The association between bathing and weaning trial duration.

Authors :: Sereika SM
Tate JA
DiVirgilio-Thomas D
Hoffman LA
Swigart VA
Broyles L
Roesch T
Happ MB
Source :: Heart & lung : the journal of critical care [Heart Lung] 2011 Jan-Feb; Vol. 40 (1), pp. 41-8. Date of Electronic Publication: 2010 May 14.
Publication Year :: 2011
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.<br />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.<br />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.<br />Conclusion: Bathing occurred during approximately one third of PMV weaning trials. Baths during PMV weaning trials were associated with longer weaning trial duration.<br /> (Copyright © 2011 Elsevier Inc. All rights reserved.)