Techniques for reducing anesthetic injection pain: An interdisciplinary survey of knowledge and application

作者: SCOTT S. MEIT , VAN YASEK , C. KEN SHANNON , DAVID HICKMAN , DORIAN WILLIAMS

DOI: 10.14219/JADA.ARCHIVE.2004.0399

关键词:

摘要: ABSTRACT Background The authors conducted a study that considered family physicians' and dentists' knowledge application of techniques to reduce the pain associated with anesthetic injections. They also assessed practitioners' discomfort patients' injection needle anxiety/phobia. Methods designed questionnaire about awareness use 10 for reducing mailed it 2,000 randomly selected physicians general dentists. analyzed data examine differences between disciplines regarding techniques, reasons not using number injections given per week, predictive value certain demographic variables on reported individual practitioner reactions anxiety. Results response rate was 35 percent. used χ 2 test disciplines' or nonuse Wilcoxon testing assess median values weekly logistic regression variables' ( P = .01). General dentists give more than do physicians. Differences existed eight techniques. Disciplines cost time issues as some Number years in practice age were six Dentists feeling greater personal effects anxiety/phobia did Conclusions Those pain-lessening inaccurately identified problems, suggesting respondents may be less familiar these otherwise reported. Further is recommended. Clinical Implications Pain reduction little implement, are liabilities, can lessen avoidable incidence phobia.

参考文章(66)
Blood-injury phobia: a review. American Journal of Psychiatry. ,vol. 145, pp. 1207- ,(1988) , 10.1176/AJP.145.10.1207
Joel Sugar, Richard Fiscella, Kevin D Hinshaw, Preparation of pH-adjusted local anesthetics. Ophthalmic surgery. ,vol. 26, pp. 194- 199 ,(1995) , 10.3928/1542-8877-19950501-06
James G. Hamilton, Needle phobia : a neglected diagnosis Journal of Family Practice. ,vol. 41, pp. 169- 175 ,(1995)
AH Cragg, K Berbaum, TP Smith, A prospective blinded trial of warm and cold lidocaine for intradermal injection American Journal of Roentgenology. ,vol. 150, pp. 1183- 1184 ,(1988) , 10.2214/AJR.150.5.1183
Kenneth B Colaric, David T Overton, Karen Moore, Pain reduction in lidocaine administration through buffering and warming American Journal of Emergency Medicine. ,vol. 16, pp. 353- 356 ,(1998) , 10.1016/S0735-6757(98)90126-7
Paul G. Ursell, David J. Spalton, The Effect of Solution Temperature on the Pain of Penbulbar Anesthesia Ophthalmology. ,vol. 103, pp. 839- 841 ,(1996) , 10.1016/S0161-6420(96)30606-4
Patrick Grassick, The fear behind the fear: a case study of apparent simple injection phobia. Journal of Behavior Therapy and Experimental Psychiatry. ,vol. 21, pp. 281- 287 ,(1990) , 10.1016/0005-7916(90)90030-O
Josiah W. Bancroft, James F. Benenati, Gary J. Becker, Barry T. Katzen, Neutralized Lidocaine: Use in Pain Reduction in Local Anesthesia Journal of Vascular and Interventional Radiology. ,vol. 3, pp. 107- 109 ,(1992) , 10.1016/S1051-0443(92)72200-3