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经皮神经电刺激对乳房切除术疼痛、患者满意度和患者结局的影响。

Effects of Transcutaneous Electrical Nerve Stimulation on Mastectomy Pain, Patient Satisfaction, and Patient Outcomes.

机构信息

Çukurova University, Faculty of Health Sciences, Department of Surgical Diseases Nursing, Adana, Turkey.

Çukurova University, Faculty of Medicine Balcalı Hospital, Adana, Turkey.

出版信息

J Perianesth Nurs. 2022 Aug;37(4):485-492. doi: 10.1016/j.jopan.2021.08.017. Epub 2022 Mar 15.

Abstract

PURPOSE

Mastectomy is one of the most painful surgical procedures. Postoperative pain guidelines recommend transcutaneous electrical nerve stimulation (TENS) as a reliable non-pharmacological analgesic method. The aim of this study was to investigate the effects of TENS on postoperative pain and outcomes in patients undergoing modified radical mastectomy (MRM).

DESIGN

A single-center, single-blind, prospective, randomized-controlled study.

METHODS

This single-center, single-blind, randomized-controlled study included a total of 80 patients who underwent MRM at general surgery clinic of a tertiary center were included. The pain management of the patient outcomes were evaluated using the Turkish Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR).

FINDINGS

The pain levels of the intervention group were lower than the control group. There were significant improvements in the patient outcomes such as mobilization, position, sleep, anxiety, and fear in the intervention group.

CONCLUSIONS

Our study results suggest that TENS reduces MRM pain. Thus, TENS can be recommended as a useful analgesic method in MRM.

摘要

目的

乳房切除术是最痛苦的外科手术之一。术后疼痛指南推荐经皮电神经刺激(TENS)作为一种可靠的非药物镇痛方法。本研究旨在探讨 TENS 对改良根治性乳房切除术(MRM)患者术后疼痛和结局的影响。

设计

单中心、单盲、前瞻性、随机对照研究。

方法

本单中心、单盲、随机对照研究共纳入 80 例在三级中心普外科行 MRM 的患者。采用土耳其修订版美国疼痛协会患者结局问卷(APS-POQ-R-TR)评估患者的疼痛管理和结局。

结果

干预组的疼痛水平低于对照组。干预组在活动、体位、睡眠、焦虑和恐惧等方面的患者结局均有显著改善。

结论

我们的研究结果表明,TENS 可减轻 MRM 疼痛。因此,TENS 可作为 MRM 中一种有用的镇痛方法。

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