DOI QR코드

DOI QR Code

신생아의 정맥천자시 통증 완화를 위한 국소마취 크림 적용 효과

Effects of Local Anesthetic Cream on Pain Relief in Newborns During Venipuncture

  • 김혜원 (관동대학교 간호학과) ;
  • 안혜영 (을지대학교 간호대학(대전캠퍼스))
  • 투고 : 2011.07.19
  • 심사 : 2011.10.16
  • 발행 : 2011.10.31

초록

Purpose: Newborns routinely experience pain associated with invasive procedures such as blood sampling, venipuncture, heelstick, or venous cannulation. This study was done to provide data for a nursing intervention to alleviate newborn pain clinically by investigating the effect of local anesthetic cream during venipuncture. Methods: Participants were 70 newborns hospitalized in the nursery. Informed Consent was obtained from parents of the newborns. Venipuncture for regular blood sampling was carried out for a test on 2 groups; the experimental, placebo group. The neonatal infant pain scale (NIPS), and duration of crying were measured to assess pain reaction. All neonatal behaviors were recorded on videotape. Results: There were significant differences in pain behavior during venipuncture (t=-4.752, p<.001), immediately after sampling (t=-5.591, p<.001), 3 minutes after puncture (t=-2.469, p=.017), and in duration of crying (t=-3.005, p=.004). Conclusion: Results show that local administration of EMLA cream before venipuncture causes a reduction in neonatal pain response, indicating that the EMLA cream has the effect of pain relief.

