Browse > Article
http://dx.doi.org/10.5762/KAIS.2012.13.9.4065

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

Kim, Jung-Kyoung (Graduate school of Public Health & Welfare, Konyang University)
Shim, Moon-Sook (Department of Nursing, Konyang University)
Kim, Kwang-Hwan (Department of Hospital Management, Konyang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.13, no.9, 2012 , pp. 4065-4072 More about this Journal
Abstract
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.
Keywords
EMLA cream; venipuncture; pain; anxiety;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 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.
2 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.
3 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.
4 Britt RB. "Using EMLA cream before venipuncture". Nursing, Vol. 35, No.1, pp. 11-17, 2005.
5 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cream on venipuncture related pain, anxiety physiologic variables of preoperative autologous blood depposit patients, Unpublished master's thesis".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.
6 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.
7 Fassler D, Wallace N. "Children's fear needled", Clinical pediatrics, Vol. 21, No.4, pp.59-60, 1982   DOI
8 Nagaengest SL. "The use of EMLA cream to reduce and eliminate procedua". Pain in Children Nursing, Vol.8, No.6, pp.404-407, 1993.
9 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．
10 Rogers TL, Ostrow. "The Use of EMLACream to Decrease Venipuncture Pain in Children". Nursing, Vol. 19, No. 1, pp.33-39. 2004.
11 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.
12 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.
13 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.   과학기술학회마을   DOI
14 Lee, EO & Choi, MA., "Pain", Shingwang Publishing, 1993.
15 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.   DOI
16 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.
17 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.
18 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.   DOI
19 Robin, Burke, Britt. "Controlling Pain using EMLA Cream before Venipuncture". Nursing, Vol. 35, No.1, pp.17-18, 2005.
20 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.   DOI
21 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.
22 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.
23 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.   DOI
24 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.
25 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.
26 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.
27 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.
28 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.   과학기술학회마을