Myocardial oxygen consumption in the bed bath and shower bath in patients with acute coronary syndrome |
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| Affiliation: | 1. Nursing Paulista School, Federal University of São Paulo, São Paulo, Brazil;2. Federal University of São Paulo, São Paulo, Brazil;3. Hospital São Paulo, Federal University of São Paulo, São Paulo, Brazil;1. Division of Nursing, Department of Health Science, Luleå University of Technology, 971 87 Luleå, Sweden;2. Sunderby Research Unit, Department of Public Health and Clinical Medicine, Umeå University, 901 87 Umeå, Sweden;1. Medical Sociology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, Dr.-Gessler-Str. 17, 93051 Regensburg, Germany;2. Institute of Social Medicine and Health Systems Research, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany;3. Department of Anaesthesiology, Operative Intensive Care, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany |
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| Abstract: | BackgroundBed and shower hygiene measures are performed by the nursing staff in patients admitted with Acute Coronary Syndrome (ACS). Few studies have evaluated the difference in energy consumption between the two types of bath.ObjectivesTo analyse and compare the variation in Heart Rate (HR), Systolic Blood Pressure (SBP) and rate-pressure-product (RPP) between bed and shower bath in ACS patients.DesignQuantitative, analytical, prospective study.SettingsThis study was conducted in a Coronary Intensive Care Unit, including patients over 18 years admitted for ACS in Killip classes I and II.Main outcome measuresThe level of myocardial oxygen consumption was assessed by calculating the RPP before, immediately after and 5 minutes after the first bed bath and the first shower bath. Differences in mean RPP before, during and 5 minutes after each body hygiene were compared using the paired-samples Student’s t-test.ResultsSeventy patients were included. No important clinical variation was found in HR, SBP and RPP during bed bath and during shower bath. The comparison of HR, SBP and RPP between bed bath and shower showed no statistically significant difference.ConclusionBed bath and shower bath did not significantly increase energy expenditure in patients with acute coronary syndrome and there was no difference in energy expenditure between the two types of body hygiene. |
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| Keywords: | Energy expenditure Bed bath Shower bath Acute coronary syndrome |
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