- 期刊
運用EMLA藥膏於減輕靜脈注射疼痛之成效探討
The Efficacy of EMLA Cream Application for Pain Relief of Venous Cannulation
摘要
目的：人應有免於疼痛的恐懼，靜脈注射為醫院發生頻率極高的醫療處置，經常讓病患感到疼痛。本研究目的為探知病患接受靜脈注射時疼痛程度及使用5%安麻樂乳膏（EMLA® Cream5%）後疼痛減輕成效。方法：採立意取樣共收案76人，實驗設計針對個案分別進行一般靜脈注射及塗抹EMLA後注射，以數字量表作為測量工具，並調查疼痛減輕之滿意度與接受意願。結果：一般靜脈注射平均疼痛程度為5.42分，塗抹EMLA後注射，其疼痛程度下降至3.83分；藥膏塗抹時間在41~50分鐘之疼痛改善最佳；兩次注射以針頭剛扎入皮膚時感到最痛。對塗抹藥膏感到滿意者為35.5%，與未來有意願接受者佔35.5%相同。本研究結果所得量化數據，使護理人員能具體描述靜脈注射的疼痛，提供衛教資訊。結論：靜脈注射前，給予5%安麻樂乳膏（EMLA® Cream5%）塗抹於預定注射之部位40分鐘之後再注射，可降低其疼痛感，以提升顧客之滿意度。目的：人應有免於疼痛的恐懼，靜脈注射為醫院發生頻率極高的醫療處置，經常讓病患感到疼痛。本研究目的為探知病患接受靜脈注射時疼痛程度及使用5%安麻樂乳膏（EMLA® Cream5%）後疼痛減輕成效。方法：採立意取樣共收案76人，實驗設計針對個案分別進行一般靜脈注射及塗抹EMLA後注射，以數字量表作為測量工具，並調查疼痛減輕之滿意度與接受意願。結果：一般靜脈注射平均疼痛程度為5.42分，塗抹EMLA後注射，其疼痛程度下降至3.83分；藥膏塗抹時間在41~50分鐘之疼痛改善最佳；兩次注射以針頭剛扎入皮膚時感到最痛。對塗抹藥膏感到滿意者為35.5%，與未來有意願接受者佔35.5%相同。本研究結果所得量化數據，使護理人員能具體描述靜脈注射的疼痛，提供衛教資訊。結論：靜脈注射前，給予5%安麻樂乳膏（EMLA® Cream5%）塗抹於預定注射之部位40分鐘之後再注射，可降低其疼痛感，以提升顧客之滿意度。
並列摘要
Purpose: Placement of IV catheters is a common, frequent therapy in hospital. This study was to evaluate the severity of pain caused by venous cannulation and the efficacy of EMLA® Cream5% application for pain relief.Methods: 76 cases were recruited by purposive sampling and rated the severity of venous cannulation pain by Numerical scale (NRS), during common venous cannulation and applying EMLA cream at the venous cannulation site prior to venous cannulation.Results: The results indicated that: Average pain score of common venous cannulation was 5.42,and 3.83 by application of EMLA cream. Applying EMLA 41-50 minutes prior to venous cannulation has better Pain relief effectiveness. 38.8% of them were satisfied with the intervention. The data found could help nurses to describe the pain of venous cannulation and provide the information to patients.Conclusion: Applying EMLA 40 minutes prior to venous cannulation can reduce intensity of pain to improve customer satisfy.