Research Article
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Year 2021, Volume: 11 Issue: 4, 721 - 726, 26.10.2021
https://doi.org/10.33808/clinexphealthsci.861801

Abstract

References

  • 1. Ağaç E, Güneş ÜY. Effect on pain of changing the needle prior to administering medicine intramuscularly: A randomized controlled trial. Journal of Advanced Nursing 2011; 67 (3): 563–568. https://doi.org/563-568. 10.1111 / j.1365-2648.2010.05513.x
  • 2. Nicoll LH, Hesby A. Intramuscular injection: An integrative research review and guideline for evidence-based practice. Applied Nursing Research 2002; 15 (3): 149-162. https://doi.org/10.1053/apnr.2002.34142
  • 3. Legrand G, Guiguet‐Auclair C, Viennet H, Aumeran C, Reynaud D, Badrikian L, Debost‐Legrand A. Nurses' practices in the preparation and administration of intramuscular injections in mental health: A cross‐sectional study. Journal Of Clinical Nursing 2019; 28(17-18): 3310-3317. https://doi.org/10.1111/jocn.14909
  • 4. Zhuo P, Gao D, Xia Q, Ran D, Xia W. Sciatic nerve injury in children after gluteal intramuscular injection: Case reports on medical malpractice. Medicine, Science and the Law 2019; 59(3), 139-142. https://doi.org/10.1177/0025802419851980
  • 5. Kara D, Yapucu G. The Effect on pain three different methods of intramuscular injection: a randomized controlled trial. İnternational Journal of Nursing Practice 2016; 22 (2):152-9. https://doi.org/10.1111/ijn.12358.
  • 6. Kara D, Dikmen Y, Kokturk F, Dedeoğlu Y. The Effect of air-lock technique on pain at the site of intramuscular injection. Saudi Medical Journal 2016; 37 (3): 304-308. https://doi.org/10.15537 / smj.2016.3.13113
  • 7. Mitchell JR, Whitney FW. The Effect of injection speed on the perception of intramuscular injection pain. A clinical update. Workplace Health & Safety Journal 2011; 49 (6): 286-292.
  • 8. McWilliam P.L, Botwinski CA, LaCourse JR. Deltoid intramuscular injections and obesity. Medical Surgıcal Nurses 2014; 23(1): 4-7.
  • 9. Kusumadevi MS, Dayananda G, Shivakumar V, Elizabeth J, Kumudavathi MS. The perception of intramuscular injection pain in men vs women. Biomedical Research 2011; 22 (1): 107-110.
  • 10. Cocoman A, Murray J. İntramuscular injections: A rewiev of best practice for mental health nurses. Journal of Psychatric and Mental Health Nurses 2008; 15: 424-434. https://doi.org/10.1111/j.1365-2850.2007.01236.x
  • 11. Karabey T, Karagözoğlu Ş. Use of non-pharmacological methods for pain control in ıntramuscular ınjection applications: a systematic review. IOSR Journal of Nursing and Health Science 2020; 9(2): 01-06. https://doi.org/10.9790/1959-0902080106.
  • 12. Helfer J.K. Painless Injections: Helfer skin tap technique. Nurse educator 2000; 25(6): 272-273.
  • 13. Dimpleshree K, Ramasambasivan R, Mahariba SK, Princy K. Effectiveness of helfer skin tap technique on pain experience among the patients receiving intramuscular injection. TNNMC Journal of Medical & Surgical Nursing 2020; 8(1): 24-30.
  • 14. Khanra S, Asokan R, Lenka A. Helfer skin tap technique on pain associated with intramuscular injection among adult patients. International Journal of Nursing Education 2018; 10(3): 12-17.
  • 15. Sivri Bilgen B, Balcı S. The effect on pain of Buzzy® and ShotBlocker® during the administration of intramuscular injections to children: A randomized controlled trial. Journal of Korean Academy of Nursing 2019; 49(4): 486-494. https://doi.org/10.4040 / jkan.2019.49.4.486
  • 16. Bilge S, Aydin A, Gun, C, Aldinc H, Acar YA, Yaylaci S, Balci V. Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults. Saudi Medical Journal 2019; 40(10): 996-1002.
  • 17. Yilmaz G, Alemdar DK. Using Buzzy, Shotblocker, and bubble blowing in a pediatric emergency department to reduce the pain and fear caused by intramuscular injection: A randomized controlled trial. Journal of Emergency Nursing 2019; 45(5): 502-511. https://doi.org/10.1016/j.jen.2019.04.003
  • 18. Çelik N, Khorshid L. Theuse of ShotBlocker for reducing the pain and anxiety associated with intramuscular injection. Holistic Nursing Practice 2015; 29(5): 261-271. https://doi.org/10.1097/HNP.0000000000000105
  • 19. Tuğrul E, Çelik N, Khorshid L. Effects of shotblocker on relief of pain due to hepatitis b vaccine ınjection into deltoid muscle. International Journal of Caring Sciences 2017; 10(3): 1669-1675.
  • 20. Selby PJ, Chapman JA, Etazadi Amoli J, Dalleyand D, Boyd NC. The development of a method for assessing the quality of life of cancer patients. British Journal of Cancer 1984; 50(3):13.
  • 21. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine 2001; 8(12): 1153-1157.
  • 22. Cline M.E, Herman J, Show F, Marton RD. Standardization of the Visual Analogue Scale. Nursing Research 1992; 41 (6): 378–379.
  • 23. Aydin E, Avşar G. Examining the effect of Shotblocker in relieving pain associated with intramuscular injection. Complementary therapies in medicine 2019; 47; 102192. https://doi.org/10.1016/j.ctim.2019.09.001.
  • 24. Hylands-White N, Duarte RV, Raphael JH. An overview of treatment approaches for chronic pain management. Rheumatology İnternational 2017; 37(1): 29-42.
  • 25. Nakajima Y, Fujii T, Mukai K, Ishida A, Kato M, Takahashi M, Ozaki N. Anatomically safe sites for intramuscular injections: a cross-sectional study on young adults and cadavers with a focus on the thigh. Human Vaccines & Immunotherapeutics 2020; 16(1): 189-196. https://doi.org/10.1080/21645515.2019.1646576.
  • 26. Jyoti G, Arora S, Sharma B. Helfer Skin Tap Technique for the IM injection pain among adult patients. Nursing and Midwifery Research, 2018; 14(3): 18. https://doi.org/10.33698 / NRF0236
  • 27. Soliman HMM, Hassnein AA. Efficacy of Helfer skin tapping technique on pain intensity as perceived by the patients receiving intramuscular injection. International journal of Nursing Didactics 2016; 6(2): 12-22. https://doi.org/10.15520 / ijnd.2016.vol6.iss2.135.12-22
  • 28. Çaglar S, Büyükyilmaz F, Cosansu G, Çaglayan S, Effectiveness of ShotBlocker for immunization pain in full-term neonates: A randomized controlled trial. The Journal Of Perinatal & Neonatal Nursing 2017; 31 (2): 166-171. https://doi.org/10.1097 / JPN.0000000000000256

