شادمهری, رادنوش (2017) عنوان: بررسی تاثیر تحریک الکتریکی عصب از طریق پوست با فرکانس بالا بر شدت درد، تهوع و استفراغ بیماران بعد از عمل جراحی نفروستولیتوتومی جلدی در بیمارستان قائم (عج) مشهد سال 1395. Masters thesis, علوم پزشکی سبزوار.
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Abstract
Background: Despite advances in antiemetic and analgesic treatments, complications are still problematic for a significant number of patients after percutaneous nephrolithotomy.The purpose of this study is to examine the effect of using High Transcutaneous Electrical Nerve Stimulation (TENS) on the severity of pain, nausea and vomiting after percutaneous nephrostolithotomy. Materials and Methods:In this study, 72 patients who underwent percutaneous nephrolithotomy in Ghaem Hospital of Mashhad in 2016,were examined. This clinical trial, included three groups and was single blinded. Patients were randomly divided into three groups: control (24 peoples), intervention (24 peoples) and placebo (24 peoples). After surgery, in the intervention group,TENSwith a frequency of 100 Hz, andcurrent intensity based on patient tolerance at a distance of 5 cm from the nephrostomy for 20 minutes twice with an interval of six hours was established. In the placebo group,TENSunit was turned on, but with zero current intensity and frequency, i.e. no electrical stimulation. The severity of pain, nausea and vomiting before and after the intervention was measured for 18 hours.For statictical analysis SPSS Software version 20 and chi-square test,Fisher's exact test, Mnn-whitney test , kruskal-wallis test, anova and Mauchly,s test, Kolmogorov-Smirnov test were used .Meanwhile utilized P value under 0.05 was assumed as significant in statistic tests. Results: The results showed that in the experimental group the severity of pain was significantly more decreased than two other groups and this decreased was statistically significant .also the severity of nausea and frequency of vomitingin the TENSgroup was lower than those of the placebo and control group but no statistically significant difference was observed between the three groups in the 18 hours after percutaneous nephrostolithotomy. Conclusions: High TENS can be used as an adjunct with analgesics forcontrolling of pain after percutaneous nephrostolithotomy. Keywords:Trascutaneous Electrical Nerve Stimulation (TENS), Pain, Nausea, Vomiting, Percutaneous Nephrostolithotomy (PCNL)
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | Saeed Shoja |
| Date Deposited: | 14 May 2018 07:09 |
| Last Modified: | 14 May 2018 07:09 |
| URI: | http://eprints.medsab.ac.ir/id/eprint/394 |
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