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Effect of TENS on Patient Outcomes After Laparoscopic Cholecystectomy: A Randomized Controlled Trial
Sevilay Erden1, Cansel Bozer Uludağ1, Ceylan Kişial1
1Faculty of Health Sciences, Department of Nursing, Çukurova University, Adana, Turkey.
Purpose:
The most common complication after laparoscopic cholecystectomy is pain. One of the nondrug methods used to reduce pain and pain-related complications in the patient is transcutaneous electrical nerve stimulation (TENS). This research was conducted as a randomized controlled trial to evaluate the effect of TENS on patient outcomes following laparoscopic cholecystectomy.
Design And Methods:
The study sample consisted of 140 patients (intervention: 70 and control: 70) who were treated in the general surgery clinic of a training and research hospital between May 2023 and May 2024 and underwent laparoscopic cholecystectomy. TENS was applied to the intervention group three times in 30-minute sessions within 24 hours. The control group received only the routine treatment of the clinic. Data collection tools included a "data collection form" and the "Turkish Revised-American Pain Society Patient Outcome Questionnaire" (APS-POQ-R-TR). The mean age of the patients participating in the study was 47.14 ± 11.42, 51.4% were male, and the groups were homogeneous in terms of their descriptive characteristics (p > .05). It was determined that the 1st-, 11th-, and 19th-hour rest and cough pain levels of the intervention group following the TENS intervention were significantly lower than those of the control group (p < .05). The intervention group had lower postoperative pain intensity in the first 24 hours, lower pain intensity in the 24 hours after surgery, and lower sleep time compared to the control group. Scores for pain reduction, turning in bed, walking and sitting, sleep maintenance, treatment participation (6.65 ± 1.10), and satisfaction (7.70 ± 1.30) in the first 24 hours were higher than those in the control group (p < .05).
Result:
The study demonstrated that TENS is an effective analgesic option for pain management after laparoscopic cholecystectomy, positively impacting comfort and treatment participation.
Conclusions And Clinical Implications:
This method should be integrated into pain management protocols and treatment plans to improve patient outcomes.
