The association between bathing and weaning trial duration

Abstract Objective To describe patterns of bath care for patients who are weaning from prolonged mechanical ventilation (PMV) and to explore the association between bathing and weaning trial duration. Methods Descriptive correlational study. Clinical records from 439 weaning trial days for 30 patien...

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Bibliographic Details
Published in:Heart & lung 2011-01, Vol.40 (1), p.41-48
Main Authors: Sereika, Susan M., PhD, Tate, Judith A., MSN, RN, DiVirgilio-Thomas, Dana, MPH, Hoffman, Leslie A., PhD, RN, FAAN, Swigart, Valerie A., PhD, RN, Broyles, Lauren, PhD, RN, Roesch, Tricia, MSN, CRNP, Happ, Mary Beth, PhD, RN, FAAN
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
APACHE
Bathing
Baths
Cardiovascular
Chronic critical illness
Chronic Disease
Chronic illnesses
Correlation analysis
Critical Care
Critical Illness
Energy conservation
Female
Glasgow Coma Scale
Humans
Male
Middle Aged
Prolonged mechanical ventilation
Proportional Hazards Models
Psychometrics
Pulmonary/Respiratory
Respiration, Artificial
Respiratory diseases
Statistics as Topic
Time Factors
Ventilator weaning
Ventilator Weaning - methods
Weaning
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Summary:Abstract Objective To describe patterns of bath care for patients who are weaning from prolonged mechanical ventilation (PMV) and to explore the association between bathing and weaning trial duration. Methods Descriptive correlational study. Clinical records from 439 weaning trial days for 30 patients who required PMV were abstracted for bathing occurrences during weaning trials, within 1 hour before a trial, and nocturnally. Results Most baths occurred during weaning trials (30.8%) or at night (35.3%), and less frequently (16%) within 1 hour before a trial. No significant effects were found on trial duration for nocturnal bathing or bathing within 1 hour before a trial. By using random coefficient modeling, weaning duration was shown to be longer when bathing occurred during a weaning trial ( P < .05), even when controlling for age, severity of illness, and days on bedrest. Conclusion Bathing occurred during approximately one third of PMV weaning trials. Baths during PMV weaning trials were associated with longer weaning trial duration.
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2010.03.005