성인간호학회지 (Korean Journal of Adult Nursing)

  • 제21권5호
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  • Pages.519-528
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  • 2009
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지

경피적 전기신경자극이 폐암 환자의 폐엽절제술 후 통증과 폐기능에 미치는 효과

The Effect of Transcutaneous Electrical Nerve Stimulation on Pain and Pulmonary Function with Post-lobectomy Patient with Lung Cancer

  • 투고 : 2009.08.24
  • 심사 : 2009.10.15
  • 발행 : 2009.10.31
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초록

Purpose: This study was designed to evaluate the effect of TENS on pain and pulmonary function of post-lobectomy patients with lung cancer. Methods: The study data collection was done from February 4, 2008 to February 7, 2009. The subjects were assigned at random to the experimental group and control group with 20 subjects in each group. The experimental group was measured for pain and pulmonary function after surgery and then again after applying TENS 100 Hz frequency and 40 mA output for 20 minutes. The control group was measured the same as the experimental group except applying sham TENS. Results: The pain score of the experimental group which had TENS applied revealed that there were more significant reductions than the control group which had sham TENS applied. There was no significant difference with the number of times of receiving analgesics between the experimental and control group. The effect of TENS on pulmonary function was significantly different between the experimental group and the control group on VC 2 hours after surgery. There was no significant difference between FVC and FEV1. Conclusion: The findings of the study indicate that the TENS is effective in easing the pain of patients after a lobectomy.

