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Child Health Nurs Res > Volume 17(4):2011 > Article
Journal of Korean Academy of Child Health Nursing 2011;17(4):215-221.
DOI: https://doi.org/10.4094/jkachn.2011.17.4.215
Effects of Local Anesthetic Cream on Pain Relief in Newborns During Venipuncture.
Hae Won Kim, Hae Young Ahn
1Department of Nursing, Kwandong University, Gangneung, Korea.
2College of Nursing, Eulji University, Daejeon, Korea. ahanaya@eulji.ac.kr
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.
Key words: Phlebotomy; Venipuncture; Neonate; Pain
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