The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection

Year 2021, Volume: 11 Issue: 4, 721 - 726, 26.10.2021
https://doi.org/10.33808/clinexphealthsci.861801

Abstract

Objective: This study was performed experimentally and single-blind randomized controlled trial to compare the effects of Helfer Skin Tap technique and Shot Blocker application on pain in the intramuscular injection application to the deltoid muscle.
Methods: The study was designed as a prospective, single-blind randomized controlled trial. The research was conducted in accordance with the Consolidated Standards of Reporting Trials (CONSORT) Checklist guide. The study was conducted in a family health center in Sivas Province between 05.10.2020-30.12.2020. Individuals who received Hepatitis B vaccine injection were included in the sample of the study. All intramuscular injections were made by the same nurse, and the approaches to reducing pain were made by the researcher. A total of 120 patients including the Helfer Skin Tap Technique (n=40), the standard application (n=40) and the ShotBlocker technique (n=40) were included. Mann Whitney U and Kruskal Wallis tests were used to evaluate the data.
Results: In our study, 75% (n=30) of the Helfer Skin Tap group, 82.50% (n=33) of the standard administration group and 75% (n=30) of the ShotBlocker group reported that they had no fear of injection. When the distribution of post-injection pain scores of the individuals according to different injection methods was examined, the difference between the average pain scores of the different methods used to provide pain control was found to be significant and statistically significant (p=0.001).
Conclusion: In line with the findings of our study, it was concluded that the use of ShotBlocker in intramuscular injection application of individuals was more effective in reducing pain due to injection compared to Helfer Skin Tap and standard application, and the Helfer Skin Tap technique was more successful in pain control than standard practice. All health professionals’, especially nurses’, awareness of the effectiveness of different methods in reducing pain during IM injection should be raised. To ensure pain control during IM injection, Shotblocker and Helfer Skin Tap Technique should be preferred since they are easy to apply and cost effective.

