title: Pilot study on benefits of applying a hot towel for 10 s to the skin of elderly nursing home residents during bed baths: Towards safe and comfortable bed baths.
abstract: This study examined the effects of applying a hot towel to the skin of elderly people for 10 s (AHT10s) during a bed bath. We hypothesized from our previous studies that AHT10s would increase the stratum corneum water content and improve the skin barrier function of the elderly and invited residents (n = 21) of long-term care facilities to participate in this crossover study. Each participant received a bed bath with AHT10s and also a bed bath without hot towel application. The stratum corneum water content and transepidermal water loss (TEWL) were measured during bed bathing sessions and the experience was subjectively evaluated by participants. The TEWL increased significantly when bed bath did not involve AHT10s, but there was no such significant increase when AHT10s was performed. AHT10s also raised the skin surface temperature and provided warmth and comfort to all participants. These results suggest that, in the target population, AHT10s will lead to TEWL advantages and provide warmth and comfort.
authors.affiliation: KKR Sapporo Medical Center, Japan.
authors.forename: Inaho
authors.initials: I
authors.lastname: Shishido
authors.affiliation: Department of Fundamental Nursing, Faculty of Health Sciences, Hokkaido University, Kita 12, Nishi 5, Kita-ku, Sapporo 060-0812, Japan. Electronic address: r-yano@med.hokudai.ac.jp.
authors.forename: Rika
authors.initials: R
authors.lastname: Yano
mesh_terms: D000369:Aged, 80 and over; D001494:Baths / Q000379:methods* / Q000451:nursing; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes; D010865:Pilot Projects; D017592:Skin Care / Q000379:methods* / Q000451:nursing
keywords: Bed bath; Elderly; Hot towel application; Skin care; Skin surface temperature; Stratum corneum water content; Transepidermal water loss (TEWL)