Considering the individual's comfort and stabilization of vital signs, bathing practice,
which is one of the independent roles of nursing; It should be applied with the right method
at healthy intervals. Considering the studies on bathing in bed or in the shower; It has been
observed that bathing increases patients' oxygen saturation, ensures effective breathing,
reduces blood pressure and body temperature, ensures skin integrity, increases patient
comfort and quality of life, and reduces anxiety levels (Uğur, 2018). In their study, Downey
and Lloyd (2008) emphasize that bed bathing in hospitalized patients is important for
personal cleanliness, well-being and preventing the development of infection. According to
this study report, the improvement of communication between the nurse and the individual
provides nurses with the opportunity to evaluate the daily activities of patient individuals.
The nurse evaluates the patients' independence or dependency in activities such as individual
hygiene, mobility, excretion and clothing, and thus obtains information about the
individual's nutrition, sleep patterns and whether he or she has pain. It is also stated that
such communication allows the individual to express his/her opinions about care, treatment or
daily practices. In Erçin's (2006) study, in which the effect of early and late period bed
bathing on mixed venous oxygen saturation after coronary artery bypass graft application was
evaluated, no difference was seen between the control and experimental groups, while it was
determined that the mixed venous oxygen saturation of both groups increased during bed
bathing.
In the literature; The number of studies on the effects of bed bath application on palliative
care patient groups, who frequently experience sleep disturbance and pain, is quite limited.
With this study, it is aimed to contribute to the literature.
The universe of the research; It consists of patients hospitalized in the Palliative Care
Clinics of a hospital in Eskişehir, Turkey. The sample size was calculated with the G power
program based on the effect size obtained from the literature. The observed effect size for
the parameters to be measured between groups was calculated as 0.95. According to these
results, according to the power analysis calculated with 95% power and 0.05 significance
level based on the two-way hypothesis in the experimental and control groups, it was
calculated that a total of 60 individuals should participate in the study, at least 21 in the
experimental group and 21 in the control group. This analysis was calculated with the G Power
program version 3.1.
Research hypotheses
H1: Bed bath applied to palliative care patients has the effect of increasing the saturation
level of the patients.
H2: Bed bath applied to palliative care patients has an effect on reducing the pain level of
the patients.
H3: Bed bath applied to palliative care patients has an effect on improving the sleep quality
of patients.
Randomization Method: Participants will be assigned to the experimental and control groups
using the simple randomization method. Patients will be given a number starting from 1
according to the order of admission.
Patients who accepted to participate in the study and were assigned to the experimental group
will be given a bed bath. In order to examine the short-term, medium-term and long-term
effects of the bath, it is planned to have a whole body bed bath performed by researcher
nurse XX three times a week, two days apart.
Richard-Campbell Sleep Scale, Wong-Baker Facial Pain Scale will be applied and oxygen
saturation will be measured before and after bed bath.
The control group patients will not be given a bed bath, their measurements will be made
simultaneously with the experimental group.
