Darbeli Elektromanyetik Alan Terapisi ve Transkutanöz Elektriksel Sinir Uyarımının Cerrahi Bakımda Kullanımı
Özet
Son yıllarda cerrahi hastasının bakımında, olumlu hasta sonuçlarına katkı sağlamak amacıyla ilaç dışı geleneksel ve tamamlayıcı tıp uygulamalarına ilgi artmakta; özellikle ameliyat ya da yaralanma sonrası hastanın en üst düzeyde rahatlığının ve iyilik halinin sağlanması ve sürdürülmesinde Darbeli Elektromanyetik Alan Terapisi ve Transkutanöz Elektriksel Sinir Uyarımı uygulamasına ilişkin çalışmalar dikkat çekmektedir. Bu uygulamaların cerrahi süreçteki hasta bireyin ağrısının azaltılması, yara iyileşmesinin desteklenmesi, hücrelerin çalışması ve dolaşımın düzenlenmesi, ağrı kontrolünün sağlanması, ayrıca ödem ve ameliyat sonrası tüm yara semptomlarının azaltılmasında etkili olan, hemşirelik girişimleri kapsamında kullanılabilen geleneksel ve tamamlayıcı tıp modaliteleridir. Bu tür uygulamaların hemşirelik eğitim programlarına ve bakım süreçlerine dahil edilmesi, hastaların iyileşme sürecini hızlandırarak, memnuniyet düzeylerini artırabilmekte, cerrahi hemşireliğinin gelişimine katkı sağlayarak alana yenilikçi bir bakış açısı kazandırmaktadır.
In recent years, interest in non-pharmacological traditional and complementary medical practices has increased in the care of surgical patients in order to contribute to positive patient outcomes. In particular, studies focusing on Pulsed Electromagnetic Field Therapy and Transcutaneous Electrical Nerve Stimulation have attracted attention in ensuring and maintaining the highest level of patient comfort and well-being following surgery or injury. These interventions can be utilized within the scope of nursing interventions, as they are effective in reducing pain in surgical patients, supporting wound healing, regulating cellular function and circulation, providing pain control, and reducing edema as well as postoperative wound-related symptoms. The integration of such practices into nursing education programs and care processes may accelerate patients’ recovery, enhance satisfaction levels, and contribute to the advancement of surgical nursing by providing an innovative perspective to the field.
Referanslar
Strauch B, Herman C, Dabb R, et al. Evidence-based use of pulsed electromagnetic field therapy in clinical plastic surgery. Aesthet Surg J. 2009;29(2):135–143. doi:10.1016/j.asj.2009.02.001
Viderman D, Nabidollayeva F, Aubakirova M, et al. The impact of transcutaneous electrical nerve stimulation (TENS) on acute pain and other postoperative outcomes: A systematic review with meta-analysis. J Clin Med. 2024;13(2):427. doi:10.3390/jcm13020427
Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain. 2003;7(2):181–188. doi:10.1016/S1090-3801(02)00098-8
Vance CG, Dailey DL, Chimenti RL, et al. Using TENS for pain control: update on the state of the evidence. Medicina (Kaunas). 2022;58(10):1332. doi: 10.3390/medicina58101332
Markov MS. Expanding use of pulsed electromagnetic field therapies. Electromagn Biol Med. 2007;26(3):257–274. doi:10.1080/15368370701580806
Markov MS. Magnetic field therapy: A review. Electromagn Biol Med. 2007;26(1):1–23. doi:10.1080/15368370600925342
Funk RH, Monsees T, Özkucur N. Electromagnetic effects–from cell biology to medicine. Prog Histochem Cytochem. 2009;43(4):177–264.
