YETİŞKİNLERDE VENTROGLUTEAL İNTRAMUSKÜLER ENJEKSİYONLARDA CİNSİYET VE BEDEN KİTLE İNDEKSİNE GÖRE İĞNE PENETRASYON DERİNLİĞİ

Year 2023, Volume: 86 Issue: 4, 384 - 392, 01.12.2023

Nurten Kaya , Nuray Turan , Artur Salmaslıoğlu , Arzu Akdal Akçakaya

https://doi.org/10.26650/IUITFD.1266488

Abstract

Amaç: Bu çalışma, yetişkinlerde ventrogluteal bölgeye intramüsküler enjeksiyon sırasında cinsiyete ve beden kitle indeksi (BKİ) dikkate alınarak iğne penetrasyon derinliğini belirlemek amacıyla yapıldı.
Gereç ve Yöntem: İlişki arayıcı türde yapılan araştırmanın örneklemi 232 hastadan oluştu. V ve G yöntemleri ile ventrogluteal intramusküler enjeksiyon alanı belirlendi ve bu noktalar ultrasonografi altında incelendi. Cinsiyet ve BKİ dikkate alınarak deri altı doku, M. gluteus medius ve M. gluteus minimus kalınlıkları saptandı. Veri analizi, aritmetik ortalama, standart sapma, frekans, yüzde, bağımsız örneklem t testi ve ANOVA kullanılarak yapıldı.
Bulgular: İğne penetrasyon derinliği zayıf kadınlarda 20-48 mm, normal kilolularda 18-53, kilolularda 29-62 mm, obezlerde 26-88 mm arasında; zayıf erkeklerde 23-37 mm, normal kilolularda 18- 41 mm, fazla kilolularda 25-50 mm, obezlerde 17-82 mm arasıuzunlukta bulundu. Ayrıca iğne penetrasyon derinliğinin BKİ sınıflamasına göre kadın ve erkeklerde istatistiksel olarak farklı olduğu belirlendi (p<0,001) ve cinsiyete göre de istatistiksel olarak farklıydı (p<0,001)
Sonuç: Özellikle kilolu ve obez kadınlarda daha uzun iğneler tercih edilmelidir ve BKI dikkate alınarak kadınlardaki iğne penetrasyon derinliği erkeklerden fazla olmalıdır. Ayrıca iğne penetrasyon derinliği aralığının geniş olduğu görülmektedir ve bu nedenle IM enjeksiyon uygulamasında, bireye özgü değerlendir me yapılmalı, yağ dokusunun kalınlığı ve kasların durumu bölge palpe edilerek tanılanmalıdır.

Keywords

Beden kitle indeksi, cinsiyet, kas içi enjeksiyon, ventrogluteal bölge, iğne penetrasyonu

Project Number

315S160

NEEDLE PENETRATION DEPTH ACCORDING TO GENDER AND BODY MASS INDEX IN VENTROGLUTEAL INTRAMUSCULAR INJECTIONS IN ADULTS

Abstract

Objective: This study aimed to investigate the needle penetration depth in ventrogluteal intramuscular injections in adults, taking into account gender and body mass index (BMI).
Material and Method: This study was designed as correlational research with a sample of 232 patients. The ventrogluteal intramuscular injection area was identified using V and G methodsand these points were examined under ultrasonography; the subcutaneous tissue, M. gluteus medius, and M. gluteus minimus thicknesses were defined by considering the gender and BMI. Data analysis was performed using arithmetic mean, standard deviation, frequency, percentage, Independent Samples t Test, and ANOVA.
Result: Needle penetration depth is between 20-48 mm in thin women, 18-53 mm in normal weight women, 29-62 mm in overweight women, and 26-88 mm in obese women; 23-37 mm in thin men, 18-41 mm in normal weight men, 25-50 mm in overweight men, and 17-82 mm in obese men. In addition, it was determined that needle penetration depth was statistically different according to the BMI category for bot women and men (p<0.001) and also statistically different according to gender (p<0.001).
Conclusion: Particularly in overweight and obese women, longer needles should be used. In addition, considering BMI, the needle penetration depth in women should be greater than in men. It was found that the range of needle penetration depths is wide and should therefore be assessed individually during IM injection; adipose tissue thickness and muscle condition should be assessed by palpating the area.

Keywords

Body mass index, gender, intramuscular injection, ventrogluteal area, needle penetration depth

Supporting Institution

Scientific and Technological Research Council of Turkey (TUBITAK)

Project Number

315S160

Thanks

We are greatly thankful to the Scientific and Technological Research Council of Turkey (TUBITAK) for its invaluable contributions to the study (Project No: 315S160).

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