References

  • 1. Ağaç E, Güneş ÜY. Effect on pain of changing the needle prior to administering medicine intramuscularly: A randomized controlled trial. Journal of Advanced Nursing 2011; 67 (3): 563–568. https://doi.org/563-568. 10.1111 / j.1365-2648.2010.05513.x
  • 2. Nicoll LH, Hesby A. Intramuscular injection: An integrative research review and guideline for evidence-based practice. Applied Nursing Research 2002; 15 (3): 149-162. https://doi.org/10.1053/apnr.2002.34142
  • 3. Legrand G, Guiguet‐Auclair C, Viennet H, Aumeran C, Reynaud D, Badrikian L, Debost‐Legrand A. Nurses' practices in the preparation and administration of intramuscular injections in mental health: A cross‐sectional study. Journal Of Clinical Nursing 2019; 28(17-18): 3310-3317. https://doi.org/10.1111/jocn.14909
  • 4. Zhuo P, Gao D, Xia Q, Ran D, Xia W. Sciatic nerve injury in children after gluteal intramuscular injection: Case reports on medical malpractice. Medicine, Science and the Law 2019; 59(3), 139-142. https://doi.org/10.1177/0025802419851980
  • 5. Kara D, Yapucu G. The Effect on pain three different methods of intramuscular injection: a randomized controlled trial. İnternational Journal of Nursing Practice 2016; 22 (2):152-9. https://doi.org/10.1111/ijn.12358.
  • 6. Kara D, Dikmen Y, Kokturk F, Dedeoğlu Y. The Effect of air-lock technique on pain at the site of intramuscular injection. Saudi Medical Journal 2016; 37 (3): 304-308. https://doi.org/10.15537 / smj.2016.3.13113
  • 7. Mitchell JR, Whitney FW. The Effect of injection speed on the perception of intramuscular injection pain. A clinical update. Workplace Health & Safety Journal 2011; 49 (6): 286-292.
  • 8. McWilliam P.L, Botwinski CA, LaCourse JR. Deltoid intramuscular injections and obesity. Medical Surgıcal Nurses 2014; 23(1): 4-7.
  • 9. Kusumadevi MS, Dayananda G, Shivakumar V, Elizabeth J, Kumudavathi MS. The perception of intramuscular injection pain in men vs women. Biomedical Research 2011; 22 (1): 107-110.
  • 10. Cocoman A, Murray J. İntramuscular injections: A rewiev of best practice for mental health nurses. Journal of Psychatric and Mental Health Nurses 2008; 15: 424-434. https://doi.org/10.1111/j.1365-2850.2007.01236.x
  • 11. Karabey T, Karagözoğlu Ş. Use of non-pharmacological methods for pain control in ıntramuscular ınjection applications: a systematic review. IOSR Journal of Nursing and Health Science 2020; 9(2): 01-06. https://doi.org/10.9790/1959-0902080106.
  • 12. Helfer J.K. Painless Injections: Helfer skin tap technique. Nurse educator 2000; 25(6): 272-273.
  • 13. Dimpleshree K, Ramasambasivan R, Mahariba SK, Princy K. Effectiveness of helfer skin tap technique on pain experience among the patients receiving intramuscular injection. TNNMC Journal of Medical & Surgical Nursing 2020; 8(1): 24-30.
  • 14. Khanra S, Asokan R, Lenka A. Helfer skin tap technique on pain associated with intramuscular injection among adult patients. International Journal of Nursing Education 2018; 10(3): 12-17.
  • 15. Sivri Bilgen B, Balcı S. The effect on pain of Buzzy® and ShotBlocker® during the administration of intramuscular injections to children: A randomized controlled trial. Journal of Korean Academy of Nursing 2019; 49(4): 486-494. https://doi.org/10.4040 / jkan.2019.49.4.486
  • 16. Bilge S, Aydin A, Gun, C, Aldinc H, Acar YA, Yaylaci S, Balci V. Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults. Saudi Medical Journal 2019; 40(10): 996-1002.
  • 17. Yilmaz G, Alemdar DK. Using Buzzy, Shotblocker, and bubble blowing in a pediatric emergency department to reduce the pain and fear caused by intramuscular injection: A randomized controlled trial. Journal of Emergency Nursing 2019; 45(5): 502-511. https://doi.org/10.1016/j.jen.2019.04.003
  • 18. Çelik N, Khorshid L. Theuse of ShotBlocker for reducing the pain and anxiety associated with intramuscular injection. Holistic Nursing Practice 2015; 29(5): 261-271. https://doi.org/10.1097/HNP.0000000000000105
  • 19. Tuğrul E, Çelik N, Khorshid L. Effects of shotblocker on relief of pain due to hepatitis b vaccine ınjection into deltoid muscle. International Journal of Caring Sciences 2017; 10(3): 1669-1675.
  • 20. Selby PJ, Chapman JA, Etazadi Amoli J, Dalleyand D, Boyd NC. The development of a method for assessing the quality of life of cancer patients. British Journal of Cancer 1984; 50(3):13.
  • 21. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine 2001; 8(12): 1153-1157.
  • 22. Cline M.E, Herman J, Show F, Marton RD. Standardization of the Visual Analogue Scale. Nursing Research 1992; 41 (6): 378–379.
  • 23. Aydin E, Avşar G. Examining the effect of Shotblocker in relieving pain associated with intramuscular injection. Complementary therapies in medicine 2019; 47; 102192. https://doi.org/10.1016/j.ctim.2019.09.001.
  • 24. Hylands-White N, Duarte RV, Raphael JH. An overview of treatment approaches for chronic pain management. Rheumatology İnternational 2017; 37(1): 29-42.
  • 25. Nakajima Y, Fujii T, Mukai K, Ishida A, Kato M, Takahashi M, Ozaki N. Anatomically safe sites for intramuscular injections: a cross-sectional study on young adults and cadavers with a focus on the thigh. Human Vaccines & Immunotherapeutics 2020; 16(1): 189-196. https://doi.org/10.1080/21645515.2019.1646576.
  • 26. Jyoti G, Arora S, Sharma B. Helfer Skin Tap Technique for the IM injection pain among adult patients. Nursing and Midwifery Research, 2018; 14(3): 18. https://doi.org/10.33698 / NRF0236
  • 27. Soliman HMM, Hassnein AA. Efficacy of Helfer skin tapping technique on pain intensity as perceived by the patients receiving intramuscular injection. International journal of Nursing Didactics 2016; 6(2): 12-22. https://doi.org/10.15520 / ijnd.2016.vol6.iss2.135.12-22
  • 28. Çaglar S, Büyükyilmaz F, Cosansu G, Çaglayan S, Effectiveness of ShotBlocker for immunization pain in full-term neonates: A randomized controlled trial. The Journal Of Perinatal & Neonatal Nursing 2017; 31 (2): 166-171. https://doi.org/10.1097 / JPN.0000000000000256
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Tuba Karabey 0000-0002-2334-6560