Ay S, Evcik D. The effects of pulsed electromagnetic fields in the treatment of knee osteoarthritis: A randomized, placebo-controlled trial. Rheumatol Int. 2009;29:663–666. doi:10.1007/s00296-008-0754-x
Shi HF, Xiong J, Chen YX, et al. Early application of pulsed electromagnetic field in the treatment of postoperative delayed union of long-bone fractures: A prospective randomized controlled study. BMC Musculoskelet Disord. 2013;14:35. doi:10.1186/1471-2474-14-35
Flatscher J, Pavez Loriè E, Mittermayr R, et al. Pulsed electromagnetic fields (PEMF)–physiological response and its potential in trauma treatment. Int J Mol Sci. 2023;24(14):11239. doi:10.3390/ijms241411239
Pickering SAW, Scammell BE. Electromagnetic fields for bone healing. Lower Extremity Wounds. 2002;1(3):152–160. doi: 10.1177/153473460200100302
Daish C, Blanchard R, Fox K, et al. The application of pulsed electromagnetic fields (PEMFs) for bone fracture repair: Past and perspective findings. Ann Biomed Eng. 2018;46(12): 525–542. doi:10.1007/s10439-018-1982-1
Peng L, Fu C, Xiong F, et al. Effectiveness of pulsed electromagnetic fields on bone healing: A systematic review and meta-analysis of randomized controlled trials. Bioelectromagnetics. 2020;41(5):323–337. doi: 10.1002/bem.22271
Fiani B, Kondilis A, Runnels J, et al. Pulsed electromagnetic field stimulators efficacy for noninvasive bone growth in spine surgery. J Korean Neurosurg Soc. 2021;64(4):486–494. doi:10.3340/jkns.2020.0269
Saliev T, Mustapova Z, Kulsharova G, et al. Therapeutic potential of electromagnetic fields for tissue engineering and wound healing. Cell Prolif. 2014;47(6):485–493. doi:10.1111/cpr.12142
Aragona SE, Mereghetti G, Lotti J, et al. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells. J Biol Regul Homeost Agents. 2017;31(2 Suppl 2):219–225.
De Seppia C, Ghione S, et al. Pain perception and electromagnetic fields. Neurosci Biobehav Rev. 2007;31(4):619–642. doi: 10.1016/j.neubiorev.2007.01.003
Hackel JG, Paci JM, Gupta S, et al. Evaluating noninvasive pulsed electromagnetic field therapy for joint and soft tissue pain management: A prospective, multi-center, randomized clinical trial. Pain Ther. 2025;doi:10.1007/s40122-025-00711-z
Bagnato GL, Miceli G, Marino N, et al. Pulsed electromagnetic fields in knee osteoarthritis: A double-blind, placebo-controlled, randomized clinical trial. Rheumatology (Oxford). 2016;55(4):755–762. doi:10.1093/rheumatology/kev426
Hedén P, Pilla AA. Effects of pulsed electromagnetic fields on postoperative pain: A double-blind randomized pilot study in breast augmentation patients. Aesthetic Plast Surg. 2008;32(4):660–666. doi:10.1007/s00266-008-9169-z
Thamsborg G, Florescu A, Oturai P, et al. Treatment of knee osteoarthritis with pulsed electromagnetic fields: A randomized, double-blind, placebo-controlled study. Osteoarthritis Cartilage. 2005;13(7):575–581. doi:10.1016/j.joca.2005.02.012
Ling J, Thirumavalavan J, Shin C, et al. Postoperative rehabilitation to improve outcomes after cervical spine fusion for degenerative cervical spondylosis: A systematic review. Cureus. 2023;15(5):e39081. doi:10.7759/cureus.39081
Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. J Pain. 2003;4(3):109–121. doi: 10.1054/jpai.2003.434
Gürgen SG, Sayın O, Cetin F, et al. Transcutaneous electrical nerve stimulation (TENS) accelerates cutaneous wound healing and inhibits pro-inflammatory cytokines. Inflamm. 2014;37(3):775–784. doi:10.1007/s10753-013-9796-7
Johnson MI. Transcutaneous electrical nerve stimulation (TENS). In: Kitchen S, Bazin S (eds.) Electrophysical agents: Evidence-based practice. 3rd ed. St. Louis: Elsevier; 2020. p.264–296.
