Effects of consecutive bed bathing with weak versus ordinary pressure on skin barrier recovery of hospitalised older adults : A within-person randomised controlled trial

Konya, Issei; Yoshida, Mayumi; Watanabe, Chiaki; Morita, Akemi; Yano, Rika

Effects of consecutive bed bathing with weak versus ordinary pressure on skin barrier recovery of hospitalised older adults : A within-person randomised controlled trial

Konya, Issei; Yoshida, Mayumi; Watanabe, Chiaki et al.

Journal of Tissue Viability, 2024, 33(3), 504-510

Permalink : https://hdl.handle.net/2115/95804

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/95804
タイトル	Effects of consecutive bed bathing with weak versus ordinary pressure on skin barrier recovery of hospitalised older adults : A within-person randomised controlled trial
著者	Konya, Issei ; Yoshida, Mayumi ; Watanabe, Chiaki ; Morita, Akemi ; Yano, Rika
著者名 Konya, Issei
著者名 Yoshida, Mayumi
著者名 Watanabe, Chiaki
著者名 Morita, Akemi
e-Rad_Researcher 50250519 著者名 Yano, Rika
言語	英語
キーワード	Aged
	Bed bath
	Hygiene
	Nursing care
	Skin care
	Skin barrier function
発行日	2024-08
出版者	Elsevier
収録物名	Journal of Tissue Viability
巻(号)	33(3)
ページ	504-510
抄録	Aim: Wiping pressure (WP [mmHg]) during bed baths is essential to maintain skin integrity and care quality for older adults. However, effects of different wiping pressures on skin barrier recovery over multiple days remain unclear. This study evaluated and compared the effects of consecutive bed bathing with weak pressure and that with ordinary pressure on skin barrier recovery of hospitalised older adults. Methods: This within-person, randomised, controlled trial involved 254 forearms (127 patients) and was conducted at a general hospital. Forearms were blinded and randomly assigned a site and sequence of two bed bathing sessions: wiping three times with weak (10≤WP<20) and ordinary pressure (20≤WP<30) once per day for 2 consecutive days. The skin barrier was assessed daily based on transepidermal water loss (TEWL) and stratum corneum hydration (SCH) before and 15 min after the interventions. Dry skin was assessed using the overall dry skin score. Results: A linear mixed model showed that the time courses of TEWL and SCH differed significantly between groups. Impaired skin barrier function caused by ordinary pressure on the first day did not recover to baseline values the next day, whereas weak pressure did not cause significant changes. During subgroup analyses, TEWL of patients with dry skin was more likely to increase with ordinary pressure. Conclusions: Despite decreased skin barrier recovery experienced by older adults, our findings suggest the safety of weak pressure and highlight the importance of WP during bed baths. Weak pressure is particularly desirable for patients with dry skin. Trial registration: UMIN000048838.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0965-206X
NCID	AA12792411
関連情報	PMID 38816337
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.jtv.2024.05.008