Effects of bed bath on physiological changes: randomized clinical trial

INTERVENTION: E02.056.110 Procedure/surgery The bag bath will be considered intervention group. the bed bath will be the control group. Because it is a crossover type clinical trial, all patients will receive the two baths at random, with a 24 hour interval between them, the first bath being performed within the first 24 hours after admission to the Intensive Care Unit. 50 patients will receive a bed bath made by two researchers. 50 patients will receive bag bath performed by two researchers. CONDITION: Critical Care, Intensive Care Units, Nursing Care. ; E02.760.190 ; N02.278.388.493 ; E02.760.611 E02.760.190 E02.760.611 N02.278.388.493 PRIMARY OUTCOME: Body temperature: continuous variable. Data collected from the tympanic thermometer and recorded in degrees Celsius by the research assistant at different times: 15 minutes before the bath, every five minutes during the bath and 15 minutes after the end of the procedure. Heart rate: continuous variable. Data collected from the record in the cardiac monitor, portable oximeter or by direct observation of patients by the research assistant at different times: 15 minutes before the bath, every five minutes during the bath and 15 minutes after the end of the procedure. Respiratory rate: continuous variable. Data collected from the record in the cardiac monitor, mechanical ventilator or direct observation of the patients by the research assistant at different moments: 15 minutes before the bath, every five minutes during the bath and 15 minutes after the end of the procedure.; Transcutaneous saturation of arterial oxygen: continuous variable. Obtained by the portable oximeter and recorded by the research assistant at different times: 15 minutes before the bath, every five minutes during the bath and 15 minutes after the procedure. SECONDARY OUTCOME: Age: continuous variable. Estimated in years. Data collected in the patient's chart Ambient temperature (T0amb): continuous variable. Data collected in each ICU in celsius degree from the thermo‐hygrometer. Bath time in bed: continuous variable. Registered in minutes. Data collected in each bath in the bed, from the beginning of its execution to the end of the procedure. Later it will be dichotomized for the entry in the database (up to 20 minutes in duration, more than 20 minutes in duration). Bath water temperature (Tág): continuous variable. Data collected in each bath bowl in celsius degree from the thermo‐hygrometer, recorded regularly every five minutes, during bathing in the bed. Comorbidities: categorical variable. The patient will be classified in: with comorbidities (yes) or without comorbidities (no). The presence of comorbidities will be recorded from the data collection in the patient's chart. Environment humidity: continuous variable. Data collected in each ICU in percentage from the thermo‐hygrometer. Sex: categorical variable, considering male and female sex. Data collected in the patient's chart INCLUSION CRITERIA: Admitted to the Intensive Care Unit studied; have an age of 18 years or more; be submitted to procedure bed bath for purposes of promoting comfort and / or body hygiene.