Özer T. Diş hekimliğinde transkutanöz elektriksel sinir stimülasyonu: derleme. ADO Klin Bilim Derg. 2023;12(2):328–333. doi: 10.54617/adoklinikbilimler.1232611
Johnson MI. Transcutaneous electrical nerve stimulation (TENS) as an adjunct for pain management in perioperative settings: A critical review. Expert Rev Neurother. 2017;17(10):1013–1027. doi:10.1080/14737175.2017.1364158
Machado AF, Liebano RE, Furtado F, et al. Effect of high- and low-frequency transcutaneous electrical nerve stimulation on angiogenesis and myofibroblast proliferation in acute excisional wounds in rat skin. Adv Skin Wound Care. 2016;29(8):357–363. doi:10.1097/01.ASW.0000488721.83423.f3
García-Pérez S, García-Ríos MC, Pérez-Mármol JM, et al. Effectiveness of transcutaneous electrical nerve stimulation energy in older adults: A pilot clinical trial. Adv Skin Wound Care. 2018;31(10):462–469. doi:10.1097/01.ASW.0000544614.18501.b4
Cardinali A, Celini D, Chaplik M, et al. Efficacy of transcutaneous electrical nerve stimulation for postoperative pain, pulmonary function, and opioid consumption following cardiothoracic procedures: A systematic review. Neuromodulation. 2021;24(8):1439–1450. doi:10.1111/ner.13302
Elboim-Gabyzon M, Andrawus Najjar S, Shtarker H. Effects of transcutaneous electrical nerve stimulation (TENS) on acute postoperative pain intensity and mobility after hip fracture: A double-blinded, randomized trial. Clin Interv Aging. 2019;14:1841–1850. doi:10.2147/CIA.S203658
Oksar M, Kalaci A, Turhanoğlu S. Transcutaneous electrical nerve stimulation for reducing postoperative acute pain after hip fracture surgery: A double-blinded randomized clinical trial. Eur Rev Med Pharmacol Sci. 2024;28(7):2788–2796. doi:10.26355/eurrev-202404-35907
Machado AF, Santana EF, Tacani PM, et al. The effects of transcutaneous electrical nerve stimulation on tissue repair: A literature review. Can J Plast Surg. 2012;20(4):237–240.
Oyebode OA, Jere SW, Houreld NN. Current therapeutic modalities for the management of chronic diabetic wounds of the foot. J Diabetes Res. 2023;2023:1359537. doi:10.1155/2023/1359537
Qin Y, Liu CL, Liu L. The role of TENS therapy in reducing the incidence of post-Caesarean section wound infection. Int Wound J. 2024;21(7):e70001. doi:10.1111/iwj.70001
Johnson MI. Transcutaneous electrical nerve stimulation (TENS) and TENS-like devices: do they provide pain relief? Pain Rev. 2001;8(3–4):121–158. doi: 10.1191/0968130201pr182ra
Referanslar
Strauch B, Herman C, Dabb R, et al. Evidence-based use of pulsed electromagnetic field therapy in clinical plastic surgery. Aesthet Surg J. 2009;29(2):135–143. doi:10.1016/j.asj.2009.02.001
Viderman D, Nabidollayeva F, Aubakirova M, et al. The impact of transcutaneous electrical nerve stimulation (TENS) on acute pain and other postoperative outcomes: A systematic review with meta-analysis. J Clin Med. 2024;13(2):427. doi:10.3390/jcm13020427
Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain. 2003;7(2):181–188. doi:10.1016/S1090-3801(02)00098-8
Vance CG, Dailey DL, Chimenti RL, et al. Using TENS for pain control: update on the state of the evidence. Medicina (Kaunas). 2022;58(10):1332. doi: 10.3390/medicina58101332
Markov MS. Expanding use of pulsed electromagnetic field therapies. Electromagn Biol Med. 2007;26(3):257–274. doi:10.1080/15368370701580806
Markov MS. Magnetic field therapy: A review. Electromagn Biol Med. 2007;26(1):1–23. doi:10.1080/15368370600925342
Funk RH, Monsees T, Özkucur N. Electromagnetic effects–from cell biology to medicine. Prog Histochem Cytochem. 2009;43(4):177–264.
