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題名:探討局部使用2% Lidocaine Jelly減緩兒童接受靜脈注射疼痛之成效
書刊名:榮總護理
作者:彭雪芳羅雅珍曾佳雯葉淑梅郭玲娟簡英雅林秀蘭陳俊仁溫凱婷沈青青
作者(外文):Peng, Hsueh-fangLo, Ya-chenTseng, Chia-wenYeh, Shu-meiKuo, Ling-chunChien, Ying-yaLin, Sho-lanChen, Chun-jenWen, Kai-tingSheng, Ching-ching
出版日期:2017
卷期:34:4
頁次:頁330-341
主題關鍵詞:兒童靜脈注射疼痛Lidocaine jellyChildrenIntravenous injectionPain
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:28
  • 點閱點閱:72
本研究旨在探討病童接受靜脈注射前局部使用2% Lidocaine Jelly能否減緩靜脈注射時的疼痛。採隨機對照研究設計,研究對象為北部某醫學中心6-18歲住院病童,實驗組及對照組各收集75人;實驗組在注射前於注射部位局部使用2% Lidocaine Jelly,對照組則使用K-Y Jelly。採用自擬式問卷、疼痛視覺類比量表收集資料,並進行心跳及血氧飽和濃度生理指標監測。研究結果顯示,病童接受靜脈注射前30分鐘局部使用2% Lidocaine Jelly能降低注射時之疼痛視覺類比量表分數(p< .001),但其心跳及血氧飽和濃度疼痛生理指標則無顯著差異(p> .05),亦不影響置針成功率(p= .604)。本研究結果說明病童於靜脈注射前局部使用2% Lidocaine Jelly能有效緩解兒童的主觀疼痛感受,進而降低住院壓力,向無痛醫療環境邁進。
The aim of this study was to discuss the efficacy of topical lidocaine jelly in reducing pain during pediatric intravenous catheter placement. This randomized controlled trial study included 150 inpatients who were 6-18 years old. Using convenience sampling, these participants were assigned to treatment (n = 75) and control (n = 75) groups. Children in the treatment group were administered 2% lidocaine jelly topically at the catheter placement site, while those in the control group were administered K-Y jelly instead before the placement of the intravenous catheter. The data were collected by monitoring physiological indicators of heart rate and oxygen saturation, and also through a self-structured questionnaire and the Visual Analogue Scale (VAS). The results demonstrated that children that received 2% lidocaine jelly topically had a lower VAS score during the intravenous injection (p < .001). However, there was no significant difference in the physiological indicators of heart rate and oxygen saturation (p > .05), and no influence on the success ratio of intravenous placement (p = .604). In conclusion, children who received partial administration of lidocaine jelly before intravenous injection perceived effective relief from the subjective feeling of pain. Such pain relief can reduce the stress of hospitalization.
期刊論文
1.Loeser, J. D.、Melzack, R.(1999)。Pain: An overview。The Lancet,353(9164),1607-1609。  new window
2.Williamson, A.、Hoggart, B.(2005)。Pain: A review of three commonly used pain rating scales。Journal of Clinical Nursing,14(7),798-804。  new window
3.明金蓮、洪曉佩(20110500)。急性疼痛評估與症狀護理。源遠護理,5(1),11-16。  延伸查詢new window
4.謝宜娟、劉惠姿、卓燕華(20120600)。降低學齡前期兒童接受靜脈注射恐懼程度之專案。護理雜誌,59(3),79-86。new window  延伸查詢new window
5.Park, J.-H.、Foster, R.、Cheng, S.(2009)。Language used by Korean and Korean American children to describe emotional reactions to illness and hospitalization。Journal of Transcultural Nursing,20(2),176-186。  new window
6.Bijur, P. E.、Silver, W.、Gallagher, E. J.(2002)。Reliability of the visual analog scale for measurement of acute pain。Academic Emergency Medicine,8(12),1153-1157。  new window
7.Scott, J.、Haskisson, E. C.(1976)。Graphic representation of pain。Pain,2(2),175-184。  new window
8.李銘櫻、余佳紋、楊雅鈞、張鈞竹(20140400)。降低學齡前期兒童靜脈注射疼痛之方案。護理雜誌,61(2)(附冊),68-75。new window  延伸查詢new window
9.鄭夙芬(20041200)。兒童疼痛評估與處置之現況。護理雜誌,51(6),20-26。new window  延伸查詢new window
10.蔣立琦(19950900)。運用認知--行為策略處理兒童因侵入性治療所引起的疼痛。護理雜誌,42(3),22-29。new window  延伸查詢new window
11.王心妤、鄭碧姿、羅月雲、袁綺蘋、謝慧雯、鍾佳芳(2012)。兒童在靜脈注射前塗抹止痛藥膏對降低注射部位疼痛之實證運用。領導護理,13(4),20-28。  延伸查詢new window
12.連心瑜、莊文怡、楊瑞永、陳胡安琪、鍾慧儀、汪國成(2007)。虛擬實境應用於一位燙傷兒童疼痛減輕成效之初探。長庚護理,18(2),294-306。new window  延伸查詢new window
13.Ayers, S.、Muller, I.、Mahoney, L.、Seddon, P.(2011)。Understanding needle-related distress in children with cystic fibrosis。British Journal of Health Psychology,16(2),329-343。  new window
14.Carr, D. B.、Goudas, L. C.(1999)。Acute pain。The Lancet,353(9169),2051-2058。  new window
15.Cooper, J. A.、Bromley, L. M.、Baranowski, A. P.、Barker, S. G. E.(2000)。Evaluation of a needle-free injection system for local anaesthesia prior to venous cannulation。Anaesthesia,55(3),247-250。  new window
