Hemodynamic changes of patients with cardiovascular diseases during the daily bath
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Abstract
Objective: to evaluate the hemodynamic changes that occur during the performance of bath on a cardiovascular post-operatory patient.
Methods: a quasi-experimental study (pre and post) in which 36 patients were included from the Intensive Care Unit and Special Care Unit of La Clinica del Rosario, Medellin, between April and July 2009. Hemodynamic changes were determined during the bath through parametric or nonparametric tests, according to the distribution of variables.
Results: 64% of patients were male, mean age was 59.7 ± 11.2 years. Most of the patients underwent sponge bath (94.3%). 78% of patients were extubated. The most frequent postoperative diagnosis was coronary revascularization (70%).Abnormalities were observed in systolic blood pressure values and respiratory rate, according to the evaluation period (p value= 0.017 and p value <0.0001, respectively), an increase of systolic blood pressure during the bath (p value= 0.010), and an increased respiratory rate after the bath (p value= 0.008).
Conclusions: although there were changes in systolic blood pressure and respiratory rate, these did not represent any important clinical disorder.
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Galloway AC, Anderson RV, Grossi EA, Spencer FC, Colvin SB. Cardiopatías adquiridas. En: Schwartz SI. Principios de cirugía. 3. ed. México: Interamericana McGraw-Hill; 1995. p. 878-93.
Alcaldía de Medellín. Secretaría de Salud. Plan Municipal de Salud 2008–2011. Revista Salud Pública de Medellín. 2008 Jul; 3 (supp 1):17-18.
Fernández S, Aramendia A, Cita A, Nadal M, Núñez Y, Salamanca A, et al. Higiene del paciente ingresado [Internet]. Madrid: Hospital Universitario de la Princesa; 2008 [consulta 29 julio 2009]. Disponible en: http:// www.sempsph.com/sempsph/attachments/071_ Higiene_paciente.pdf.
Sorimachi M, Ozawa M, Ueda H, Ebato S, Kawamura K, Ando H, et al. Comparisons between hemodynamics, during and after bathing, and prognosis in patients with myocardial infarction. Jpn Circ J. 1999 Jul; 63(7):527- 32.
Pereira de Oliveira A, Machado de Lima D, Aparecida Lacerda R, Luca Nascimento M. O banho do doente crítico: correlacionando temperatura ambiente e parâmetros oxihemodinâmicos. Referência. 2009 Dic; II (11):61-68.
Machado de Lima D, Aparecida Lacerda R. Hemodynamic oxygenation effects during the bathing of hospitalized adult patients critically ill: systematic review. Acta Paul Enferm. 2010; 23(2):278-85.
Chiba T, Yamauchi M, Nishida N, Kaneko T, Yoshizaki K, Yoshioka N. Risk factors of sudden death in the Japanese hot bath in the senior population. Forensic Sci Int. 2005 May 10; 149(2-3):151-8.
Nagasawa Y, Komori S, Sato M, Tsuboi Y, Umetani K, Watanabe Y, et al. Effects of hot bath immersion on autonomic activity and hemodynamics: comparison of the elderly patient and the healthy young. Jpn Circ J. 2001 Jul; 65(7):587-92.
Robles Rangil MP, Córcoles Gallego T, Torres Lizcano M, Muñoz Ruiz F, Cantos de la Cuesta Y, Arias Rivera S, et al. Frecuencia de eventos adversos durante el aseo del paciente critico. Revista Enfermería Intensiva. 2002; 13(2):47-56.
Merino Gamboa V. Escalas y scores más utilizados por enfermería en la atención del paciente crítico [Internet]. Lima: Uciperu; 2009 [consulta 29 julio 2009]. Disponible en: http://www.uciperu.com/docs/scores.pptf
Kataoka Y, Yoshida F. The change of hemodynamics and heart rate variability on bathing by the gap of water temperature. Biomed Pharmacother. 2005 Oct;59 Suppl 1:S92-9.
Koda M, Komori S, Nagami M, Minohara M, Murawaki Y, Horie Y, et al. Effects of bathing in hot water on portal hemodynamics in healthy subjects and in patients with compensated liver cirrhosis. Intern Med. 1995 Jul;34(7):628-31.
Matsuzaki A, Ozawa M, Ando H, Hasegawa M, Nagayama M, Suzuki K, et al. [Blood flow changes on bathing in patients with myocardial infarction: studies by Doppler echocardiography]. J Cardiol. 1991; 21(3):527- 37.
Ozawa M, Hasegawa M, Matsuzaki A, Suzuki K, Takeyama Y, Fujita Y, et al. [Effects of bathing on cardiac function in patients with myocardial infarction: hemodynamic and Doppler echocardiographic studies]. J Cardiol. 1988 Dec;18(4):979-87. Japanese. PubMed PMID: 3267735.
Kawamura K, Ozawa M, Sorimachi M, Ueda H, Ebato S, Ando H, et al. Hemodynamic effects of warm bathing in a Hubbard tank and exercise loading in patients after myocardial infarction. J Cardiol. 1997 Nov; 30(5):231-9.
Kawamoto R, Okamoto K, Yamada A, Oguni T. [Effect of warm bathing on blood pressure in bedridden patients]. Nihon Ronen Igakkai Zasshi. 1998 Apr;35(4):299-302.
Atkins PJ, Hapshe E, Riegel B. Effects of a bedbath on mixed venous oxygen saturation and heart rate in coronary artery bypass graft patients. Am J Crit Care. 1994 Mar; 3(2):107-15.
Urden LD, Lough ME. Cuidados intensivos en enfermería: cuidados terapéuticos cardiovasculares. Madrid: Harcourt Brace; 1998.