혈액투석환자의 동정맥루 천자 시 통증과 불안완화를 위한 2% 리도카인 피내주사와 10% 리도카인 분무 효과 비교
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
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Abstract
Purpose: This study was to compare the effects of 2% lidocaine intradermal injection and 10% lidocaine spray for pain and anxiety relief on the arteriovenous fistula puncture. Methods: The subjects were 34 patients who were getting hemodialysis 3 times a week. The intradermal 2% lidocaine on the arteriovenous fistula puncture was injected to all subjects for the first 1 week and 10% lidocaine was sprayed for the following 1 week. The anxiety was measured using visual analogue scale (VAS), blood pressure and pulse. The pain was measured using VAS and non-verbal pain behavior scale. Results: The VAS anxiety scores, blood pressure, and pulse rate were not significantly different in two methods. In the VAS pain and non- verbal pain scores, 2% lidocaine intradermal injection caused significantly lower pain than 10% lidocaine spray. Conclusion: 10% lidocaine spray compared with 2% lidocaine intradermal injection is less effective for reducing pain and anxiety on arteriovenous fistula puncture. However, 35.3% of the subjects showed satisfactory response to 10% lidocaine spray method, and 58.8% of them were willing to use it again. Therefore, the further study on lidocaine amount and optimum time for needle puncture after spray method is required.
참고문헌 (24)
- Biro, P, "Comparison of topical anaesthesia methods for venous cannulation in adults", 1(1), pp.37~42 (1997)
- Cho, I. H, "The effect of the hand massage on anxiety and pain related to AV fistula injection in hemodialysis patients" (2003)
- Cho,J.S, "Analytical study of the cause and level of anxiety of patient in hemodialysis.Unpublished master's thesis" (1986), Ewha Womans University
- Cho,Y.S, "Stress of hemodialysis patient.Nephrol Nur" (1990)
- Chung, M. A, "The effect of heat application and cold application on AV fistula injection pain and stress of hemodialysis patient" (2002)
- Curtin, R. B, "Hemodialysis patients' symptom experience: effects on physical and mental functioning", 29(6), pp.566~574 (2002)
- Dong, H, "EMLA cream- induced irritant contact dermatitis", 29, pp.190~192 (2002)
- Iria, N, "Purpura after application of EMLA cream in two children", 22(6), pp.566~568 (2005)
- Jadoulle, V, "Anxiety and depression in chronic hemodialysis: some somatopsychic determinanats", 63(2), pp.113~118 (2005)
- Kangnam St Mary's Hospital Artificial Kidney Unit, "The comparison of pain EMLA cream and lidocaine intradermal on hemodialysis"
- Kim, J. Y, "The effect of eutectic mixture of local anesthetic cream on the wrist pain during trans- radial coronary procedures" (2004)
- Kim, "Study based on the standardization of the STAI for Korea", pp.69~75 (1978)
- Korean Society of Nephrology Registry Committee, "Renal replacement therapy in Korea", 24(2), pp.367~395 (2005)
- Lee, D. I, "Local anesthesia: Anesthesiology and pain medicine(eds.)" (2004), Seoul : Ryo Moon Gak
- Lee, E. O, "Pain theory and management" (1995), Seoul: Shin Gwang
- Lee, H. H, "Pediatric post tonsillectomy analgesia effect of 10% lidocaine spray", 8(1), pp.31~36 (1995)
- Lee, J. J, "Effect of relaxation on pain and anxiety during insertion of a vaginal speculum" (2002)
- Mcphail, "use of a topical anaesthetic cream"
- Park, J. G, "The local anesthetic of 10% lidocaine spray on larynx" (1999)
- Park, "The effect of cutaneous stimulation on AV fistula puncture pain of hemodialysis patients", pp.37~51 (1994)
- Patterson, P., Hussa, A. A., Fedele, K. A., Vegh, G. L., & Hackman, C. M, "Comparison of 4 analgesic agents for venipuncture", 68(1), pp.43~51 (2000)
- Shin, M. J, "An analysis of health problems experienced by the clients receiving hemodialysis", 26(4), pp.903~916 (1996)
- Speirs, A. F, "A randomised, double-blinded, placebo- controlled, comparative study of topical skin analgesics and the anxiety and discomfort associated with venous cannulation", 190(8), pp.444~449 (2001)
- Soriano, D, "Lidocaine spray and outpatient hysteroscopy: randomized placebo-controlled trial", 96(5), pp.661~664 (2000)