Glycemic repercussions of bed bath of critically ill cancer patients: clinical trial

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5353

Keywords:

Baths; Oncology nursing; Intensive Care Units.

Abstract

Objective: to compare the blood glucose difference of cancer patients admitted to the ICU before and after bed bath with wet wipes. Method: Uncontrolled clinical trial conducted at the Intensive Care Unit (ICU) and Post-Operative Unit (POU) of a single health service, a reference in cancer treatment in Latin America. Sample composed of 30 consecutive hospitalized cancer patients. All blood samples for blood glucose measurement were collected from invasive pressure catheters five minutes before and five minutes after bed bath with wet wipes, considering hyperglycemia values above 180 mg/dL. To compare the pre and post bath blood glucose medians, the Wilcoxon test was used with a pre-established significance level of 5%. Results: In the pre-bath moment, a median glycemia of 141 mg/dL was obtained, and in the post-bath moment, the median was 135 mg/dL. It was observed that in the post-bath moment there was a 7.05% reduction in glycemia, this drop being statistically significant (p < 0.01). Conclusion: Bed bath with the use of sanitizer and skin protector wipes performed on cancer patients admitted to clinical and surgical intensive care units significantly reduces the blood glucose of these individuals.

Author Biographies

Aretha Pereira de Oliveira, Instituto Nacional de Câncer

Enfermeira. Mestre em Ciências do Cuidado em Saúde (UFF). Plantonista do Centro de Terapia Intensiva/Unidade Pós-Operatória (CTI/UPO) do Instituto Nacional de Câncer (INCa).

Dalmo Valério Machado de Lima, Universidade Federal Fluminense

Enfermeiro. Doutor em Enfermagem. Professor Associado da Universidade Federal Fluminense.

References

Bos, M. M. E. M., Verburg, I. W. M., Dumaij, I., Stouthard, J., Nortier, W. R., Richel, D., Zwan, E. P. A. Van Der, Keizer, N. F. & Jonge, E. (2015). Intensive care admission of cancer patients: a comparative analysis. Cancer Medicine, 4(7), 966–976. https://doi.org/10.1002/cam4.430

Caccialanza, R., Pedrazzoli, P., Cereda, E., Gavazzi, C., Pinto, C., Beretta, G. D., Nardi, M. & Laviano, A. (2016). Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE). Journal of Cancer, 7(2), 131–135. https://doi.org/10.7150/jca.13818

Camerini, F. G., Silva, L. D. & Mira, A. J. M. (2014). Ações de enfermagem para administração segura de medicamentos: uma revisão integrativa. Revista de Pesquisa Cuidado é Fundamental Online, 6(4), 1655–1665. https://doi.org/10.9789/2175-5361.2014.v6i4.1655-1665

Diener, J. R. C. (1997). Calorimetria indireta. Revista Da Associação Médica Brasileira, 43(3), 245–253. https://doi.org/10.1590/s0104-42301997000300013

Ferreira, D., Guimarães, T. G. & Marcadenti, A. (2013). Acceptance of hospital diets and nutritional status among inpatients with cancer. Einstein, 11(1), 41–46. https://doi.org/10.1590/s1679-45082013000100008

Finfer, S., Chittock, D. R., Su, S. Y., Blair, D., Foster, D., Dhingra, V., Bellomo, R., Cook, D., Dodek, P., Henderson, W. R., Hébert, P. C., Heritier, S., Heyland, D. K., McArthur, C., McDonald, E., Mitchell, I., Myburgh J. A., Norton, R., Potter, J., Robinson, B. G. & Ronco, J. J. (2009). Intensive versus Conventional Glucose Control in Critically Ill Patients. The New England Journal of Medicine, 360(13), 1283–1297.

Güemes, M., Rahman, S. A. & Hussain, K. (2016). What is a normal blood glucose? Archives of Disease in Childhood, 101(6), 569–574. https://doi.org/10.1136/archdischild-2015-308336

Henrique, D. de M., Silva, L. D., Camerini, F. G., Andrade, K. B. S., Pereira, S. R. M. & Fassarela, C. S. (2017). Aprazamento seguro da terapia analgésica com opioides no paciente queimado: um estudo transversal. Revista Enfermagem UERJ, 25(e28082), 1–7.

Instituto Nacional de Câncer José Alencar Gomes da Silva. (2020). Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro, Brasil: INCA.

Kaptoge, S., Pennells, L., De Bacquer, D., Cooney, M. T., Kavousi, M., Stevens, G., Riley, L. M., Savin, S., Khan, T., Altay, S., Amouyel, P., Assmann, G., Bell, S., Ben-Shlomo, Y., Berkman, L., Beulens, J. W., Björkelund, C., Blaha, M., Blazer, D. G. & Angelantonio, E. (2019). World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. The Lancet Global Health, 7(10), e1332–e1345. https://doi.org/10.1016/S2214-109X(19)30318-3

Lima, D. V. M. & Lacerda, R. A. (2010). Hemodynamic oxygenation effects during the bathing of hospitalized adult patients critically ill: Systematic review. ACTA Paulista de Enfermagem, 23(2), 278–285. https://doi.org/10.1590/S0103-21002010000200020

Machado, F. D. S., Souza, R. C. S., Poveda, V. B. & Costa, A. L. S. (2017). Non-pharmacological interventions to promote the sleep of patients after cardiac surgery: a systematic review 1. Revista Latino-Americana de Enfermagem, 25(e2926). https://doi.org/10.1590/1518-8345.1917.2926

Mota, G. D. C. P. & Cunha, M. L. C. (2014). Prevention and non-pharmacological management of pain in newborns. Revista Brasileira de Enfermagem, 68(1), 123–127.

Oliveira, A. P. & Lima, D. V. M. (2010). Evaluation of bedbath in critically ill patients: impact of water temperature on the pulse oximetry variation. Revista da Escola de Enfermagem da USP, 44(4), 1039–1045. https://doi.org/10.1590/s0080-62342010000400026

Rocha, A. F. P., Sposito, A. M. P., Bortoli P. S., Silva-Rodrigues, F. M., Lima, R. A. G. & Nascimento, L. C. (2015). O alívio da dor oncológica: estratégias contadas por adolescentes com câncer. Texto & Contexto – Enfermagem, 24(1), 96–104.

Schleder, J. C., Suzumura, D. N., Matioski, A. C., Filho, W. W., Henrique, J. & Wasilewski, S. (2013). Relation between nutritional status and dependency on mechanical ventilation in critical oncologic patients. Fisioterapia e Pesquisa, 19(4), 1–6.

Silva, L. D., Matos, G. C., Barreto, B. G. & Albuquerque, D. C. (2013). Drug scheduling for nurses in prescriptions at sentinel hospital. Texto & Contexto - Enfermagem, 8(3), 722–730.

Silva, C. J. B., Silva, M. É. S., Reis, F. F., Miranda, G. C. O., Santos, L. & Lima, D. V. M. (2016). Bed bath for infarcted patients: crossover of the hydrothermal. Online Brazilian Journal of Nursing, 15(3), 341–350.

World Health Organization. (2014). Global Status Report on Noncommunicable Diseases 2014. Geneva, Switzerland.

Downloads

Published

19/06/2020

How to Cite

OLIVEIRA, A. P. de; LIMA, D. V. M. de. Glycemic repercussions of bed bath of critically ill cancer patients: clinical trial. Research, Society and Development, [S. l.], v. 9, n. 8, p. e08985353, 2020. DOI: 10.33448/rsd-v9i8.5353. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/5353. Acesso em: 25 apr. 2024.

Issue

Vol. 9 No. 8

Section

Health Sciences

License

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.