키워드

참고문헌

  1. Basbaum, A. I., & Filed, H. L. (1984). Endogenous pain control systems: Brain stem spinal pathways and endorphin circuitry. Annual Review of Neuroscience, 7, 309-338. https://doi.org/10.1146/annurev.ne.07.030184.001521
  2. Benedetti, F., Amanzio, M., Casadio, C., Cavallo, A., Cianci, R., Giobbe, R., Mancuso, M., Ruffini, E., & Maggi, G. (1997). Control of postoperative pain by transcutaneous electrical nerve stimulation after thoracic operations. The Annals of Thoracic Surgery, 63(3), 773-776. https://doi.org/10.1016/S0003-4975(96)01249-0
  3. Carrol, E. N., & Badura, A. S. (2001). Focal intense brief transcutaneous electric nerve stimulation for treatment of radicular and post thoracotomy pain. Archives of Physical Medicine and Rehabilitation, 82(2), 262-264. https://doi.org/10.1053/apmr.2001.9176
  4. Cipriano, G. J. R,. Carvalho, A. C., Bernardelli, G. F., & Peres, P. A. (2008). Short-term transcutaneous electrical nerve stimulation after cardiac surgery: Effect on pain, pulmonary function and electrical muscle activity. Interactive Cardiovascular and Thoracic Surgery, 17(4), 539-543.
  5. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
  6. Cook, T. M., & Riley, R. H. (1997). Analgesia following thoracotomy: A survey at australian practice. Anaesthesia and Intensive Care, 25(5), 520-524.
  7. Erdogan, M., Erdogan, A., Erbil, N., Karakaya, H. K., & Demircan, A. (2005). Prospective, randomized, placebo-controlled study of the effect of TENS on post thoracotomy pain and pulmonary function. World Journal of Surgery, 29(12), 1563-1570. https://doi.org/10.1007/s00268-005-7934-6
  8. Forster, E. L., Kramer, J. F., Lucy, S. D., Scudds, R. A., & Novick, R. J. (1994). Effect of TENS on pain, medications, and pulmonary function following coronary artery bypass graft surgery. Chest, 106(5), 1343-1348. https://doi.org/10.1378/chest.106.5.1343
  9. Hahn, S. W. (2002). The effects of exercise therapy and transcutaneous electrical nerve stimulation for the alleviation of low back pain after coronary angiography. The Journal of Korean Academic Society of Adult Nursing, 14(2), 222-232
  10. Hazelrigg, S. R., Cetindag, I. B., & Fullerton, J. (2002). Acute and chronic pain syndromes after thoracic surgery. The Surgical Clinics of North America, 82(4), 849-865. https://doi.org/10.1016/S0039-6109(02)00031-2
  11. Han, J. S., Li, S. J., & Tang, J. (1981). Tolerance to electro acupunture and its cross tolerance to morphine. Neuropharmacology, 20(6), 593-596. https://doi.org/10.1016/0028-3908(81)90213-6
  12. Huh, H. G. (1999) Nurses' attitudes toward postoperative pain control. The Journal of Korean Academic Society of Adult Nursing, 6(2), 236-250.
  13. Jang, Y. J. (2005). Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control. Unpublished master's thesis, Chonbuk University, Jeonju.
  14. Jo, G. J., & Jeong, H. G. (1992). The study of change pulmonary function following thoracotomy. The Korean Journal of Thoracic and Cardiovascular Surgery, 25(11), 1169-1179.
  15. Kim, M. K. (2004). An optimal regimen of 0.2% ropivacaine-sufentanil mixture in continuous thoracic epidural infusion for pain control after thoracotomy. Unpublished master's thesis, Yonsei University, Seoul.
  16. Kim, M. J. (1997). Implementation of pain intervention among clinical nurses. The Journal of Korean Academic Society of Adult Nursing, 9(2), 209-224.
  17. Kim, T. J. (2004). The effects of transcutaneous electrical nerve stimulation on the labor pain and labor stress. Unpublished master's thesis, Inje University, Gimhae.
  18. Lee, D. Y. (2006). Easy-to understand thoracic surgery. Seoul: QLine.
  19. Lee, S. Y., & Lee, K. R. (1999). A study of pain control by transcutaneous electrical nerve stimulation after closed thoracostomy in spontaneous pneumothorax patients. Journal of Soonchunhyang Medical College, 5(1), 115-123.
  20. McCloskey, D. M., & Bulechek, G. M. (2004). Nursing intervention classification(NIC) (4th ed.). St. Louis: Mosby.
  21. Min, K. O. (2001). Electrical therapeutics. Seoul.: Hyunmoonsa.
  22. Korea National Statistic Office (2008). Death and cause of death statistics in '2007. Korea National Statistic Office: Seoul.
  23. Ordog, G. J. (1987). Transcutaneous electrical nerve stimulation. versus oral analgesic: A randomized double blind controlled study in acute traumatic pain. The American Journal of Emergency Medicine, 5(1), 6-10. https://doi.org/10.1016/0735-6757(87)90281-6
  24. Park, C. H., Jo, S. K., Lee, S. H., Kim, B. I., Roh, W. S., & Lee, H. I. (1999). Effects of transcutaneous electrical nerve stimulation with transdermal fentanyl patch. Korean Journal of Anesthesiology, 12(2), 217-220.
  25. Park, I. H. (2008). The effect of transcutaneous electrical nerve stimulation(TENS) as self-care on pain control after perianal surgery. Unpublished master's thesis, Yonsei University, Seoul.
  26. Roosney, S. M., Jain, S., & Goldiner, P. L. (1983). Effect of transcutaneous nerve stimulation on postoperative pain after thoracotomy. Anesethesia and Analgesia, 62(11), 1010-1012.
  27. Seo, Y. H. (2006). The effects of the respiration strengthening exercise program on pulmonary function, anxiety, and sleep of patients underwent lung surgery. Unpublished master's thesis. Kyung Hee University, Seoul.
  28. Shin, Y. H. (2000). A survey of hospitalized post op patient's pain experience in Kyungbook province area. Keimyung Journal of Nursing Science, 4(1), 93-102.
  29. So, H. S., Seo, S. R., Kwon, I. G., Kim, Y, H., & Yun, Y. H. (2005). Pain management made incredibly easy! Seoul: Koonja.
  30. Solak, O., Turna, A., Pekcolaklar, A., Metin, M., Sayar, A., Solak, O., & Gürses, A. (2007). Transcutaneous electric nerve stimulation for the treatment of post thoracotomy pain: A randomized prospective study. The Thoracic and Cardiovascular Surgeon, 55(3), 182-185. https://doi.org/10.1055/s-2006-924631
  31. Song, M. Y. (2003). The effect of muscle relaxation techinqe on patient with thoracic surgery. Unpublished master's thesis, Hanyang University, Seoul.