COMPARISON OF MANUAL PRESSURE AND SHOTBLOCKER ON PAIN AND SATISFACTION IN INTRAMUSCULAR INJECTION: A RANDOMIZED CONTROLLED TRIAL

Yıl 2023, Cilt: 32 Sayı: 1, 89 - 96, 03.04.2023

Ali Kaplan , Sevil Güler , Ömer Levent Avşaroğulları

https://doi.org/10.34108/eujhs.1123965

Öz

Intramuscular injection pain can create a negative experience for both patients and nurses performing the application. It has been recently become more important to reduce the pain and anxiety caused by injection in nursing care due to the prominence of the concept of quality in health services. This study was conducted to investigate the effect of manual pressure applied before injection and ShotBlocker on pain and injection satisfaction associated with intramuscular injection. This research is a randomized controlled experimental clinical trial. The sample of the study was composed of a total of 120 people over 18 years of age who applied to the emergency department of a university hospital. The participants were assigned to the ShotBlocker (40), the manual pressure (40) and the control group (40) with a randomization list generated using a computer. Visual Analog Scale and Injection Satisfaction Form were applied to the patients in the first minute after the injection. The ShotBlocker and the manual pressure groups had lower pain levels and higher injection satisfaction levels compared to the control group. Therefore, manual pressure and ShotBlocker are recommended to reduce pain associated with intramuscular injection and increase injection satisfaction.

Anahtar Kelimeler

Integrative medicine, intramuscular injection, manual pressure, pain measurement, shotblocker

İNTRAMÜSKÜLER ENJEKSİYONDA AĞRI VE MEMNUNİYET ÜZERİNDE MANUEL BASINÇ VE SHOTBLOCKER'IN KARŞILAŞTIRILMASI: RANDOMİZE KONTROLLÜ BİR DENEME

Öz

İntramüsküler enjeksiyon uygulamasına bağlı yaşanan ağrı hem hastalar hem de uygulamayı yapan hemşireler için olumsuz bir deneyim oluşturabilir. Sağlık hizmetlerinde kalite kavramının öne çıkması nedeniyle hemşirelik bakımında enjeksiyonun neden olduğu ağrı ve kaygıyı azaltmak son zamanlarda daha önemli hale gelmiştir. Bu çalışma, enjeksiyon öncesi uygulanan manuel basıncın ve ShotBlocker'ın intramüsküler enjeksiyonla ilişkili ağrı ve enjeksiyon memnuniyeti üzerindeki etkisini araştırmak için yapılmıştır. Bu araştırma, randomize kontrollü deneysel bir klinik araştırmadır. Araştırmanın örneklemini bir üniversite hastanesinin acil servisine başvuran 18 yaş üstü toplam 120 kişi oluşturmuştur. Katılımcılar bilgisayar kullanılarak oluşturulan bir randomizasyon listesi ile ShotBlocker (40), manuel basınç (40) ve kontrol grubuna (40) atanmıştır. Hastalara enjeksiyondan sonraki ilk dakika içinde Görsel Analog Skalası ve Enjeksiyon Memnuniyet Ölçeği uygulanmıştır. ShotBlocker ve manuel basınç grupları, kontrol grubuna kıyasla daha düşük ağrı seviyelerine ve daha yüksek enjeksiyon memnuniyet seviyelerine sahip olduğu belirlenmiştir. Bu nedenle, intramüsküler enjeksiyonla ilişkili ağrıyı azaltmak ve enjeksiyon memnuniyetini artırmak için manuel basınç ve ShotBlocker önerilir.

Anahtar Kelimeler

Ağrı ölçümü, bütünleştirici tıp, intramüsküler enjeksiyon, manuel basınç, shotblocker

