Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery
Background: The aim of this study was to determine the effect of electrical nerve stimulation on pain intensity and pulmonary function in patients undergoing coronary artery bypass surgery. Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypa...
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| Veröffentlicht in: | Pain management nursing 2018-08, Vol.19 (4), p.408-414 |
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| creator | Jahangirifard, Alireza Razavi, Mohammadreza Ahmadi, Zargham Hosein Forozeshfard, Mohammad |
| description | Background: The aim of this study was to determine the effect of electrical nerve stimulation on pain intensity and pulmonary function in patients undergoing coronary artery bypass surgery. Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypass surgery at Masih Daneshvari Hospital, Tehran, Iran, from February to May 2014, were divided into two groups. In the intervention group (n = 50), patients received routine care along with transcutaneous electrical nerve stimulation (TENS) immediately after admission to the intensive care unit (ICU). In the placebo group (n = 50), patients only received routine care. The pain intensity was measured using a visual analog scale (VAS) every 6 hours for 72 hours after surgery in two conditions of rest and coughing. Pulmonary function was assessed through forced expiratory volume in 1 second (FEV1) and forced volume capacity (FVC) at 24, 48, and 72 hours after surgery. Age, gender, body mass index, narcotic consumption, ICU length of stay, and requests for chest radiographs were recorded. The statistical level of significance was set at p .05). Pain intensity was significantly lower in the TENS group than the placebo group in both resting and coughing condition (p |
| doi_str_mv | 10.1016/j.pmn.2017.10.018 |
| format | Article |
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Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypass surgery at Masih Daneshvari Hospital, Tehran, Iran, from February to May 2014, were divided into two groups. In the intervention group (n = 50), patients received routine care along with transcutaneous electrical nerve stimulation (TENS) immediately after admission to the intensive care unit (ICU). In the placebo group (n = 50), patients only received routine care. The pain intensity was measured using a visual analog scale (VAS) every 6 hours for 72 hours after surgery in two conditions of rest and coughing. Pulmonary function was assessed through forced expiratory volume in 1 second (FEV1) and forced volume capacity (FVC) at 24, 48, and 72 hours after surgery. Age, gender, body mass index, narcotic consumption, ICU length of stay, and requests for chest radiographs were recorded. The statistical level of significance was set at p < .05. Results: There were no significant differences between the two groups in terms of age, gender, and body mass index (p > .05). Pain intensity was significantly lower in the TENS group than the placebo group in both resting and coughing condition (p < .05). FVC and FEV1 were significantly better and faster in the TENS group than in the placebo group at 24, 48, and 72 hours after surgery (p < .05). Patients in the TENS group had significantly lower narcotic use and requests for chest radiographs compared with placebo group. Conclusions: TENS may reduce postoperative pain in resting and coughing conditions, improve pulmonary function, and reduce narcotic use in patients undergoing coronary artery bypass surgery.</description><identifier>ISSN: 1524-9042</identifier><identifier>EISSN: 1532-8635</identifier><identifier>DOI: 10.1016/j.pmn.2017.10.018</identifier><identifier>PMID: 29396016</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Coronary Artery Bypass - methods ; Female ; Humans ; Iran ; Male ; Middle Aged ; Nursing ; Pain Measurement - methods ; Pain, Postoperative - therapy ; Respiratory Function Tests - methods ; Transcutaneous Electric Nerve Stimulation - methods ; Transcutaneous Electric Nerve Stimulation - standards</subject><ispartof>Pain management nursing, 2018-08, Vol.19 (4), p.408-414</ispartof><rights>2017 American Society for Pain Management Nursing</rights><rights>Copyright © 2017 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-abd74324fdd00ba367dd5390fb57c4b28d841b7c6d6baf36c80d62a35f8426153</citedby><cites>FETCH-LOGICAL-c353t-abd74324fdd00ba367dd5390fb57c4b28d841b7c6d6baf36c80d62a35f8426153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pmn.2017.10.018$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29396016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jahangirifard, Alireza</creatorcontrib><creatorcontrib>Razavi, Mohammadreza</creatorcontrib><creatorcontrib>Ahmadi, Zargham Hosein</creatorcontrib><creatorcontrib>Forozeshfard, Mohammad</creatorcontrib><title>Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery</title><title>Pain management nursing</title><addtitle>Pain Manag Nurs</addtitle><description>Background: The aim of this study was to determine the effect of electrical nerve stimulation on pain intensity and pulmonary function in patients undergoing coronary artery bypass surgery. Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypass surgery at Masih Daneshvari Hospital, Tehran, Iran, from February to May 2014, were divided into two groups. In the intervention group (n = 50), patients received routine care along with transcutaneous electrical nerve stimulation (TENS) immediately after admission to the intensive care unit (ICU). In the placebo group (n = 50), patients only received routine care. The pain intensity was measured using a visual analog scale (VAS) every 6 hours for 72 hours after surgery in two conditions of rest and coughing. Pulmonary function was assessed through forced expiratory volume in 1 second (FEV1) and forced volume capacity (FVC) at 24, 48, and 72 hours after surgery. Age, gender, body mass index, narcotic consumption, ICU length of stay, and requests for chest radiographs were recorded. The statistical level of significance was set at p < .05. Results: There were no significant differences between the two groups in terms of age, gender, and body mass index (p > .05). Pain intensity was significantly lower in the TENS group than the placebo group in both resting and coughing condition (p < .05). FVC and FEV1 were significantly better and faster in the TENS group than in the placebo group at 24, 48, and 72 hours after surgery (p < .05). Patients in the TENS group had significantly lower narcotic use and requests for chest radiographs compared with placebo group. Conclusions: TENS may reduce postoperative pain in resting and coughing conditions, improve pulmonary function, and reduce narcotic use in patients undergoing coronary artery bypass surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Coronary Artery Bypass - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Iran</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Pain Measurement - methods</subject><subject>Pain, Postoperative - therapy</subject><subject>Respiratory Function Tests - methods</subject><subject>Transcutaneous Electric Nerve Stimulation - methods</subject><subject>Transcutaneous Electric Nerve Stimulation - standards</subject><issn>1524-9042</issn><issn>1532-8635</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVoSVI3PyCXomMv6-pjV7tLT6lx0oJpDbbPQqsPI-OVNtKuIf8-Y-z2WBCMRnrmhXkQeqRkTgkV3w7zoQ9zRmgN_ZzQ5gbd04qzohG8-nC-s7JoScnu0KecD4RQKgi7RXes5a2AhHv0unTO6hFHh7fL3xscA17HPMbBJjX6k8Vr5QNWweD1dOxjUOkNP09Bjx5I-FkDZcOY8S4Ym_bRhz1exHQBn9Joofx4G1TOeDOlPbSf0Uenjtk-XOsM7Z6X28XPYvXn5dfiaVVoXvGxUJ2pS85KZwwhneKiNqbiLXFdVeuyY41pStrVWhjRKceFbogRTPHKNSUTYGGGvl5yhxRfJ5tH2fus7fGogo1TlrQFCXBoCSi9oDrFnJN1cki-hw0kJfJsWh4kmJZn0-cnMA0zX67xU9db82_ir1oAvl8AC0uevE0ya1ClrfEJjEsT_X_i3wHOoo-Q</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Jahangirifard, Alireza</creator><creator>Razavi, Mohammadreza</creator><creator>Ahmadi, Zargham Hosein</creator><creator>Forozeshfard, Mohammad</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201808</creationdate><title>Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery</title><author>Jahangirifard, Alireza ; Razavi, Mohammadreza ; Ahmadi, Zargham Hosein ; Forozeshfard, Mohammad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-abd74324fdd00ba367dd5390fb57c4b28d841b7c6d6baf36c80d62a35f8426153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Coronary Artery Bypass - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Iran</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Pain Measurement - methods</topic><topic>Pain, Postoperative - therapy</topic><topic>Respiratory Function Tests - methods</topic><topic>Transcutaneous Electric Nerve Stimulation - methods</topic><topic>Transcutaneous Electric Nerve Stimulation - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jahangirifard, Alireza</creatorcontrib><creatorcontrib>Razavi, Mohammadreza</creatorcontrib><creatorcontrib>Ahmadi, Zargham Hosein</creatorcontrib><creatorcontrib>Forozeshfard, Mohammad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain management nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jahangirifard, Alireza</au><au>Razavi, Mohammadreza</au><au>Ahmadi, Zargham Hosein</au><au>Forozeshfard, Mohammad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery</atitle><jtitle>Pain management nursing</jtitle><addtitle>Pain Manag Nurs</addtitle><date>2018-08</date><risdate>2018</risdate><volume>19</volume><issue>4</issue><spage>408</spage><epage>414</epage><pages>408-414</pages><issn>1524-9042</issn><eissn>1532-8635</eissn><abstract>Background: The aim of this study was to determine the effect of electrical nerve stimulation on pain intensity and pulmonary function in patients undergoing coronary artery bypass surgery. Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypass surgery at Masih Daneshvari Hospital, Tehran, Iran, from February to May 2014, were divided into two groups. In the intervention group (n = 50), patients received routine care along with transcutaneous electrical nerve stimulation (TENS) immediately after admission to the intensive care unit (ICU). In the placebo group (n = 50), patients only received routine care. The pain intensity was measured using a visual analog scale (VAS) every 6 hours for 72 hours after surgery in two conditions of rest and coughing. Pulmonary function was assessed through forced expiratory volume in 1 second (FEV1) and forced volume capacity (FVC) at 24, 48, and 72 hours after surgery. Age, gender, body mass index, narcotic consumption, ICU length of stay, and requests for chest radiographs were recorded. The statistical level of significance was set at p < .05. Results: There were no significant differences between the two groups in terms of age, gender, and body mass index (p > .05). Pain intensity was significantly lower in the TENS group than the placebo group in both resting and coughing condition (p < .05). FVC and FEV1 were significantly better and faster in the TENS group than in the placebo group at 24, 48, and 72 hours after surgery (p < .05). Patients in the TENS group had significantly lower narcotic use and requests for chest radiographs compared with placebo group. Conclusions: TENS may reduce postoperative pain in resting and coughing conditions, improve pulmonary function, and reduce narcotic use in patients undergoing coronary artery bypass surgery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29396016</pmid><doi>10.1016/j.pmn.2017.10.018</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Coronary Artery Bypass - methods Female Humans Iran Male Middle Aged Nursing Pain Measurement - methods Pain, Postoperative - therapy Respiratory Function Tests - methods Transcutaneous Electric Nerve Stimulation - methods Transcutaneous Electric Nerve Stimulation - standards |
| title | Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery |
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