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

The Effect of Use of Manual Pressure and Shotblocker on Pain and Injection Satisfaction in the Application of Intramuscular Injection to the Ventrogluteal Region in Adult Patients

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.

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.