Kaynakça

• Celik N, Khorshid L. The use of shotblocker for reducing the pain and anxiety associated with intramuscular injection: A randomized, placebo-controlled study. Holist Nurs Pract 2015; 29(5):261-271.
• Yapucu Gunes U, Zaybak A, Bicici B, Cevik K. The examination of the procedures regarding to intramuscular injection used by the nurses. Journal of Anatolia Nursing and Health Sciences 2009; 12(4):84-90.
• Suhrabi Z, Taghinejad H. Effect of acupressure (UB32) on pain intensity in intramuscular injections. Iran J Nurs Midwifery Res 2014; 19(1):24-27.
• Farhadi A, Esmailzadeh M. Effect of local cold on intensity of pain due to Penicillin Benzathin intramuscular injection. Int J Med Med Sci 2011;3(11):343-346.
• Karadas M, Senturan L. Investigation of the effect of reaction of patients and patients' relatives during. Ordu University J Nurs Stud 2021; 4(2):172-180.
• Vatansever NA, Akansel N. Validation study of the strategic and clinical quality indicators in postoperative pain management questionnaire in Turkish surgery patients. Pain Manag Nurs 2014; 15(4):871-880.
• Ay F, Ecevit Alpar S. Approaches taken by nurses in treating postoperative pain. Pain 2010; 22(1):21-29.
• Zore G, Dias R. Effectiveness of nursing interventions on pain associated with intramuscular injection. IJSR 2014; 3:1995-2000.
• Ozdemir L, Pınarcı E, Akay BN, Akyol A. Effect of methyl prednisolon injections peed on the perception of intramuscular injection pain. Pain Manag Nurs 2013; 14:3e10.
• Kara D. The methods for reducing pain due to intramuscular injection. GUJHS 2013; 2:169-182.
• Kara D, Yapucu GU. The effect on pain of three different methods of intramuscular injection: a randomized controlled trial. Int J Nurs Pract 2016; 22(2):152-159.
• Gulnar E, Ozveren H. An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site. Nurse Educ Today 2016; 36:360-363.
• Celik N, Khorshid L. Reducing the pain associated with intramuscular injection. JEUNF 2012; 28(3):117-128.
• Karabey T, Karagozoglu S. Use of non-pharmacological methods for pain control in intramuscular injection applications: a systematic review. IOSR-JNHS 2020; 9(2):1-6.
• Derya EY, Ukke K, Taner Y, Izzet AY. Applying manual pressure before benzathine penicillin injection for rheumatic fever prophylaxis reduces pain in children. Pain Manag Nurs 2015; 16(3):328-335.
• Inangil D, Inangil G. The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study. J Clin Nurs 2020; 29(7-8):1094-1101.
• Dincer B, Yildirim D. The effect of vibration stimulation on intramuscular injection pain and patient satisfaction: Single–blind, randomised controlled study. J Clin Nurs 2021; 30(11-12):1615-1622.
• Yılmaz DK, Dikmen Y, Kokturk F, Dedeoglu Y. The effect of air-lock technique on pain at the site of intramuscular injection. Saudi Med J 2016; 37(3):304-308.
• Ozturk D, Baykara ZG, Karadag A, Eyikara E. The effect of the application of manual pressure before the administration of intramuscular injections on students’ perceptions of post-injection pain: a semi-experimental study. J Clin Nurs 2017; 26(11-12):1632-1638.
• Aslan FE. Pain nature and control. Academician Medical Bookstore, Ankara, 2014.
• Yılmaz BI, Kanan N. Pain management in the newborn and the roles of nurses. JGEHES 2021; 3(3):273-285.
• Agac E, Yapucu Gunes U. Effect on pain of changing the needle prior to administeringmedicine intramuscularly: a randomized controlled trial. J Adv Nurs 2011; 67(3):563-568.
• Kant E, Akpinar RB. The effect of music and the pressure applied on pain induced by intramuscular injection. IJCS 2017; 10(3):1313-1318.
• Safikhani S, Gries KS, Trudeau JJ, et al. Response scale selection in adult pain measures: results from a literature review. J Patient Rep Outcomes 2018; 2(1):40.
• Sadi Sen E, Yurt S. Determining the attitudes of nurses towards evidence-based practices. DEUHFED 2021; 14(2):102-107.
• Sanlialp Zeyrek A, Takmak S, Kurban NK, Arslan S. Systematic review and meta‐analysis: Physical‐procedural interventions used to reduce pain during intramuscular injections in adults. J Adv Nurs 2019; 75(12):3346-3361.
• Aydın E, Avsar G. Examining the effect of “Shotblocker” in relieving pain associated with intramuscular injection. Complement Ther Med 2019; 47:102192.
• Cavdar İ, Akyuz N. Postoperative pain and its management. 2017. In Aksoy, G., Kanan, N., Akyolcu, N. Surgical Nursing I; Nobel Medical Bookstores; 2017, pp. 367-388.
• Suh S, Ellis RJ, Sollers JJ, et al. The effect of anxiety on heart rate variability, depression, and sleep in chronic obstructive pulmonary disease. J Psychosom Res 2013; 74(5):407-413.
• Cobb EJ, Cohen LL. A randomized conrolled trial of the shotblocker for childrens immunization distress. Clin J Pain 2009; 25(9):790-796.
• Dequeker S, Van Lancker A, Van Hecke A. Hospitalized patients’ vs. nurses’ assessments of pain intensity and barriers to pain management. J Adv Nurs 2018; 74(1):160-171.
• Erek Kazan E, Gorgulu RS. The effects of three different cold therapy methods after arthroscopic knee surgery. DEUHFED 2017; 10(1):29-42.