Ay S, Evcik D. The effects of pulsed electromagnetic fields in the treatment of knee osteoarthritis: A randomized, placebo-controlled trial. Rheumatol Int. 2009;29:663–666. doi:10.1007/s00296-008-0754-x
Shi HF, Xiong J, Chen YX, et al. Early application of pulsed electromagnetic field in the treatment of postoperative delayed union of long-bone fractures: A prospective randomized controlled study. BMC Musculoskelet Disord. 2013;14:35. doi:10.1186/1471-2474-14-35
Flatscher J, Pavez Loriè E, Mittermayr R, et al. Pulsed electromagnetic fields (PEMF)–physiological response and its potential in trauma treatment. Int J Mol Sci. 2023;24(14):11239. doi:10.3390/ijms241411239
Pickering SAW, Scammell BE. Electromagnetic fields for bone healing. Lower Extremity Wounds. 2002;1(3):152–160. doi: 10.1177/153473460200100302
Daish C, Blanchard R, Fox K, et al. The application of pulsed electromagnetic fields (PEMFs) for bone fracture repair: Past and perspective findings. Ann Biomed Eng. 2018;46(12): 525–542. doi:10.1007/s10439-018-1982-1
Peng L, Fu C, Xiong F, et al. Effectiveness of pulsed electromagnetic fields on bone healing: A systematic review and meta-analysis of randomized controlled trials. Bioelectromagnetics. 2020;41(5):323–337. doi: 10.1002/bem.22271
Fiani B, Kondilis A, Runnels J, et al. Pulsed electromagnetic field stimulators efficacy for noninvasive bone growth in spine surgery. J Korean Neurosurg Soc. 2021;64(4):486–494. doi:10.3340/jkns.2020.0269
Saliev T, Mustapova Z, Kulsharova G, et al. Therapeutic potential of electromagnetic fields for tissue engineering and wound healing. Cell Prolif. 2014;47(6):485–493. doi:10.1111/cpr.12142
Aragona SE, Mereghetti G, Lotti J, et al. Electromagnetic field in control tissue regeneration, pelvic pain, neuro-inflammation and modulation of non-neuronal cells. J Biol Regul Homeost Agents. 2017;31(2 Suppl 2):219–225.
De Seppia C, Ghione S, et al. Pain perception and electromagnetic fields. Neurosci Biobehav Rev. 2007;31(4):619–642. doi: 10.1016/j.neubiorev.2007.01.003
Hackel JG, Paci JM, Gupta S, et al. Evaluating noninvasive pulsed electromagnetic field therapy for joint and soft tissue pain management: A prospective, multi-center, randomized clinical trial. Pain Ther. 2025;doi:10.1007/s40122-025-00711-z
Bagnato GL, Miceli G, Marino N, et al. Pulsed electromagnetic fields in knee osteoarthritis: A double-blind, placebo-controlled, randomized clinical trial. Rheumatology (Oxford). 2016;55(4):755–762. doi:10.1093/rheumatology/kev426
Hedén P, Pilla AA. Effects of pulsed electromagnetic fields on postoperative pain: A double-blind randomized pilot study in breast augmentation patients. Aesthetic Plast Surg. 2008;32(4):660–666. doi:10.1007/s00266-008-9169-z
Thamsborg G, Florescu A, Oturai P, et al. Treatment of knee osteoarthritis with pulsed electromagnetic fields: A randomized, double-blind, placebo-controlled study. Osteoarthritis Cartilage. 2005;13(7):575–581. doi:10.1016/j.joca.2005.02.012
Ling J, Thirumavalavan J, Shin C, et al. Postoperative rehabilitation to improve outcomes after cervical spine fusion for degenerative cervical spondylosis: A systematic review. Cureus. 2023;15(5):e39081. doi:10.7759/cureus.39081
Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. J Pain. 2003;4(3):109–121. doi: 10.1054/jpai.2003.434
Gürgen SG, Sayın O, Cetin F, et al. Transcutaneous electrical nerve stimulation (TENS) accelerates cutaneous wound healing and inhibits pro-inflammatory cytokines. Inflamm. 2014;37(3):775–784. doi:10.1007/s10753-013-9796-7
Johnson MI. Transcutaneous electrical nerve stimulation (TENS). In: Kitchen S, Bazin S (eds.) Electrophysical agents: Evidence-based practice. 3rd ed. St. Louis: Elsevier; 2020. p.264–296.