키워드

참고문헌

  1. Acharya, A., Bustani, P., Phillips, J., Taub, N., & Beattie, R. (1998). Randomised controlled trial of eutectic mixture of local anesthetics cream for venipuncture in healthy preterm infants. Archives of Disease in Childhood-Fetal and Neonatal Edition, 78, 138-142. https://doi.org/10.1136/fn.78.2.F138
  2. Ahn, H. Y., Jang, M. Y., & Hur, M. H. (2006). The effect of oral glucose on pain relief in newborns. Journal of Korean Academy of Nursing, 36, 992-1001. https://doi.org/10.4040/jkan.2006.36.6.992
  3. American Academy of Pediatrics and Canadian Paediatric Society. (2000). Prevention and management of pain and stress in the newborn. Pediatrics, 105, 454-461. https://doi.org/10.1542/peds.105.2.454
  4. Anand, K., Grunau, R., & Oberlander, T. (1997). Developmental character and long term consequences of pain in infants and children. Child and Adolescent Psychiatric Clinics of North America, 6, 703-724.
  5. Anand, K. J. S. (2001). Consensus statement for the prevention and management of pain in the newborn. Archives of Pediatrics & Adolescent Medicine, 155, 173-180. https://doi.org/10.1001/archpedi.155.2.173
  6. Ballantyne, M. (2001). Amethocaine gel reduces pain during venipuncture in newborn infants. Evidenced-Based Nursing, 4, 73. https://doi.org/10.1136/ebn.4.3.73
  7. Carbajal, R., Veerapen, S., Courderc, S., Jugie, M., & Ville, Y. (2003). Analgesic effect of breast feeding in term neonates: Randomised controlled trial. British Medical Journal, 326(13), 1-5. https://doi.org/10.1136/bmj.326.7379.1
  8. Cho, E. J., Kim, J. H., Cheon, H. G., Cheong, E. J., & Choi, Y. J. (2003). The effect of water, oral glucose, alvytyl syrup on pain relief during heelstick in premature. Taehan Kanho, 42, 65-80.
  9. Chung, Y. S., Park, K. W., & Kim, J. S. (2006). Effects of EMLA cream to decrease venipuncture related pain and anxiety in children. Journal of Korean Academy of Child Health Nursing, 12, 253-259.
  10. Codipietro, L., Ceccarelli, M., & Ponzone, A. (2008). Breastfeeding or oral sucrose solution in term neonates receiving heel lance: A randomized, controlled trial. Pediatrics, 1229, 716-721.
  11. Cohen, S. (1988). Statistical power analysis for the behavioral sciences. (2nd ed.). Mahwah: Lawrence Erlbaum Associates.
  12. Ellis, J. A., Sharp, D., Newhook, K., & Cohen, J. (2004). Selling comfort: A survey of interventions for needle procedures in a pediatric hospital. Pain Management Nursing, 5, 144-152. https://doi.org/10.1016/j.pmn.2004.09.002
  13. Franck, L., Greenberg, C., & Stevens, B. (2000). Pain assessment in infants and children. Pediatric Clinics of North America, 47, 487-512. https://doi.org/10.1016/S0031-3955(05)70222-4
  14. Fuller, B. F. (1991). Acoustic discrimination of three types infant cries. Nursing Research, 40, 156-160.
  15. Gradin, M., Eriksson, M., Holmqvist, G., Holstein, A., & Scholin, J. (2002). Pain reduction at venipuncture in newborns: Oral glucose compared with local anesthetic cream. Official Journal of the American Academy of Pediatrics, 110, 1053-1057.
  16. International Association for the Study of Pain. (2011). Pain terms. Retrived July 4, 2011, from http://www.iasp-pain.org/Resource/IASP taxonomy
  17. Johnston, C. C., Stevens, B., Pinelli, J., Gibbins, S., Filion, F., Jack, A., et al. (2003). Kangaroo care is effective in diminishing pain response in preterm neonates. Archives of Pediatrics & Adolescent Medicine, 157, 1084-1088. https://doi.org/10.1001/archpedi.157.11.1084
  18. Kaur, G., Gupta, P., & Kumar, A. (2003). A randomized trial of eutectic mixture of local anesthetics during lumbar puncture in newborns. Archives of Pediatrics & Adolescent Medicine, 157, 1065-1070. https://doi.org/10.1001/archpedi.157.11.1065
  19. Koo, H. Y., Park, H. R., & Lim, J. H. (2007). Effects of distraction using balloon art on pain during intravenous injections in preschool children. Journal of Korean Academy of Child Health Nursing, 13, 66-72.
  20. Lawrence, J., Alcock, D., McGrath, P., Kay, J., MacMurray, S. B., & Dullberg, C. (1993). The development of a tool to assess neonatal pain. Neonatal Network, 12(6), 59-66.
  21. Lee, B. S., & Kwon, I. S. (2005). Effects of distraction using operating doll on preschool children's pain during an IV catheter insertion. Korean Journal of Child Health Nursing, 11, 490-497.
  22. Lim, J. H., & Shin, Y. E. (2007). Effects of distraction by a cellular phone on pain and fear during venipuncture procedure for hospitalized preschool children. Journal of Korean Academy of Child Health Nursing, 13, 506-511.
  23. May, K., Britt, R., & Newman, M. M. (1999). Pediatric registered nurse usage and perception of EMLA. Journal of Specialists in Pediatric Nursing, 4, 105-112. https://doi.org/10.1111/j.1744-6155.1999.tb00043.x
  24. McKechnie, L., & Levene, M. (2008). Procedural pain guidelines for the newborn in the United Kingdom. Journal of Perinatology, 28, 107-111. https://doi.org/10.1038/sj.jp.7211822
  25. Moore, J. (2001). No more tears: A randomized controlled double-blind trial of Amethocaine gels vs. placebo in the management of procedural pain in neonates. Journal of Advanced Nursing, 34, 475-482. https://doi.org/10.1046/j.1365-2648.2001.01776.x
  26. Park, S. K., & Kim, E. Y. (2006). Pain reduction at venipuncture in newborn infants: Oral glucose solution, EMLA cream and pacifiers. Korean Journal of Pediatrics, 49, 388-393. https://doi.org/10.3345/kjp.2006.49.4.388
  27. Uman, L. S., Chambers, C. T., McGrath, P. J., & Kisely, S. (2008). A systematic review of randomized controlled trials examining psychological interventions for needle-related procedural pain and distress in children and adolescents: An abbreviated cochrane review. Journal of Paediatric Psychology, 33, 842-854. https://doi.org/10.1093/jpepsy/jsn031

피인용 문헌

  1. EMLA크림 도포가 소아암환자의 피하매몰 중심정맥포트 바늘삽입 시 통증인지와 통증반응에 미치는 영향 vol.22, pp.1, 2011, https://doi.org/10.4094/chnr.2016.22.1.21