Selection of Site for Administration of Intramuscular Injection to Adult Patients by Nurses: A Cross-Sectional Study

Yıl 2019, Cilt: 5 Sayı: 3, 134 - 140, 06.09.2019

Nuray Turan Gülsün Özdemir Aydın Nurten Kaya

https://doi.org/10.30934/kusbed.533530

Cited By: 1

Öz

Objective: This study was carried out
to determine the sites which are selected by nurses to use in the intramuscular
medicine applications and the factors affecting the selection of the injection
sites.

Methods: The population of this descriptive and cross-sectional
type of study was composed of 250 nurses working in two hospitals in Istanbul,
the sample was composed of 171 nurses selected by stratified random sampling method.
Data were collected with ‘Structured Questionnaire Form’.

Results: The average age of the
nurses was found to be 26.27±7.46 years, it was determined that 40.4% of them
applied injection very often and they preferred dorsogluteal site to apply injection with a ratio of 83.6%. When the knowledge level
of nurses about the complications that may occur depending  injection site, it
was seen that some nurses did not consider complications such as pain, nerve,
bone and vascular injury, infection, necrosis, tissue irritation, nodules or
stiffness, abscess and hematoma in the deltoid site. On
the other hand, it was learnt that they had a risk of developing sciatic nerve
damage in the ventrogluteal site. The unit, which the nurses
work and the experience period in that unit affects the site selection in injection application. As a result, nurses often
prefer the dorsogluteal site in injection.

Conclusion: The nurses’ knowledge about the complications that
may ocur in the sites chosen for injection by them is insufficient and there
are factors affecting the selection of the site.

Anahtar Kelimeler

Intramuscular injections, ventrogluteal site, dorsogluteal site, deltoid site, laterofemoral site

Destekleyen Kurum

Istanbul University Scientific Research Projects (IUBAP) Unit

Proje Numarası

BEK- 2016-21708

Teşekkür

Istanbul University Scientific Research Projects (IUBAP) Unit

Hemşirelerin İntramusküler Enjeksiyon Bölgesi Seçimini Etkileyen Faktörler: Kesitsel Bir Çalışma

Öz

Amaç: Bu çalışma hemşirelerin intramusküler ilaç uygulamalarında seçtiği
enjeksiyon bölgeleri ile bölge seçimini etkileyen faktörleri belirlemek
amacıyla yapıldı. 

Yöntem: Tanımlayıcı ve kesitsel türdeki bu araştırmanın evreni İstanbul’daki iki
hastanede çalışan 250 hemşire; örneklemini ise tabakalı rastgele örnekleme
yöntemi ile seçilen 171 hemşire oluşturdu. Veriler, ‘Yapılandırılmış Soru
Formu’ ile toplandı. 

Bulgular: Hemşirelerin yaş ortalamasının 26,27±7,46 yıl olduğu, %40,4’ünün çok sık
intramusküler enjeksiyon uyguladıkları, intramusküler enjeksiyon için %83,6
oranla öncelikli olarak dorsogluteal bölgeyi tercih ettikleri belirlendi.
Hemşirelerin intramusküler enjeksiyon bölgesine göre gelişebilecek
komplikasyonlar hakkında bilgi düzeyleri incelendiğinde; bazı hemşirelerin
ağrı, deltoid bölgede sinir, kemik ve damar yaralanması, enfeksiyon, nekroz,
doku tahrişi, nodül veya sertlik, apse ve hematom gibi komplikasyonları bir
risk olarak görmedikleri öte yandan ventrogluteal bölgede siyatik sinir hasarı
gelişme riskinin bulunduğunu ifade ettikleri görüldü. Hemşirelerin çalıştıkları
ünite ve ünitedeki deneyim süresi intramusküler enjeksiyon uygulamasında bölge
seçimini etkilemektedir. Sonuç olarak, hemşireler intramusküler enjeksiyon
uygulamasında sıklıkla dorsogluteal bölgeyi tercih etmektedir. 

Sonuç: İntramusküler enjeksiyon için seçtikleri bölgelerde gelişebilecek
komplikasyonlar konusundaki bilgileri yetersizdir ve bölge seçimini etkileyen
faktörler bulunmaktadır. 

Anahtar Kelimeler

İntramusküler enjeksiyon, ventrogluteal bölge, dorsogluteal bölge, deltoid bölge, laterofemoral bölge

Proje Numarası

BEK- 2016-21708

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