Cover Image

Bed bath for infarcted patients: crossover of the hydrothermal control 40ºC versus 42.5ºC

Cleivison José Barbosa da Silva, Monyque Évelyn dos Santos Silva, Fernanda Faria Reis, Gabriela Cristina Oliveira de Miranda, Luiz dos Santos, Dalmo Valerio Machado de Lima

Abstract


Aim:  To  compare  the  results  of  the  water  used  to  bath  infarcted patients  in  bed  under  oxy-hemodynamic  variables.  Method:  This  research  uses  a  2X2 crossover of the interventions: bed bath with constant water temperature at 40°C (BB1) and 42.5°C (BB2) in 20 patients who had acute myocardial infarction (AMI). Dependent variables  are:  pulse  oximetry,  cardiac  frequency  (CF)  and  axillary  temperature  (Axt). The  inferential  statistics  will  be  used  in  an  analysis  of the  variations  found  repeated throughout the sample, as well as the Bonferroni test, with a level of significance of 5%. Results:  The SpO2  and  Axt  were  higher  after BB2  (p<0.05)  when  compared  with  BB1. BB2 reduced CF by 1% (p=0.01). Discussion: The individual bath with controlled water temperature  is  capable  of  minimizing  the  oxy-hemodynamic  impact. Conclusion:  The bath  with  water  temperature  at 42.5ºC  was  shown  to  be  more  favorable than  at  40°C with regard to SpO2, CF and Axt in infarcted patients.

Keywords


Bed Bath; Thermalregulation; Hemodynamics

References


Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M et al. AHA Statistical Update: Heart Disease and Stroke Statistics—2015 Update: A Report From the American Heart Association. Circulation. 2015; 131(4): e29-322. [cited 2016 mai 30]. Avaliable from: doi:10.1161/CIR.0000000000000152

Brasil. Ministério da Saúde. Departamento de informática do SUS. Taxa de Mortalidade por Doenças Isquêmicas do Coração no ano de 2015. [citado 2016 mai 16]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?idb2012/c08.def

Nicolau JC, Timerman A, Marin-Neto JA, Piegas LS, Barbosa CJDG, Franci A et al. Diretrizes da sociedade brasileira de cardiologia sobre angina instável e infarto agudo do miocárdio sem supradesnível do segmento1 ST (II edição, 2007) – atualização 2013/2014. Arquivos brasileiros de cardiologia. 2014; 102(3):1-61, 2014.

Quiroz Madrid S, Castro López C, Tirado Otálvaro AF, Rodríguez Padilla LM. Alteraciones hemodinámicas del paciente crítico cardiovascular durante la realización del baño diario. Med UPB. 2012 06;31(1):19-26.

González-Alonso J. Human thermoregulation and the cardiovascular system. Exp Physiol. 2012 Mar;97(3):340-6.

Oliveira AP, Lima DVM. Evaluation of bedbath in critically ill patients: impact of water temperature on the pulse oximetry variation. Revista da Escola de Enfermagem da USP. 2010;44:1039-45

Lima DVM, Lacerda RA. Hemodynamic oxygenation effects during the bathing of hospitalized adult patients critically ill: systematic review. Acta paul. enferm. [online]. 2010;23:278-85.

Lopes JL, Nogueira-Martins LA, Barbosa DA, Barros ALBL. Development and validation of an informative booklet on bed bath. Acta paul. enferm. 2013; 26(6): 554-560.

Lang DSP, McArthur A. Bed bathing among adult patients in a private oncology ward within an acute care hospital: A best practice implementation project. PACEstterS. 2012; 9(1): 40-44.

Vaidya CV, Majmudar DK. A study of clinical profile of acute ST elevation myocardial infarction patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat. Int J Adv Med. 2014; 1(2): 113-116.

Seetharama N, Mahalingappa R, GK RK, Veerappa V, CL A. Clinical profile of acute myocardial infarction patients: a study in tertiary care centre. Int J Res Med Sci. 2015; 3(2): 412-419.

Urbanetto J S, Canabarro ST, Figueiredo AEPL, Weber G, Santos RP, Stein K et al. Correlation between the TISS-28 and NEMS indicators in an intensive care unit. Int J Nurs Pract. 2014; 20 (4): 375-81. Avaliable from: http://dx.doi.org/10.1111/ijn.12183

Antoni ML et.al. Relationship between discharge heart rate and mortiality in patients after acute myocardial infarction treated with primary percutaneous coronary intervention. Eur Heart J. 2012;33(1):96-102.

Piegas LS, Timerman A, Feitosa GS, Nicolau JC, Mattos LAP, Andrade MD et al . V Diretriz da Sociedade Brasileira de Cardiologia sobre Tratamento do Infarto Agudo do Miocárdio com Supradesnível do Segmento ST. Arq. Bras. Cardiol. 2015; 105( 2 Suppl 1 ): 1-121.

Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Resolução RDC n. 50, de 21 de fevereiro de 2012. Regulamento técnico para o planejamento, programação, elaboração e avaliação de projetos físicos de estabelecimentos assistenciais de saúde. Brasília; 2012.

Yamaura Ken, Nanishi Noriko, Higashi Midoriko, Hoka Sumio. Effects of thermoregulatory vasoconstriction on pulse hemoglobin measuremnts using a co-oximeter in patients undergoing surgery J Clin Anesth. 2014 Dec;26(8):643-7

Amiya E, Watanabe M, Takata M, Watanabe S, Ozeki A, Watanabe A et al.Differences in Body Temperature V Variability Between Subjects With and Without Diabetes and Predictive Value for Cardiovascular Events. Circ J. 2013;77(7):1844-53. Avaiable from: http://www.ncbi.nlm.nih.gov/pubmed/23535220.

Kushimoto S, Yamanouchi S, Endo T, Sato T, Nomura R, Fujita M et al. Body temperature abnormalities in non-neurological critically ill patients: a review of the literature. J Intensive Care. 2014 Feb 18;2(1):14. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/25520830.

Wellek S, Blettner M. On the Proper Use of the Crossover Design in Clinical Trials. Part 18 of a Series on Evaluation of Scientific Publications. Dtsch Arztebl Int. 2012 Apr; 109(15): 276–281. Avaliable from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345345/




DOI: https://doi.org/10.17665/1676-4285.20164233



 

The articles published in Online Brazilian Journal of Nursing are indexed, classified, linked, or summarized by:

 

Affiliated to:

Sources of Support:

 

The OBJN is linked also to the main Universities Libraries around the world.

Online Brazilian Journal of Nursing. ISSN: 1676-4285

Creative Commons License
This work is licensed under a Creative Commons:Noncommercial-No Derivative Works License.