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两种床上擦浴方法对重症患者的成本和生命体征的影响。

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

机构信息

Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan.

Institute of Medical Sciences, Tzu Chi University, Hualien 970374, Taiwan.

出版信息

Int J Environ Res Public Health. 2021 Jan 19;18(2):816. doi: 10.3390/ijerph18020816.

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 -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.

摘要

通过促进个人卫生和提高舒适度,床上沐浴可以降低感染风险,并有助于维持危重症患者的皮肤完整性。目前的床上沐浴实践通常涉及使用肥皂和水(SAW)或一次性湿巾(DWs)。以前的研究表明,这两种床上沐浴方法在去除污垢、油脂和微生物方面同样有效。这项实验研究比较了两种床上沐浴方法对危重症患者生命体征的成本、工作人员满意度和影响。我们将 138 名参与者随机分为两组:使用 DWs 进行床上沐浴的实验组和使用 SAW 进行床上沐浴的对照组。我们比较了两组之间的沐浴持续时间、成本、生命体征趋势和护理人员满意度。我们使用卡方检验和 t 检验进行统计分析,并将定量数据表示为均值和标准差。我们的结果表明,使用 DWs 的床上沐浴持续时间更短,成本更低。两组之间的生命体征趋势没有显著差异。护理人员更喜欢使用 DWs 而不是 SAW。这项研究可以帮助临床护理人员在协助患者进行床上沐浴时决定使用哪种方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e9/7833440/1154184ea209/ijerph-18-00816-g001.jpg

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