Ignite Creation Date:
2024-07-17 @ 11:30 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06480318
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-06-28
First Post:
2024-06-13
Brief Title:
Effect of TENS of Intestınal Functıons Pain and Analgesis Consumptıon Amount
Sponsor:
İlknur tura
Organization:
Cukurova University
Study Overview
Official Title:
Effect of Tens Applied In Colorectal Surgery on Intestınal Functıons Pain and Analgesis Consumptıon Amount
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
In this study the effect of TENS applied to patients undergoing open colorectal surgery on bowel functions pain and analgesia consumption amount will be evaluated
Detailed Description:
Colorectal cancers inflammatory colon diseases colorectal diseases for which medical treatment cannot be successful diverticula perforation obstruction etc These conditions are among the conditions requiring colorectal surgical treatment Colorectal cancer is the most common reason for colorectal surgery and causes illness and death all over the world Conditions that cause pain in colorectal surgery Painful drainage in perianal fistulas hemorrhoidal diseases perianal hernia ulcerative colitis surgical interventions stoma and peristomal skin complications In addition patients experience serious pain when there is more than one source of pain due to the size of the incision area cutting of skin and muscles nerve damage etc When evaluated numerically the pain experienced after surgery increases up to 8 out of 10 especially in the first 24 hours and decreases below 4 after the 72nd hour In cases where severe pain is not adequately controlled patients do not want to move and the digestive system causes a decline in intestinal functions due to decreased blood flow For effective pain management pain should be questioned constantly its location and spread character noiceptive neuropathic visceral severity duration continuous intermittent paroxysmal factors that increase or decrease symptoms accompanying the pain symptoms caused by the pain previous treatments The reasons that prevent the evaluation of the response and pain should be determined and patient-specific pain management should be planned
In addition strong opioids such as morphine and talinate which are administered in high doses for pain treatment cause the bowel functions to slow down and increase the rates of paralytic ileus constipation and distension In this context the multimodal analgesia approach in which more than one method is used provides more effective pain control than a single analgesia approach and also reduces the complication rates in bowel functions
It is a non-invasive and safe analgesic method in gastrointestinal surgery that acts through multiple mechanisms In the nursing regulation published in 2011 independent semi-dependent and dependent roles of nurses were defined TENS should be applied in the postoperative period to provide effective analgesia reduce the use of pharmacological analgesics and improve the patients bowel functions in the early period The mechanism of action of TENS on the body is explained by two types of mechanisms Since nurses who have a key role in pain management do not have the authority to decide on the type and dose of analgesic medication to be administered their role in pain management is limited but nurses If there is more than one source of pain due to the size of the incision area cutting of skin and muscles nerve damage etc patients experience serious pain and regression in bowel functions due to pain
In addition strong opioids such as morphine and talinate which are administered in high doses for pain treatment cause the bowel functions to slow down and increase the rates of paralytic ileus constipation and distension In this context the multimodal analgesia approach in which more than one method is used provides more effective pain control than a single analgesia approach and also reduces the complication rates in bowel functions
It is a non-invasive and safe analgesic method in gastrointestinal surgery that acts through multiple mechanisms In the nursing regulation published in 2011 independent semi-dependent and dependent roles of nurses were defined TENS should be applied in the postoperative period to provide effective analgesia reduce the use of pharmacological analgesics and improve the patients bowel functions in the early period The mechanism of action of TENS on the body is explained by two types of mechanisms Since nurses who have a key role in pain management do not have the authority to decide on the type and dose of analgesic medication to be administered their role in pain management is limited but nurses If there is more than one source of pain due to the size of the incision area cutting of skin and muscles nerve damage etc patients experience serious pain and regression in bowel functions due to pain
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None