Effect of Transcutaneous Electrical Nerve Stimulation on Patients with Total Knee Replacement: A Randomized Controlled Trial.

IF 1.6 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-08-16 DOI:10.1016/j.pmn.2024.07.003
Nilgün Özbaş, Emre Ersoy, Murat Korkmaz, Hacı Ali Olçar
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Abstract

Purpose: The aim of this study was to determine the effect of transcutaneous electrical nerve stimulation (TENS) on pain, functionality, quality of life, and analgesic consumption in patients undergoing TKR.

Design: A single center, randomized controlled trial.

Methods: A total of 52 participants were randomly assigned to the intervention (n = 26) and control (n = 26) groups. The intervention group was exposed to conventional TENS. Data were collected with a Patient Identification Form, the Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Quality of Life Scale (SF-36), and the Analgesic Tracking Form.

Results: VAS and WOMAC scores significantly decreased in the intervention group, over time, while they increased in the control group. SF-36 scores significantly increased in the intervention group over time. It was determined that analgesic consumption was significantly lower in the intervention group than in the control group.

Conclusions: TENS significantly reduced pain and increased functionality and quality of life. Our findings suggest that TENS may be an effective adjunctive analgesic therapy in patients receiving TKR; however, more testing is needed in larger and more heterogeneous populations.

Clinical implications: Nurses can provide effective postoperative pain control in patients undergoing TKR, increase functionality, accelerate the healing process, and improve their quality of life by using TENS, a non-pharmacological treatment method, in the perioperative period.

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经皮神经电刺激对全膝关节置换术患者的影响:随机对照试验
目的:本研究旨在确定经皮神经电刺激(TENS)对接受 TKR 患者的疼痛、功能、生活质量和镇痛药消耗量的影响:设计:单中心随机对照试验:共有 52 名参与者被随机分配到干预组(26 人)和对照组(26 人)。干预组接受传统的 TENS 治疗。通过患者身份识别表、视觉模拟量表(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、生活质量量表(SF-36)和镇痛剂跟踪表收集数据:随着时间的推移,干预组的 VAS 和 WOMAC 分数明显下降,而对照组则有所上升。随着时间的推移,干预组的 SF-36 评分明显上升。干预组的镇痛药用量明显低于对照组:结论:TENS 可明显减轻疼痛,提高功能和生活质量。我们的研究结果表明,对于接受 TKR 的患者来说,TENS 可能是一种有效的辅助镇痛疗法;但是,还需要在更大范围和更多异质性人群中进行更多测试:临床意义:护士可以通过在围手术期使用 TENS 这种非药物治疗方法为接受 TKR 的患者提供有效的术后疼痛控制、增强功能、加速愈合过程并改善其生活质量。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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