Use of Tens in Chronic Pain Management and Nursing Care
Tens and Pain
DOI:
https://doi.org/10.5281/zenodo.14275553Keywords:
Chronic pain, TENS, nursingAbstract
Chronic pain is pain that lasts more than three months. Since chronic pain decreases the quality of life, it can lead to significant negative economic effects by reducing the individual's participation in work life and productivity. For these reasons, it is very important to control pain. Pharmacological and non-pharmacological methods are used in pain control. Non-pharmacological methods include complementary applications such as Transcutaneous Electrical Nerve Stimulation (TENS). In the nursing regulation in our country, the use of TENS is shown as a nursing intervention in the segment ‘applied with the decision of the physician and applied together with the physician. The New York Nurses Association has stated that TENS is a complementary treatment method and should be used in nursing care. TENS is an adjunctive treatment modality that has been widely used in the clinic for many years to manage a variety of painful conditions. In our country, the use of TENS is available in nursing interventions but is not routinely used in care. In its current form in the regulation, it may be recommended that nurses use TENS in the treatment of chronic pain after receiving the necessary training together with the physician.
References
Johnson, M.I., Paley, C.A., Jones, G., & Mulvey. MR. (2022). Wittkopf PG. Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: a systematic review and meta-analysis of 381 studies (the meta-TENS study). BMJ Open,12(2):e051073. doi: 10.1136/bmjopen-2021-051073.
Gibson, W., Wand B.M., Meads, C., Catley, M.J., & O'Connell, N.E. (2019). Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews. Cochrane Database Syst Rev, 2(2):CD011890. doi: 10.1002/14651858.CD011890.pub2.
Kılıç P.S. Ağrı Yönetimi Temel İç Hastalıkları Hemşireliği ve Farklı Boyutlarıyla Kronik Hastalıklar, Ovayolu Ö, Ovayolu N. (Ed), S.40-48.Çukurova Nobel Tıp Kitabevi.2017.
Erden, S., & Çelik Şenol, S. (2015). Bir Elektro Analjezi Yöntemi: transkütan elektriksel sınır stimülasyonu ve hemşirenin rolleri. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2(1):50–60.
Vance, C.G.T., Dailey, D.L., Chimenti, R.L., Van Gorp, B.J., Crofford. L.J., & Sluka, K.A.(2022). Using TENS for Pain Control: Update on the State of the Evidence. Medicina (Kaunas), 58(10):1332. doi: 10.3390/medicina58101332.
Travers, M.J., O'Connell, N.E., Tugwell, P., Eccleston, C., & Gibson, W. (2020). Transcutaneous electrical nerve stimulation (TENS) for chronic pain: the opportunity to begin again. Cochrane Database Syst Rev, 4(4):ED000139. doi: 10.1002/14651858.ED000139.
Brosseau, L., Judd, M.G., Marchand. S., Robinson, V.A., Tugwell, P., Wells, G., & Yonge, K. (2003). Transcutaneous electrical nerve stimulation (TENS) for the treatment of rheumatoid arthritis in the hand. Cochrane Database Syst Rev, 2003(3):CD004377.doi: 10.1002/14651858.CD004377.
Aydın, E., & Nazlıkul Ural, F.G. (2021). Bel Ağrısı Olan Hastalarda Tens’in Ağrı ve Yaşam Kalitesi Üzerine Etkinliği: Ön Çalışma. Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöralterapi Dergisi, 15(1):5-8.
Başer M, T. S. (2015). Kanıta dayalı rehberleriyle tamamlayıcı ve destekleyici uygulamalar. Akademisyen tıp kitabevi. Akademisyen Kitabevi 267–279
Vance, C.G., Dailey, D.L., Rakel, B.A., & Sluka, K.A.(2014).Using TENS for pain control: the state of the evidence. Pain Manag, 4(3):197-209. doi: 10.2217/pmt.14.13.
Hemşirelik yönetmeliği, Ek3, https://www.mevzuat.gov.tr/mevzuatmetin/yonetmelik/7.5.13830-ek-2%20ve%203.htm[20.09.2024 ]
Jahangirifard, A., Razavi, M., Ahmadi, Z.H., & Forozeshfard, M. (2018). Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery. Pain Manag Nurs, 19(4):408-414. doi: 10.1016/j.pmn.2017.10.018.
Bjerså, K., Jildenstaal, P., Jakobsson, J., Egardt, M., & Fagevik, O. M. (2015). Adjunct High Frequency Transcutaneous Electric Stimulation (TENS) for Postoperative Pain Management during Weaning from Epidural Analgesia Following Colon Surgery: Results from a Controlled Pilot Study. Pain Manag Nurs, 16(6):944-50. doi: 10.1016/j.pmn.2015.08.006.
Posıtıon statement on the use of complementary and alternatıve therapıes ın the practıce of nursıng. https://www.nysna.org/position-statement-use-complementary-and-alternative-therapies-practice-nursing. [10.09.2024].
Martimbianco, A.L.C., Porfírio, G.J., Pacheco, R.L., Torloni, M.R., & Riera, R.(2019). Transcutaneous electrical nerve stimulation (TENS) for chronic neck pain. Cochrane Database Syst Rev, 12(12):CD011927. doi: 10.1002/14651858.CD011927.pub2
Dias, L.V., Cordeiro, M.A., Schmidt de Sales R, Dos Santos M.M.B.R., Korelo. R., Vojciechowski, A.S., & de Mace do ACB. (2021). Immediate analgesic effect of transcutaneous electrical nerve stimulation (TENS) and interferential current (IFC) on chronic low back pain: Randomised placebo-controlled trial. J Bodyw Mov Ther, 27:181-190. doi: 10.1016/j.jbmt.2021.03.005.
Leemans, L., Elma, Ö., Nijs, J., Wideman, T.H., Siffain, C., den Bandt, H., Van Laere, S., & Beckwée, D. (2021). Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial. Braz J Phys Ther, 25(1):86-96. doi: 10.1016/j.bjpt.2020.04.001.
Facci, L.M., Nowotny, J.P., Tormem, F., & Trevisani, V.F. (2011). Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo Med J, 129(4):206-16. doi: 10.1590/s1516-31802011000400003.
Jauregui, J.J., Cherian, J.J., Gwam, C.U., Chughtai, M., Mistry, J.B., Elmallah, R.K., Harwin, S.F., Bhave, A. & Mont, MİA. (2016): A Meta-Analysis of Transcutaneous Electrical Nerve Stimulation for Chronic Low Back Pain. Surg Technol Int, 28:296-302.
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