Pengaruh Pemakaian Lidocaine Terhadap Tingkat Nyeri Pasien Retensi Urin Saat Pemasangan Kateter

Authors

  • A'an Delia Acil STIKES HAFSHAWATY PESANTREN ZAINUL HASAN PROBOLINGGO
  • Nur Hamim STIKES HAFSHAWATY PESANTREN ZAINUL HASAN
  • Roisah Roisah STIKES HAFSHAWATY PESANTREN ZAINUL HASAN

DOI:

https://doi.org/10.55606/jrik.v3i2.1906

Keywords:

lidocaine, nyeri, retensi, urine, kateter

Abstract

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.

References

Abdullahi, M., Yunusa, B., Mashi, S. A., Aji, S. A., & Alhassan, S. U. (2016). Urinary Retention in Adults Male Patients: Causes and Complications among Patients Managed in a Teaching Hospital in North Western Nigeria. Open Journal of Urology, 06(07), 114–121. https://doi.org/10.4236/oju.2016.67020

Aygin, D., & Usta, E. (2017). The effect of lubricants used in indwelling bladder catheterization through urethra on procedure-related pain: A literature review. International Journal of Clinical and Experimental Medicine, 10(2), 1995–2005.

Bahar, E., & Yoon, H. (2021). Lidocaine: A Local Anesthetic, Its Adverse Effects and Management. Medicina (Kaunas, Lithuania), 57(8). https://doi.org/10.3390/medicina57080782

Christin, T., Okparasta, A., & Susilaningrum, R. W. (2020). Effectiveness of Lidocaine Cream for Reducing Pain Sensation of Pre Injection of Subcutaneous Lidocaine in Lumbal Puncture Diagnostic and Therapeutic Procedures. Jurnal Kedokteran Dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 7(2), 27–30. https://doi.org/10.32539/jkk.vi1.10589

Fauziya, Z., Sutapa, H., Indah, D., & Pratiwi, N. (2021). Literature Review: Pengaruh Volume Prostat terhadap Kejadian Retensi Urin Akut pada Pasien Bph. Homeostatis, 4(1), 93–102.

Fowler, C. J., Griffiths, D., & de Groat, W. C. (2020). The neural control of micturition. Nature Reviews. Neuroscience, 9(6), 453–466. https://doi.org/10.1038/nrn2401

Hadhistavropulos, T., & Craig, K. (2016). Pain: Psychological Perspective. Lawrence Erlbaum Associates Publisher.

Igawa, Y., Wyndaele, J.-J., & Nishizawa, O. (2020). Catheterization: Possible complications and their prevention and treatment. International Journal of Urology, 15(6), 481–485. https://doi.org/https://doi.org/10.1111/j.1442-2042.2008.02075.x

Jacobsen, S. M., Stickler, D. J., Mobley, H. L. T., & Shirtliff, M. E. (2018). Complicated catheter-associated urinary tract infections due to Escherichia coli and Proteus mirabilis. Clinical Microbiology Reviews, 21(1), 26–59. https://doi.org/10.1128/CMR.00019-07

Kumala, T., Wisnusakti, K., Ropei, O., & Hidayat, M. (2022). What is the Level of Pain in Patients Who Are Inserted Urinary Catheters Using Pure Jelly. Jurnal Keperawatan Komprehensif, 8(June).

Lor, Y.-C., Shih, P.-C., Chen, H.-H., Liu, S.-J., Chao, H.-C., Hwang, L.-C., Hsu, Y.-F., & Yeh, T.-L. (2018). The application of lidocaine to alleviate the discomfort of nasogastric tube insertion: A systematic review and meta-analysis. Medicine, 97(5), e9746. https://doi.org/10.1097/MD.0000000000009746

McKee, D. C., Gonzalez, E. J., Amundsen, C. L., & Grill, W. M. (2019). Randomized Controlled Trial to Assess the Impact of High Concentration Intraurethral Lidocaine on Urodynamic Voiding Parameters. Urology, 133, 72–77. https://doi.org/10.1016/j.urology.2019.08.020

Mu, L., Geng, L.-C., Xu, H., Luo, M., Geng, J.-M., & Li, L. (2017). Lidocaine-prilocaine cream reduces catheter-related bladder discomfort in male patients during the general anesthesia recovery period: A prospective, randomized, case-control STROBE study. Medicine, 96(14), e6494. https://doi.org/10.1097/MD.0000000000006494

Okayasu, I., Komiyama, O., Ayuse, T., & De Laat, A. (2018). Effect of 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands evaluated by quantitative sensory testing. Journal of Dental Anesthesia and Pain Medicine, 18(6), 361–365. https://doi.org/10.17245/jdapm.2018.18.6.361

Patel, A. B., Osterberg, E. C., Satarasinghe, P. N., Wenzel, J. L., Akbani, S. T., Sahi, S. L., Emigh, B. J., Wolf, J. S., & Brown, C. V. R. (2023). Urethral Injuries: Diagnostic and Management Strategies for Critical Care and Trauma Clinicians. Journal of Clinical Medicine, 12(4). https://doi.org/10.3390/jcm12041495

Peng, C.-W., Chen, J.-J., Cheng, C.-L., & Grill, W. (2019). Role of pudendal afferents in voiding efficiency in the rat. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 294, R660-72. https://doi.org/10.1152/ajpregu.00270.2007

Richards, D. A., Hilli, A., Pentecost, C., Goodwin, V. A., & Frost, J. (2018). Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene. Journal of Clinical Nursing, 27(11–12), 2179–2188. https://doi.org/10.1111/jocn.14150

Rzhevskiy, A., Popov, A., Pavlov, C., Anissimov, Y., Zvyagin, A., Levin, Y., & Kochba, E. (2022). Intradermal injection of lidocaine with a microneedle device to provide rapid local anaesthesia for peripheral intravenous cannulation: A randomised open-label placebo-controlled clinical trial. PLOS ONE, 17(1), e0261641. https://doi.org/10.1371/journal.pone.0261641

Saint, S., Trautner, B. W., Fowler, K. E., Colozzi, J., Ratz, D., Lescinskas, E., Hollingsworth, J. M., & Krein, S. L. (2018). A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters. JAMA Internal Medicine, 178(8), 1078–1085. https://doi.org/10.1001/jamainternmed.2018.2417

Voute, M., Morel, V., & Pickering, G. (2021). Topical Lidocaine for Chronic Pain Treatment. Drug Design, Development and Therapy, 15, 4091–4103. https://doi.org/10.2147/DDDT.S328228

Wilson, M. (2019). Catheter lubrication and fixation: Interventions. British Journal of Nursing (Mark Allen Publishing), 22, 566–569. https://doi.org/10.12968/bjon.2013.22.10.566

Downloads

Published

2023-07-16

How to Cite

A’an Delia Acil, Nur Hamim, & Roisah Roisah. (2023). Pengaruh Pemakaian Lidocaine Terhadap Tingkat Nyeri Pasien Retensi Urin Saat Pemasangan Kateter . Jurnal Rumpun Ilmu Kesehatan, 3(2), 146–157. https://doi.org/10.55606/jrik.v3i2.1906

Issue

Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan

Section

Articles

License

Copyright (c) 2023 Jurnal Rumpun Ilmu Kesehatan

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.