한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제13권9호
  • /
  • Pages.4065-4072
  • /
  • 2012
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

엠라크림이 정맥천자 시 통증과 불안에 미치는 영향

The Effect of topical EMLA Cream for venipuncture on Patients' Pain and Anxiety

  • 김중경 (건양대학교 보건복지대학원) ;
  • 심문숙 (건양대학교 간호학과) ;
  • 김광환 (건양대학교 병원관리학과)
  • 투고 : 2012.08.14
  • 심사 : 2012.09.06
  • 발행 : 2012.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 정맥 천자 전 국소 마취제인 엠라크림을 도포하여 침습적 시술 시 발생하는 통증과 불안에 미치는 영향을 확인하여 엠라크림의 임상적 적용을 확대하기 위한 기초 자료를 마련하고자 하였다. 실험군 40명과 대조군 37명을 대상으로 2011년 10월27일부터 11월13일까지 구조화된 설문지를 통하여 일반적 특성, 기질불안, 상태불안, 주관적 통증, 객관적 통증에 관하여 자료 수집을 하였으며, SPSS 15.0 프로그램을 이용하여 ${\chi}^2$-test, t-test, ANOVA, Correlation analysis로 분석하였다. 연구 결과 엠라크림 도포가 통증과 불안 감소에 효과가 있는 것으로 나타났으며, 엠라크림 도포 후 통증과 불안과의 관계에 대해 살펴본 결과 안면 표정, 음성변화, 객관적 통증은 불안과 상관관계를 보이는 것으로 나타났다. 이러한 결과를 통해 임상에서는 환자들에게 침습적 처치로 인한 통증과 불안을 감소시켜줌으로서 의료의 질을 향상시키고 엠라크림의 임상적 적용 확대를 고려해 보아야 할 것이다.

The purpose of this study was to examine the effect of topical EMLA Cream on venipuncture related pain and anxiety of surgery patient from oct. 27 to nov, 13, 2011, EMLA Cream was applied to the experimental group(n=40) 1hour before the procedure, but was not applied to the control group (n=37). The collected data were analyzed with the SPSS WIN 15.0 program. The percentage, mean and standard deviation were figured statistic, ${\chi}^2$-test, t-test, ANOVA, Correlation analysis were performed. Consequently, Pain in the EMLA applied experimental group was significantly lower than that of the control group. also state anxiety in the experimental group was lower than that of the control group. correlation of pain and anxiety after EMLA was related. EMLA cream was considered to be an effective local anesthetic for preoperative venipuncture on pain and anxiety.

