Department of Midwifery, İnönü University, Malatya, Turkey.
Department of Midwifery, Fırat University, Elazığ, Turkey.
J Midwifery Womens Health. 2024 Sep-Oct;69(5):681-688. doi: 10.1111/jmwh.13625. Epub 2024 Mar 12.
This study was conducted to determine the effects of transcutaneous electrical nerve stimulation (TENS) applied in the early postpartum period after cesarean birth on incision site healing, postoperative recovery, pain, and comfort.
This randomized, single-blind, placebo-controlled study was conducted with 138 women (TENS group n = 46, placebo group n = 46, control group n = 46) who gave birth by cesarean between January and September 2023. TENS was applied twice at a frequency of 100 Hz with a pulse width of 100 microseconds, at 10 to 12 and 14 to 16 hours after birth, for 30 minutes each. Outcomes were measured with the Postoperative Recovery Index; Redness, Edema, Ecchymosis, Discharge, and Approximation Scale; Visual Analogue Scale; and Postpartum Comfort Questionnaire. Outcomes between groups were compared postintervention, correcting for baseline using analysis of covariance. The study was registered at www.
gov (NCT05991921).
Mean scores for postoperative recovery were significantly lower (improved) in the TENS group (113.58) compared with the placebo and control groups (134.67, 136.61; P < .001). The postoperative recovery subscales (psychological symptoms, physical activities, appetite symptoms, bowel symptoms, general symptoms) were also significantly decreased in the TENS group compared with the placebo and control groups. Similarly, mean scores for postpartum comfort, and the corresponding physical comfort, psychospiritual comfort, and sociocultural comfort subscales, were significantly improved in the TENS group (110.26) compared with the placebo and control group (83.80, 81.19; P < .05).
TENS application can be preferred as an alternative method to increase pain control, recovery, and patient comfort after cesarean birth.
本研究旨在确定经皮神经电刺激（TENS）在剖宫产产后早期应用对切口愈合、术后恢复、疼痛和舒适度的影响。
这是一项随机、单盲、安慰剂对照研究，共纳入 2023 年 1 月至 9 月间剖宫产分娩的 138 名女性（TENS 组 n = 46，安慰剂组 n = 46，对照组 n = 46）。TENS 在产后 10 至 12 小时和 14 至 16 小时，以 100 Hz 的频率、100 微秒的脉冲宽度，各应用 30 分钟。采用术后恢复指数、红肿、水肿、瘀斑、分泌物和接近程度量表、视觉模拟量表和产后舒适度问卷评估结局。采用协方差分析校正基线后，比较组间结局。本研究在 www.clinicaltrials.gov 注册（NCT05991921）。
TENS 组的术后恢复评分（113.58）明显低于（改善）安慰剂组和对照组（134.67，136.61；P < 0.001）。TENS 组术后恢复各亚量表（心理症状、身体活动、食欲症状、肠道症状、一般症状）评分也明显低于安慰剂组和对照组。同样，TENS 组的产后舒适度评分（110.26）以及相应的身体舒适度、心理精神舒适度和社会文化舒适度亚量表评分也明显高于安慰剂组和对照组（83.80，81.19；P < 0.05）。
TENS 应用可作为一种替代方法，用于增加剖宫产术后的疼痛控制、恢复和患者舒适度。
