{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:24:16Z","timestamp":1776817456723,"version":"3.51.2"},"reference-count":26,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Scientific Research Projects Coordination Unit, University of Erciyes","award":["2013-4541"],"award-info":[{"award-number":["2013-4541"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>The aim of the present study was to assess the efficacy of transcutaneous electrical nerve stimulation in patients with acute exacerbation of chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In patients with stable chronic obstructive pulmonary disease, transcutaneous electrical nerve stimulation has been known to attain improvement in forced expiratory volume in 1\u00a0seconds, physical activity, and quality of life. However, information about the effects of transcutaneous electrical nerve stimulation on acute exacerbation of chronic obstructive pulmonary disease is quite limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A single\u2010blind, randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected between August 2013\u2013May 2014. Eighty\u2010two patients who were hospitalised with a diagnosis of acute exacerbation of chronic obstructive pulmonary disease were randomly assigned to a transcutaneous electrical nerve stimulation group receiving transcutaneous electrical nerve stimulation treatment for 20 seance over the acupuncture points with pharmacotherapy or placebo group receiving the same treatment without electrical current output from the transcutaneous electrical nerve stimulation device. Pulmonary functional test, six\u2010minute walking distance, dyspnoea and fatigue scale, and St. George's Respiratory Questionnaire scores were assessed pre\u2010 and postprogram. The program started at the hospital by the researcher was sustained in the patient's home by the caregiver.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were able to complete the program, despite the exacerbation. The 20 seance transcutaneous electrical nerve stimulation program provided clinically significant improvement in forced expiratory volume in 1\u00a0seconds 21\u00a0ml, 19\u00b751% but when compared with the placebo group, the difference was insignificant (<jats:italic>p\u00a0<\/jats:italic>&gt;<jats:italic>\u00a0<\/jats:italic>0\u00b705). The six\u2010minute walking distance increased by 48\u00b710\u00a0m more in the placebo group (<jats:italic>p\u00a0&lt;\u00a0<\/jats:italic>0\u00b705). There were no significant differences between the two groups' St. George's Respiratory Questionnaire, dyspnoea and fatigue score (<jats:italic>p\u00a0<\/jats:italic>&gt;<jats:italic>\u00a0<\/jats:italic>0\u00b705).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adding transcutaneous electrical nerve stimulation therapy to pharmacotherapy in patients with acute exacerbation of chronic obstructive pulmonary disease provided clinical improvement in forced expiratory volume in 1\u00a0seconds and add benefit in exercise capacity, but no significant effect on the other outcomes measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Transcutaneous electrical nerve stimulation can be used as a non\u2010invasive complementary therapy due to its beneficial effects on forced expiratory volume in 1\u00a0seconds and exercise capacity in patients with acute exacerbation of chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13450","type":"journal-article","created":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T10:54:09Z","timestamp":1466506449000},"page":"1834-1844","source":"Crossref","is-referenced-by-count":19,"title":["The effect of transcutaneous electrical nerve stimulation in patients with acute exacerbation of chronic obstructive pulmonary disease: randomised controlled trial"],"prefix":"10.1111","volume":"26","author":[{"given":"Emine","family":"\u00d6nc\u00fc","sequence":"first","affiliation":[{"name":"Community Health Nursing Department School of Health Sciences Mersin University Mersin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Handan","family":"Zincir","sequence":"additional","affiliation":[{"name":"Community Health Nursing Department Faculty of Health Sciences Erciyes University Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,20]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.54.7.581"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-198205000-00012"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1081\/COPD-200050647"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-0269"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hkpj.2011.11.002"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200523040-00005"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.57.10.847"},{"key":"e_1_2_14_10_1","unstructured":"Global Initiative for Chronic Obstructive Lung Disease(GOLD) (2014)Global Strategy for the Diagnosis Management of Chronic Obstructive Pulmonary Disease. 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