Combination of minimum wiping pressure and number of wipings that can remove pseudo-skin dirt: A digital image color analysis.

Abstract

Excessive wiping friction in skin care may lead to skin damage. Bed baths are required to remove skin dirt without affecting the skin barrier function; the wiping pressure and number of wipings that satisfy these two requirements have not been clarified. This study aimed to determine the minimum wiping pressure and number of wipings that can remove skin dirt. In this quasi-experimental study, 50 healthy adults received an adhesion of pseudo-oily and aqueous dirt, randomly assigned to the left and right forearms. Each participant was wiped three times with wiping pressure classified into six randomly assigned categories. The dirt removal rate was calculated by color-analyzing images captured before and after each wiping, and its dependence on the combination of wiping pressure and number of wipings was assessed using a linear mixed model. The combinations achieving oily dirt removal rates of 80% or more were wiping once and pressure ≥50mmHg, wiping twice and pressure ≥40mmHg, and wiping thrice and pressure ≥10mmHg. Aqueous dirt was removed almost completely by wiping once, even with pressure ≥5mmHg. Wiping with at least 10mmHg or more three times can sufficiently remove both oily and aqueous dirt. Dirt removal rates with weak pressure can be made about as effective as those achieved with strong pressure by increasing the number of wipings. This result can be applied to daily nursing, home care, and long-term care health facilities.