A B S T R A C T
Background: No-rinse disposable wash gloves are increasingly implemented in health care
to replace traditional soap and water bed baths without proper evaluation of (cost)
effectiveness.
Objectives: To compare bed baths for effects on skin integrity and resistance against
bathing and costs.
Design: Cluster randomized trial.
Setting: Fifty six nursing home wards in the Netherlands.
Participants: Five hundred adult care-dependent residents and 275 nurses from
nursing home wards.
Methods: The experimental condition ‘washing without water’ consists of a bed bath with
disposable wash gloves made of non-woven waffled fibers, saturated with a no-rinse,
quickly vaporizing skin cleaning and caring lotion. The control condition is a traditional
bed bath using soap, water, washcloths and towels. Both conditions were continued for 6
weeks.
Outcome measures were prevalence of skin damage distinguished in two levels of
severity: any skin abnormality/lesion and significant skin lesions. Additional outcomes:
resistance during bed baths, costs.
Results: Any skin abnormalities/lesions over time decreased slightly in the experimental
group, and increased slightly in the control group, resulting in 72.7% vs 77.6% of residents
having any skin abnormalities/lesions after 6 weeks, respectively (p = 0.04). There were no
differences in significant skin lesions or resistance after 6 weeks.
Mean costs for bed baths during 6 weeks per resident were estimated at s218.30
(95%CI 150.52–286.08) in the experimental group and s232.20 (95%CI: 203.80–260.60) in
the control group (difference s13.90 (95%CI: 25.61–53.42).
A B S T R A C TBackground: No-rinse disposable wash gloves are increasingly implemented in health careto replace traditional soap and water bed baths without proper evaluation of (cost)effectiveness.Objectives: To compare bed baths for effects on skin integrity and resistance againstbathing and costs.Design: Cluster randomized trial.Setting: Fifty six nursing home wards in the Netherlands.Participants: Five hundred adult care-dependent residents and 275 nurses fromnursing home wards.Methods: The experimental condition ‘washing without water’ consists of a bed bath withdisposable wash gloves made of non-woven waffled fibers, saturated with a no-rinse,quickly vaporizing skin cleaning and caring lotion. The control condition is a traditionalbed bath using soap, water, washcloths and towels. Both conditions were continued for 6weeks.Outcome measures were prevalence of skin damage distinguished in two levels ofseverity: any skin abnormality/lesion and significant skin lesions. Additional outcomes:resistance during bed baths, costs.Results: Any skin abnormalities/lesions over time decreased slightly in the experimentalgroup, and increased slightly in the control group, resulting in 72.7% vs 77.6% of residentshaving any skin abnormalities/lesions after 6 weeks, respectively (p = 0.04). There were nodifferences in significant skin lesions or resistance after 6 weeks.Mean costs for bed baths during 6 weeks per resident were estimated at s218.30(95%CI 150.52–286.08) in the experimental group and s232.20 (95%CI: 203.80–260.60) inthe control group (difference s13.90 (95%CI: 25.61–53.42).
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