HEMŞİRELERİN İNTRAMÜSKÜLER ENJEKSİYON İŞLEMİNE YÖNELİK UYGULAMALARININ İNCELENMESİ

Öz

Bu çalışma, hemşirelerin intramüsküler enjeksiyona ilişkin kullandıkları uygulamaları tanımlamak ve intramüsküler enjeksiyonla ilgili kanıta dayalı uygulamaların hemşireler tarafından kullanılma düzeyini belirlemek amacıyla planlanmıştır. Araştırma, Ege Üniversitesi Tıp Fakültesi Hastanesi dahili ve cerrahi kliniklerinde ve Tülay Aktaş Kemik İliği ve Transplantasyon Hastanesinde yapılmıştır. Araştırmanın örneklemini 110 hemşire oluşturmuştur. Araştırmada veri toplama aracı olarak, araştırmacılar tarafından literatür doğrultusunda hazırlanmış anket formu kullanılmıştır. Hemşirelerin %54.5’inin enjeksiyon uygulaması esnasında her zaman hava kilidi tekniğini kullandıkları, %34.5’inin intramüsküler enjeksiyon uygulaması esnasında, ilacı hazırladıktan sonra iğneyi her zaman değiştirdikleri, %60’ının enjeksiyon uygulamalarında her zaman dorsogluteal bölgeyi kullanırken, %78.2’sinin ventrogluteal bölgeyi hiçbir zaman kullanmadıkları saptanmıştır.

Anahtar Kelimeler

• İntramüsküler enjeksiyon, iğne, Z tekniği, hava kilidi, hemşire

Kaynakça

1. Al Awaidy S, Bawikar S, Duclos P (2006). Safe injection practices in a primary health care setting in Oman. Eastern Mediterranean Health Journal 2: 207-16.
2. Berman A, Snyder S, Kozier B et al.
3. (2007). Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice. 8th edition, Prentice Hall
4. Beyea SC, Nicholl LH (1995). Administration of medications via the intramuscular route: an integrative review of the literature and research-based protocol for the procedure. Applied Nursing Research 5(1): 23-33.
5. Campbell J (1995). Injections. Professional Nurse 10(7): 455-458.
6. Chung JW, Wong TK (2002). An experimental study on the use of manual pressure to reduce pain in intramuscular injections. Journal of Clinical Nursing 11: 457–61.
7. Covington TP, Trattler MR (1997). Learn how to zero in on the safest site for an intramuscular injection. Nursing 27(1): 62- 63.
8. Engstrom JL, Giglio NN, Takacs SM et al. (2000). Procedures used to prepare and administer intramuscular injections: a study of infertility nurses. Journal of Obstetrıc Gynecologıc and Neonatal Nursing 29(2): 159-68.

9. Floyd S, Meyer A (2007). Intramuscular injections--what's best practice? Nursing New Zeland 13(6): 20-22.
10. Hunter J (2008). Intramuscular injection techniques. Nursing Standard 22(24): 35-40. Ipp M, Goldbach M, Greenberg S et al. (1990). Effect of needle change and air bubble in syringe on minor adverse reactions associated with diphtheria-tetanus toxoids- pertussis-polio vaccination in infants. Pediatric Infectious Disease Journal 9: 291- 293.
11. Ismail NA, Aboul Ftouh AM, ElShoubary WH et al.
12. health-care workers in Gharbiya Governorate, Egypt. Eastern Mediterranean Health Journal 13(4): 893-906.
13. Lilley LL (1995). Beware of routine procedures. American Journal of Nursing 95(10):18.
14. Lundberg GD (2008). Rapid injections trump slow for minimizing injection pain. Medscape Journal of Medicine 10(3): 62
15. Newton M, Newton DW, Fudin J (1992). Reviewing the “big three” injection routes. Nursing 22(2): 3441.
16. Nicoll LH, Hesby A (2002). Intramuscular injection: an integrative research review and guideline for evidence-based practice. Applied Nursing Research 15(3): 149-62.
17. Potter PA, Perry AG (2005). Fundamentals of Nursing, The C.V. Mosby Company, 6th edition, Philadelphia, USA.
18. Quartermaine S, Taylor R (1995). A comparative study of depot injection techniques. Nursing Times 91(30): 36-39.
19. Rodger MA, King L (2000). Drawing up and administering intramuscular injections: a review of the literature. Journal of Advanced Nursing 31(3): 574-82.
20. Schechter NL, Zempsky WT, Cohen LL et al. (2007). Pain reduction during pediatric immunizations: Evidence-based review and recommendations. Pediatrics 119: 1184-1198.
21. Taylor C, Lillis C, LeMone P (1997). Fundamentals of nursing: The art and science of nursing care (3rd ed.). Philadelphia: Lippincott.
22. Taylor HJ (1992). Patients deserve painless injections. Nursing Journal for Registered Nurse 55: 25-26. Ulusoy
23. Hemşirelik Esasları temel Kuram, Kavram, İlke ve Yöntemler. 2. Baskı, 72 TDFO Ltd. Şti, Ankara.
24. Workman B (1999). Safe injection techniques. Nursing Standard 13(39): 47-53. Wynaden D, Landsborough I, McGowan S et al. (2006). Best practice guidelines for the administration of intramuscular injections in the mental health setting. International Journal of Mental Health Nursing 15(3): 195-200.