(p<0.001)。

结论

干式擦浴的持续时间比传统擦浴短,从而减少了患者的暴露时间。传统床上擦浴对患者的呼吸频率有负面影响,使其升高。巴西临床试验注册中心(ReBEC):RBR-5qwkqd。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/1829877f0ebd/0104-1169-rlae-28-e3264-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/a9ef3522ee8b/0104-1169-rlae-28-e3264-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/bb99f68700d9/0104-1169-rlae-28-e3264-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/1829877f0ebd/0104-1169-rlae-28-e3264-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/a9ef3522ee8b/0104-1169-rlae-28-e3264-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/bb99f68700d9/0104-1169-rlae-28-e3264-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afd4/7266631/1829877f0ebd/0104-1169-rlae-28-e3264-gf03.jpg

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Respiratory Rate Variability as a Prognostic Factor in Hospitalized Patients Transferred to the Intensive Care Unit.呼吸频率变异性作为转入重症监护病房的住院患者的一个预后因素
Cureus. 2018 Jan 23;10(1):e2100. doi: 10.7759/cureus.2100.
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A nationwide analysis of intensive care unit admissions, 2009-2014 - The Korean ICU National Data (KIND) study.
一项针对 2009 年至 2014 年重症监护病房入院情况的全国性分析 - 韩国重症监护病房国家数据(KIND)研究。
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Dependency in Critically Ill Patients: A Meta-Synthesis.危重症患者的依赖:一项元综合分析。
Glob Qual Nurs Res. 2016 Mar 22;3:2333393616631677. doi: 10.1177/2333393616631677. eCollection 2016 Jan-Dec.
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How does washing without water perform compared to the traditional bed bath: a systematic review.与传统床上擦浴相比,无水清洗的效果如何:一项系统综述
BMC Geriatr. 2017 Jan 25;17(1):31. doi: 10.1186/s12877-017-0425-4.
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BMJ. 2016 Oct 24;355:i5239. doi: 10.1136/bmj.i5239.
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[Construction of measurement instruments in the area of health].[健康领域测量工具的构建]
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