Şerife Karagözoğlu 0000-0002-9558-0786

Publication Date October 26, 2021
Submission Date January 15, 2021
Published in Issue Year 2021 Volume: 11 Issue: 4

Cite

APA Karabey, T., & Karagözoğlu, Ş. (2021). The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection. Clinical and Experimental Health Sciences, 11(4), 721-726. https://doi.org/10.33808/clinexphealthsci.861801
AMA Karabey T, Karagözoğlu Ş. The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection. Clinical and Experimental Health Sciences. October 2021;11(4):721-726. doi:10.33808/clinexphealthsci.861801
Chicago Karabey, Tuba, and Şerife Karagözoğlu. “The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection”. Clinical and Experimental Health Sciences 11, no. 4 (October 2021): 721-26. https://doi.org/10.33808/clinexphealthsci.861801.
EndNote Karabey T, Karagözoğlu Ş (October 1, 2021) The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection. Clinical and Experimental Health Sciences 11 4 721–726.
IEEE T. Karabey and Ş. Karagözoğlu, “The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection”, Clinical and Experimental Health Sciences, vol. 11, no. 4, pp. 721–726, 2021, doi: 10.33808/clinexphealthsci.861801.
ISNAD Karabey, Tuba - Karagözoğlu, Şerife. “The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection”. Clinical and Experimental Health Sciences 11/4 (October 2021), 721-726. https://doi.org/10.33808/clinexphealthsci.861801.
JAMA Karabey T, Karagözoğlu Ş. The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection. Clinical and Experimental Health Sciences. 2021;11:721–726.
MLA Karabey, Tuba and Şerife Karagözoğlu. “The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection”. Clinical and Experimental Health Sciences, vol. 11, no. 4, 2021, pp. 721-6, doi:10.33808/clinexphealthsci.861801.
Vancouver Karabey T, Karagözoğlu Ş. The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection. Clinical and Experimental Health Sciences. 2021;11(4):721-6.

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