Oxyhemodynamic effectiveness of three types of bed baths for patients with severe heart disease: crossover

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.6249

Keywords:

Baths; Nursing care; Intensive care units; Hemodynamics.

Abstract

Objective: to identify hemodynamic and/or oximetric changes resulting from three bed bath techniques in cardiac patients admitted to a Surgical Intensive Care Unit. Method: 3 X 3 crossover clinical trial in which three bed bath technologies were applied to the same individual, at three different times. The interventions considered were: traditional bath at 42.5ºC with monitored and constant water temperature; Bath with 1L vial of distilled water heated for 1 minute in the microwave oven at full power without temperature control; Bath with wet wipes heated for 20 seconds in the microwave oven at full power. Sample comprised of 18 patients in the postoperative period of cardiac surgery. The variables heart rate, respiratory rate, blood pressure (systolic, diastolic and mean), axillary temperature and oxygen saturation using pulse oximetry were analyzed. To compare the means, the ANOVA Two-way test of repeated measures with a pre-established significance level of 5% was used. Results: Sample predominantly composed by male, brown and non-smoker individuals, who underwent coronary artery bypass surgery. There was no significant change in the variables studied (p > 0.05), considering the different types of bath at different times (before, during and after the procedure). Conclusion: Bed bath with water at 42.5 ° C, with heated distilled water vial and wet wipes, in post-cardiac surgery patients admitted to the ICU, does not cause any significant changes in the oxy-hemodynamic variables.

Author Biographies

Anna Beatriz Alves Pereira Lôbo, Universidade Federal Fluminense

Enfermeira. Mestre em Enfermagem Assistencial pela UFF

Silvia Regina Martins dos Santos, Universidade Veiga de Almeida

Enfermeira. Mestre em Enfermagem Assistencial pela Universidade Federal Fluminense. Professora da Universidade Veiga de Almeida.

Luiz Cesar de Mesquita Júnior, Hospital Pró-cardíaco

Especialista em Terapia Intensiva e Emergência pelo Centro Universitário Celso Lisboa - RJ, Hospital Pró-Cardíaco

Ramon Monteiro Fernandes, Hospital Copa D'or

Enfermeiro. Graduado pela Universidade Federal Fluminense

Mariana Pereira Santos, Universidade Federal Fluminense

Enfermeira. Especialista em Saúde Mental pela Universidade Federal do Rio de Janeiro (UFRJ)

Fernanda Faria Reis, Hospital Estadual Alberto Torres

Enfermeira. Mestre em Ciências Cardiovasculares pela Universidade Federal Fluminense

Monyque Evelyn dos Santos Silva, Universidade Veiga de Almeida

Enfermeira. Mestre em Ciências Cardiovasculares pela Universidade Federal Fluminense

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 pela Universidade de São Paulo. Professor da Universidade Federal Fluminense

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Published

02/08/2020

How to Cite

LÔBO, A. B. A. P.; SANTOS, S. R. M. dos; MESQUITA JÚNIOR, L. C. de; FERNANDES, R. M.; SANTOS, M. P.; REIS, F. F.; SILVA, M. E. dos S.; OLIVEIRA, A. P. de; LIMA, D. V. M. de. Oxyhemodynamic effectiveness of three types of bed baths for patients with severe heart disease: crossover. Research, Society and Development, [S. l.], v. 9, n. 8, p. e954986249, 2020. DOI: 10.33448/rsd-v9i8.6249. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/6249. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences