The Effect of Two Different Bed Baths Applied to Patients on Mechanical Ventilation Support

Study Overview
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Brief Summary
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The aim of this study was to determine the effect of two different methods (traditional bed bathing and disposable antibacterial wipe bathing) on vital signs in patients on mechanical ventilation support.

Detailed Description
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The study is planned as a randomized controlled study to determine the effect of the performance of two types of bed (bed-traditional and disposable antibacterial wipe bath) on respiratory parameters and vital signs in adult patients with different clinical conditions connected to mechanical ventilation. At the end of the study, it is aimed to evaluate the effect of traditional and disposable antibacterial wiping baths on vital signs in patients on mechanical ventilation support. Relatives of the patients who meet the inclusion criteria will be informed about the purpose, content and method of the study and the sample group (experimental and control) will be formed by obtaining written permission from those who voluntarily agree to participate in the study. Determination of the experimental and control groups will be provided by https://www.randomizer.org/ website. The wiping bath protocol with disposable antibacterial wipes will be applied to the experimental group in accordance with the literature, and the traditional bed bath protocol will be applied to the patients in the control group by the researcher himself. Patient Information Form containing information about the demographic characteristics and medical status of the patients included in the study; vital signs (pulse, systolic and diastolic blood pressure, body temperature, respiratory rate and SpO2) and blood gas data will be recorded 3 times in total (before the bath - current blood gas value, immediately after the bath - morning routine blood gas, 30 minutes or more after the bath - the first blood gas taken with the physician's order) based on the values in the routine blood gas measurements of the clinic, partial arterial oxygen and partial arterial carbon dioxide parameters will be recorded in the vital signs follow-up form. All data collection tools will be completed by the researcher himself.

Official Title
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The Effect of Two Different Bed Baths Applied to Patients on Mechanical Ventilation Support on Vital Signs: A Randomized Controlled Trial

Conditions
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The Effect of Two Different Bed Baths, Patients on Mechanical Ventilation Support

Intervention / Treatment
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* Procedure: Disposable Wipes for wiping baths
* Procedure: Traditional bed bath


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older, whose voluntary consent is obtained from a relative or legal guardian, Dependent on mechanical ventilation, Not receiving antihypertensive and sedation therapy, Not taking inotropic drugs that directly affect vital signs (esmolol, noradrenaline dopamine, adrenaline, dopamine nitrate, etc.), No wound that prevents bathing, Moving it does not cause any problems, Minimum 24 hours in intensive care, Patients with blood gas readings taken 30 minutes or more after bathing Exclusion Criteria: Not dependent on mechanical ventilation, Receiving antihypertensive and sedation therapy, Taking inotropic drugs that directly affect vital signs (esmolol, noradrenaline dopamine, adrenaline, dopamine nitrate, etc.), A person with a wound that prevents bathing, It is important to note that moving it does not cause any problems, Less than 24 hours in intensive care, Patients in whom blood gas readings were not taken 30 minutes or more after bathing.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized Controlled Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Individuals who have undergone wiping bathing with disposable wipes | Procedure: Disposable Wipes for wiping baths<br>* A disposable wipe bath is a type of bath that is applied to bed-bound or unconscious patients and weak individuals by wiping the entire body.<br>|
| Sham Comparator: Control Group<br>Individualswho have undergone bathing with a traditional bath | Procedure: Traditional bed bath<br>* Traditional bed bathing is a type of bathing applied to bed-bound or unconscious patients and weak individuals by wiping the entire body with soap and water.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Blood Pressure | Blood pressure will be measured on the patient monitor. Results will be reported in mmHg. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Pulse Rate | Pulse rate will be measured on the patient monitor. The results presented as beat per minute. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Respiratory Rate | Respiratory rate will be measured on the patient monitor. Higher scores mean a worse result. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Body Temperature | A calibrated non-contact infrared thermometer will be used to measure body temperature. Results will be reported in Celcius. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Oxygen Saturation | Oxygen Saturation will be measured on the patient monitor. Approaching %100 is concidered positive. Higher scores mean a better result. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). | Score of Acute Physiology and Chronic Health Evaluation II (APACHE II). | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Mechanical Ventilation Mode | The patient's mechanical ventilation mode will be observed. SIMV, CBAP, etc. | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Partial Oxygen Pressure (PaO2) | The level of partial oxygen pressure is measured as mmHg in arterial blood gase analysis | Baseline and immediately after bathing, 30 minutes after bathing | 
| Change in Partial Carbon Dioxide Pressure | Change in the partial carbon dioxide pressure in the arterial blood (blood gas analysis) at a defined oxygen flow rate (L/min) | Baseline and immediately after bathing, 30 minutes after bathing | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nursing, Mechanical Ventilation, Baths, Vital Sings