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重症患者接受擦浴时体温变化:一项交叉临床试验。

Changes in body temperature of critically ill patients submitted to bed bathing: a crossover clinical trial.

机构信息

Universidade Federal de Viçosa. Viçosa, Minas Gerais, Brazil.

Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil.

出版信息

Rev Bras Enferm. 2021 May 21;74(2):e20200969. doi: 10.1590/0034-7167-2020-0969. eCollection 2021.

DOI:10.1590/0034-7167-2020-0969
PMID:34037151
Abstract

OBJECTIVES

to compare tympanic and axillary body temperature values of critical patients before and after the traditional and dry bed bath.

METHODS

this is a randomized, open crossover clinical trial conducted with 50 adult critical patients. All patients received both types of bed bathing. The tympanic and axillary temperature values were measured at the beginning and end of the baths. The Wilcoxon test or paired Student's t test was used.

RESULTS

elderly and male patients predominated. There was no significant difference between tympanic temperature medians measured during the traditional bed bath (p=0.707) and dry bath (p=0.101). Axillary temperature means reduced at the end of the baths (p=0.001), being 36.12ºC in the traditional bath and 35.92ºC in dry bath.

CONCLUSIONS

bed bath, regardless of the method used, caused a reduction in critical patients' axillary temperature.

摘要

目的

比较传统湿式擦浴和干式擦浴前后危重症患者的鼓膜和腋窝体温值。

方法

这是一项对 50 名成年危重症患者进行的随机、开放交叉临床试验。所有患者均接受了两种类型的擦浴。在浴前和浴后测量鼓膜和腋窝温度值。使用 Wilcoxon 检验或配对学生 t 检验。

结果

患者以老年人和男性为主。传统湿式擦浴(p=0.707)和干式擦浴(p=0.101)时测量的鼓膜温度中位数无显著差异。擦浴后腋窝温度均值降低(p=0.001),传统浴时为 36.12°C,干式浴时为 35.92°C。

结论

无论使用哪种方法,擦浴都会导致危重症患者的腋窝体温降低。

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