키워드

참고문헌

  1. Fassler D, Wallace N. "Children's fear needled", Clinical pediatrics, Vol. 21, No.4, pp.59-60, 1982 https://doi.org/10.1177/000992288202100112
  2. Nagaengest SL. "The use of EMLA cream to reduce and eliminate procedua". Pain in Children Nursing, Vol.8, No.6, pp.404-407, 1993.
  3. Stevens B, Johnston C, Franck L."The use of sucrose and pacifiers for managing neonatal pain : Are we alleviating pain or conditioning the infant. ISPP2000, the 5th international symposium on paediatric pain", London UK, 2000．
  4. Rogers TL, Ostrow. "The Use of EMLACream to Decrease Venipuncture Pain in Children". Nursing, Vol. 19, No. 1, pp.33-39. 2004.
  5. Choy L, Collier J, Watson AR. "Conparison of lidocaine - prilocaine cream and amethocaine gel for local analgesia before venipuncture in children". Pediatrics, Vol. 88, No.1 pp.916-964, 1999.
  6. Choi, JY., A "Comparison on the Degree of Pain according to Methods of Blood Sugar Test between DM Patients and Healthy Group", Journal of Korean Academy of Nursing, Vol. 33, No.7, pp.928-935, 2003. https://doi.org/10.4040/jkan.2003.33.7.928
  7. Lee, EO & Choi, MA., "Pain", Shingwang Publishing, 1993.
  8. Park, GW., Kim, JO., G, HK & Kim, WO., "In Vivo Assessment of Percutaneous Anesthetic Patch(4 % Tetracaine Cream)", Journal of the Korean Society of Anesthesiologists, Vol. 23, No.2, pp.247-250, 1990. https://doi.org/10.4097/kjae.1990.23.2.247
  9. Kim, HJ., Goh, SB., Hong, SS., Lee, CS & Lee, SH., "Application Anesthetic by EMLA Cream of infant", Journal of Korean Academy of Pediatric Dentistry, Vol. 29, No.1, pp.10-19, 2002.
  10. Park, GR., "The effect of Local Anesthetic cream on Pain relieve in Newborn", Journal of the Korean Society of Neonatology, Vol. 3, No.1, pp.33-37, 1996.
  11. Lee, YH & Kim, NC., "The Comparison of Effects of 2% Lidocaine Intradermal Injection and 10% Lidocaine Spray for Pain and Anxiety Relief on Arteriovenous Fistula Puncture in Hemodialysis Patients", Clinical Nursing Research, Vol. 13, No.2, pp.169-177, 2007.
  12. Elibol O, Ozcan B, Hekimhan PK. Caglar Y. "Efficacy of skin cooling and EMLA Cream application for pain relief ofperiocular botulinum toxin injection". Ophthal Plast Reconstrsurg, Vol. 23, No.2, pp.130-133, 2007. https://doi.org/10.1097/IOP.0b013e318030459c
  13. Robin, Burke, Britt. "Controlling Pain using EMLA Cream before Venipuncture". Nursing, Vol. 35, No.1, pp.17-18, 2005.
  14. Wahlgren CF. Quiding H. "Depth of cutaneous analgesia after application of a eutectic mixture of the local anesthetics lidocaine and prilocaine(EMLA Ceam)". Am Journal of Dermatology, Vol. 42, No.4, pp.584-588, 2000. https://doi.org/10.1067/mjd.2000.104303
  15. Jung, YS., Park, KW & Kim, JS., "Effects of EMLA Cream to Decrease Venipuncture Related Pain and Anxiety in Children", Journal of Korean Academy of Child Health Nursing, Vol. 12, No.2, pp.253-259, 2006.
  16. Buhse M. "Efficacy of EMLA Cream to reduce fear and pain assosicated with interferon beta-1a injection in pationts with multiple sclerosis". Journal of Neuro science Nurs, Vol. 38, No. 4, pp.222-226, 2006. https://doi.org/10.1097/01376517-200608000-00004
  17. Speirs AF, Taylor KH, Joanes DN, Girdler NM. "A randomised, double - blind, placebo-controlled, comparative study of topical skin analgesics and the anxiety and discomfort associated with venous cannulation". Journal of british Dental, Vol. 190, No.8, pp. 444-44, 2001.
  18. Park, JS., "The Effect of Cutaneus Stimulation on AV Fistula Puncture Pain of Hemodialysis Patients", Journal of Korean Academy of Nursing, Vol. 33, No. 1, pp.37-51, 1994.
  19. Kim, JT &Shin, DK., "A Study Based on the Standardization of the STAI for Korea", The Newest Medical Journal, Vol. 21, No. 11, pp. 69-75, 1978.
  20. Smith MS, Holder PG, Leonard K. "Efficacy of a five-minute application of EMLA cream for the management of pain associated with intravenous cannulation". Journal of Anesthesiology, Vol. 6, No.1, pp.8-21, 2002.
  21. Yoon, SH., Hwang, WJ & Choi, SJ., "Comparrison of Topical EMLA Cream and 1%Lidocaine Infiltration for Radial Arterial Cannulation", Journal of Chungnam Medical College, Vol. 22, No.2, pp.517-522, 1995.
  22. Shin, MO., Park, HJ., Jang, EJ., Seo, YH., Kim, MK., Choi, MR., Lee, MJ & Kim, YJ., "A Comparison of Pain Reducing Effects of Topical EMLA Cream and Subcutaneous Lidocaine in Hemodialysis Patients", The Korean Journal of Fundamental of Nursing, Vol. 2, No.1, pp.37-43, 1995.
  23. Jeon, BJ., Lee, JS., Lee, OJ., Shim, MS & Jang, YS, "A Study on the Factors Affecting Falls of the Elderly in Rural Areas", Journal of Korean Academy of occupational therapy, Vol. 17, No.4, pp.99-112, 2009.
  24. Semra AT, Ahmet EG. "A clinical comparison of topical piroxicam and EMLA cream for pain relief and inflammation in laser hair removal". Science, Vol. 24, No.1, pp.535-538, 2009.
  25. Speirs AF, Taylor KH, Joanes DN, Girdler NM. "A randomised, double- blind, placebo-controlled, comparative study of topical skin analgesics and the anxiety and discomfort associated with venous cannulation". Journal of british Dental, Vol. 190, No.8, pp.444-449, 2001.
  26. Britt RB. "Using EMLA cream before venipuncture". Nursing, Vol. 35, No.1, pp. 11-17, 2005.
  27. Oh HS. "The effect of topical EMLA cream on venipuncture related pain, anxiety physiologic variables of preoperative autologous blood depposit patients, Unpublished master's thesis". Kyung-Hee University, Seoul, 2009.
  28. Chung YS, Park KW, Kim JS. "Effects of EMLA cream to decrease venipuncture related pain and anxiety in childern". Journal of Child Health Nursing, Vol. 12, No. 2, pp.235-259, 2006.