16.Eichenfield, L. F.、Funk, A.、Fallon-Friedlander, S.、Cunningham, B. B.(2002)。A clinical study to evaluate the efficacy of ELA-Max (4% liposomal Lidocaine) as compared with eutectic mixture of local anesthetics cream for pain reduction of venipuncture in children。Pediatrics,109(6),1093-1099。  new window
17.Hallen, B.、Olsson, G. L.、Uppfeldt, A.(1984)。Pain-free venepuncture。Anaesthesia,39(10),969-972。  new window
18.Hands, C.、Round, J.、Thomas, J.(2010)。Evaluating venepuncture practice on a general children's ward。Paediatric Nursing,22(2),32-35。  new window
19.Hedén, L.、VON Essen, L.、Ljungman, G.(2009)。Randomized interventions for needle procedures in children with cancer。European Journal of Cancer Care,18(4),358-363。  new window
20.Hollinworth, H.(2001)。Pain relief。Nursing Times,97(28),63-66。  new window
21.Hsieh, Y. C.、Cheng, S. F.、Tsay, P. K.、Su, W. J.、Cho, Y. H.、Chen, C. W.(2017)。Effectiveness of cognitive-behavioral strategies on pain and fear in school-aged children undergoing intravenous placement: A randomized clinical trial。Asian Nursing Research,11(4),261-267。  new window
22.Kleiber, C.、Sorenson, M.、Whiteside, K.、Gronstal, B. A.、Tannous, R.(2002)。Topical anesthetics for intravenous insertion in children: A randomized equivalency study。Pediatrics,110(4),758-761。  new window
23.Koh, J. L.、Harrison, D.、Myers, R.、Dembinski, R.、Turner, H.、McGraw, T.(2004)。A randomized, double-blind comparison study of EMLA and ELA-Max for topical anesthesia in children undergoing intravenous insertion。Pediatric Anesthesia,14(12),977-982。  new window
24.Kristjánsdóttir, Ó.、Kristjánsdóttir, G.(2011)。Randomized clinical trial of musical distraction with and without headphones for adolescents' immunization pain。Scandinavian Journal of Caring Sciences,25(1),19-26。  new window
25.Lacey, C. M.、Finkelstein, M.、Thygeson, M. V.(2008)。The impact of positioning on fear during immunizations: Supine versus sitting up。Journal of Pediatric Nursing,23(3),195-200。  new window
26.Li, L.、Liu, X.、Herr, K.(2007)。Postoperative pain intensity assessment: A comparison of four scales in Chinese adults。Pain Medicine,8(3),223-234。  new window
27.Mahoney, L.、Ayers, S.、Seddon, P.(2010)。The association between parent's and healthcare professional's behavior and children's coping and distress during venepuncture。Journal of Pediatric Psychology,35(9),985-995。  new window
28.Rennick, J. E.、Johnston, C. C.、Dougherty, G.、Platt, R.、Ritchie, J. A.(2002)。Children's psychological responses after critical illness and exposure to invasive technology。Journal of Developmental & Behavioral Pediatrics,23(3),133-144。  new window
29.Rogers, T. L.、Ostrow, C. L.(2004)。The use of EMLA cream to decrease venipuncture pain in children。Journal of Pediatric Nursing,19(1),33-39。  new window
30.Squire, S. J.、Kirchhoff, K. T.、Hissong, K.(2000)。Comparing two methods of topical anesthesia used before intravenous cannulation in pediatric patients。Journal of Pediatric Health Care,14(2),68-72。  new window
31.Tüfekci, F. G.、Celebio lu, A.、Küçüko lu, S.(2009)。Turkish children loved distraction: Using kaleidoscope to reduce perceived pain during venipuncture。Journal of Clinical Nursing,18(15),2180-2186。  new window
32.Zempsky, W. T.(2008)。Pharmacologic approaches for reducing venous access pain in children。Pediatrics,122(Suppl 3),S140-S153。  new window
其他
1.Nottingham Children's Hospital(2014)。Nottingham Children's Hospital nursing guideline the application of EMLA cream,https://www.google.com.tw/url?sa=t&source=web&rct=j&url=https://www.nuh.nhs.uk/handlers/downloads.ashx%3Fid%3D65500&ved=0ahUKEwic05fN28nVAhUTOrwKHdwnBlUQFggpMAQ&usg=AFQjCNG9tZAPDqzCturqX Vbsk-z_ntNYUA。  new window
圖書論文
1.張綠怡、蔡綠蓉(2014)。住院兒童之反應及其護理。實用兒科護理。台北市:華杏。  延伸查詢new window
 
 
 
 
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