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KMID : 1004620070130020169
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Clinical Nursing Research
2007 Volume.13 No. 2 p.169 ~ p.177
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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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Lee Young-Hwa
Kim Nam-Cho
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Abstract
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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.
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KEYWORD
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Arteriovenous Fistula, Local anesthesia, Pain, Anxiety
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