Basic research on bed bath method with less skin irritation

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K10674
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: Kanazawa Medical University
• Principal Investigator: ISHII Kazumi 金沢医科大学, 看護学部, 講師 (50804184)
• Co-Investigator(Kenkyū-buntansha): 中田 弘子 石川県立看護大学, 看護学部, 教授 (70551167)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: 清拭 / 清拭圧 / タオル

Outline of Final Research Achievements

This study was positioned as basic research to devise a wiping care method that prevents damage to the skin. We visualized and measured the wiping pressure force of clinical nurses using pressure measuring films and clarified their perceptions of wiping techniques (wiping methods). The validity of the wiping pressure measurement was examined based on the relationship between wiping pressure and wiping effectiveness using fluorescent lotion. Results showed that there was no difference in wiping pressure between cotton and non-woven towels for the 12 clinical nurses, nor was there any difference in pressure variation during a single stroke. The results also suggested that the clinical nurses used almost the same wiping force with the two types of towel materials.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

清拭は温かいタオルを用いて身体を拭き全身の清潔を保持するとともに安楽をもたらすケアである。しかし、近年では脆弱な皮膚への清拭刺激が皮膚の裂傷（スキンテア）の要因となりうることが報告され、皮膚への摩擦を避けるケア方法が推奨されている。本研究では臨床看護師による健常皮膚を対象とした綿タオルと不織布タオルの清拭圧を明らかにし、清拭圧を11kPa以下の強さで複数回の拭き取ることによって皮膚への刺激を最小とした安全な清拭ができることが示唆された。本研究の結果は将来の清拭技術、効果の研究の一つの基盤になるものと思われる。