Özer T. Diş hekimliğinde transkutanöz elektriksel sinir stimülasyonu: derleme. ADO Klin Bilim Derg. 2023;12(2):328–333. doi: 10.54617/adoklinikbilimler.1232611
Johnson MI. Transcutaneous electrical nerve stimulation (TENS) as an adjunct for pain management in perioperative settings: A critical review. Expert Rev Neurother. 2017;17(10):1013–1027. doi:10.1080/14737175.2017.1364158
Machado AF, Liebano RE, Furtado F, et al. Effect of high- and low-frequency transcutaneous electrical nerve stimulation on angiogenesis and myofibroblast proliferation in acute excisional wounds in rat skin. Adv Skin Wound Care. 2016;29(8):357–363. doi:10.1097/01.ASW.0000488721.83423.f3
García-Pérez S, García-Ríos MC, Pérez-Mármol JM, et al. Effectiveness of transcutaneous electrical nerve stimulation energy in older adults: A pilot clinical trial. Adv Skin Wound Care. 2018;31(10):462–469. doi:10.1097/01.ASW.0000544614.18501.b4
Cardinali A, Celini D, Chaplik M, et al. Efficacy of transcutaneous electrical nerve stimulation for postoperative pain, pulmonary function, and opioid consumption following cardiothoracic procedures: A systematic review. Neuromodulation. 2021;24(8):1439–1450. doi:10.1111/ner.13302
Elboim-Gabyzon M, Andrawus Najjar S, Shtarker H. Effects of transcutaneous electrical nerve stimulation (TENS) on acute postoperative pain intensity and mobility after hip fracture: A double-blinded, randomized trial. Clin Interv Aging. 2019;14:1841–1850. doi:10.2147/CIA.S203658
Oksar M, Kalaci A, Turhanoğlu S. Transcutaneous electrical nerve stimulation for reducing postoperative acute pain after hip fracture surgery: A double-blinded randomized clinical trial. Eur Rev Med Pharmacol Sci. 2024;28(7):2788–2796. doi:10.26355/eurrev-202404-35907
Machado AF, Santana EF, Tacani PM, et al. The effects of transcutaneous electrical nerve stimulation on tissue repair: A literature review. Can J Plast Surg. 2012;20(4):237–240.
Oyebode OA, Jere SW, Houreld NN. Current therapeutic modalities for the management of chronic diabetic wounds of the foot. J Diabetes Res. 2023;2023:1359537. doi:10.1155/2023/1359537
Qin Y, Liu CL, Liu L. The role of TENS therapy in reducing the incidence of post-Caesarean section wound infection. Int Wound J. 2024;21(7):e70001. doi:10.1111/iwj.70001
Johnson MI. Transcutaneous electrical nerve stimulation (TENS) and TENS-like devices: do they provide pain relief? Pain Rev. 2001;8(3–4):121–158. doi: 10.1191/0968130201pr182ra
