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Cost-consequence analysis of ''washing without water'' for nursing home residents: A cluster randomized trial.
- Source :
-
International Journal of Nursing Studies . Jan2015, Vol. 52 Issue 1, p112-120. 9p. - Publication Year :
- 2015
-
Abstract
- 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 €218.30 (95%CI 150.52-286.08) in the experimental group and €232.20 (95% CI: 203.80-260.60) in the control group (difference €13.90 (95%CI: 25.61-53.42). Conclusion: Washing without water mildly protects from skin abnormalities/lesions, costs for preparing and performing bed baths do not differ from costs for traditional bed bathing. Thus, washing without water can be considered the more efficient alternative. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GLOVES
*SKIN care
*BATHS
*CLUSTER analysis (Statistics)
*CONFIDENCE intervals
*JOB satisfaction
*LONGITUDINAL method
*NURSES' attitudes
*NURSING home patients
*ODORS
*HEALTH outcome assessment
*QUESTIONNAIRES
*RESEARCH funding
*SKIN abnormalities
*STATISTICS
*RANDOMIZED controlled trials
*INTER-observer reliability
*DATA analysis software
*PATIENTS' attitudes
*ODDS ratio
*ECONOMICS
*EQUIPMENT & supplies
Subjects
Details
- Language :
- English
- ISSN :
- 00207489
- Volume :
- 52
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Nursing Studies
- Publication Type :
- Academic Journal
- Accession number :
- 99913122
- Full Text :
- https://doi.org/10.1016/j.ijnurstu.2014.08.001