Effect of Manual Pressure and Shotblocker on Pain and Injection Satisfaction in Intramuscular Injection Application

Not Applicable

Completed

• Conditions: Intramuscular Injection
• Interventions: Other: Manual Pressure; Device: Shotblocker

• Registration Number: NCT04883723
• Lead Sponsor: TC Erciyes University

Brief Summary

This study was planned as a single blind randomized controlled experimental study to investigate the effect of manual pressure applied before injection and ShotBlocker's pain and injection satisfaction due to intramuscular injection. The sample of the study consisted of a total of 120 patients over the age of 18 who applied to the Emergency Service of a public hospital and were requested Diclofenac Sodium 75mg / 3ml. The patients were included in the experiment I (shotblocker), experiment II (manual compression) and the control group with the randomization list created on the computer.

In the ShotBlocker group, the ShotBlocker was kept throughout the injection, and in the manual compression group, manual pressure was applied to the injection area for 10 seconds before injection, and in the control group, IM injection was applied without using any tools. Before the injection, the heart rate and blood pressure values of the patient were measured and recorded. Visual Comparison Scale and Injection Satisfaction Scale were administered to the patient in the first minute after the injection. Pulse and blood pressure values were measured and recorded again. Finally, the patient introduction form was filled. Parametric or nonparametric statistical tests and correlation test were used in the analysis of the data.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-04-22
• Primary Completion: 2019-08-23
• Study Completion: 2019-08-23
• Status Verified: 2021-05
• Study First Submitted: 2021-05-07
• Study First Submitted QC: 2021-05-07
• Last Update Submitted: 2021-05-11
• Study First Posted: 2021-05-12
• Last Update Posted: 2021-05-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• He has not had an IM injection in the last week,
• Upper respiratory tract infection patients in the Examination Department, where green field patients of the Emergency Service are located,
• Over the age of 18,
• No complications related to IM injections such as pain at the IM injection site, abscess, infection, tissue necrosis, hematoma,
• Does not have pain anywhere in the body that will affect the work result,
• Are conscious and have no communication problem,
• No vision or hearing problems,
• Not taking analgesic in the last 24 hours,
• Does not have any known chronic disease,
• No psychiatric disorder,
• Diclofenac sodium ampoule has been ordered,
• Can evaluate "Visual Comparison Scale and Injection Satisfaction Scale" correctly,
• Individuals who volunteered to participate in the study and signed the written informed consent form were included.

Exclusion Criteria

• Not wanting to participate in the study,
• Patients who did not meet the study acceptance criteria were not included.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Experiment II (Manual Pressure) Group	Manual Pressure	Before the injection, the heart rate and blood pressure values of the patient were measured and recorded. The patient was placed in a prone position and the appropriate left or right ventrogluteal region was determined. Pressure was applied to the determined injection area with the thumb of the active hand for 10 seconds. Immediately after the application of pressure was terminated, the injection site was cleaned with an alcohol cotton pad with circular movements of 5 cm diameter from inside to outside and the alcohol was allowed to dry. With a single movement at a 90 ° angle, the compression area was entered quickly and the injection was performed. Visual comparison scale and injection satisfaction evaluation scale were applied to the patient in the first minute after the intramuscular injection. The obtained scores were recorded in the patient identification form. Pulse and blood pressure values were measured and recorded again. Finally, the patient introduction form was filled.
Experiment I (Shotblocker) Group	Shotblocker	Before the injection, the heart rate and blood pressure values of the patient were measured and recorded. The patient was placed in a prone position. The determined injection site was cleaned with a cotton pad with alcohol, with circular movements of 5 cm diameter from inside to outside, and the alcohol was allowed to dry. The protruding surface of the Shotblocker was placed in the area just before the injection, so that the needle entry point would not be contaminated. It was lightly pressed into the shotblocker with fingertips and the injection was performed. ShotBlocker has been removed after removing the needle. Visual comparison scale and injection satisfaction evaluation scale were applied to the patient in the first minute after the intramuscular injection. The obtained scores were recorded in the patient identification form. Pulse and blood pressure values were measured and recorded again. Finally, the patient introduction form was filled.

Primary Outcome Measures

Name	Time	Method
Visual Benchmark Scale	Immediately after the injection	It is a one-dimensional scale used in the measurement of pain. It was found that the sensitivity of the visual comparison scale was higher than other methods in the assessment of pain severity. The scale consists of a 100 mm long line. On one end there are the words "No Pain" and "Unbearable Pain" on the other. The patient is instructed to mark a point on the line that accurately reflects his or her pain. Between the onset of no pain and this point marked by the patient, it is measured and recorded.
Injection Satisfaction Rating Scale	Immediately after the injection	The satisfaction level of the patients after injection was evaluated using a scale consisting of a 100 mm vertical line with "Very Satisfied" on one end and "Not Satisfied" on the other.

Trial Locations

Locations (1)

Erciyes University; 🇹🇷 Kayseri, Turkey