The Comparison of The Effectiveness of Local Ice and Manual Pressure Application in Decreasing Pain Related to Intramuscular Injection

Objective: Because of the pain they cause, injection applications can constitute a negative experience for both the patients and the nurses performing the application. This study was planned to compare the effectiveness of local ice and manual pressure applications in decreasing the injection pain experienced by patients. Methods:This study performed a university hospital in Turkey. Onehundred and five patients,45 in the lokal ıce group, 45 in the manuel pressure group and 45 in the control group, met the inclusion criteria and completed the study. The local ice group received cold ice application to the injection area before injection. The manual pressure group was received 10 seconds of pressure applied by the researcher to the injection area before injection. The control group received routine injection. Study data was collected using The Wong‐Baker FACES Pain Rating Scale and The Visual Analog Pain Scale. Results: A statistically significant difference among the groups with regard to mean WBS and VAS scores was found as a result of the study. The control group received a higher score compared to the groups which underwent manuel pressure and local ice applications. Conclusions: It was concluded that local ice and manuel pressure applications before IM injections were effective in decreasing the injection pains of patients.

Keywords:

pain control, injections, injections pain, local ice manual pressure,

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1. Kanika K, Prasad S. Effect of massage on pain perception after administration of intramuscular injection among adult patients. Nursing and Midwifery Research Journal 2011; 7(3): 130–138.
2. Raddadi Y, Adib-Hajbaghery M, Ghadirzadeh Z, Kheirkhah D. Comparing the effects of acupressure at LI4 and BL32 points on intramuscular injection pain. European Journal of Integrative Medicine 2017; 11: 63-68.
3. Ogston-Tuck S, Worcester W, Mueller’s RS. Intramuscular injection technique: an evidence-based approach. Nursing Standard 2014; 29(4): 52-59.
4. Güneş ÜY, Kara D, Arı S, Ceyhan O. Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey. Clinical Nursing Studies 2013; 1(4): 74.
5. Aydin D, Şahiner NC, Çiftçi EK. Comparison of the effectiveness of three different methods in decreasing pain during venipuncture in children: ball squeezing, balloon inflating and distraction cards. Journal of Clinical Nursing 2016; 25(15-16): 2328-2335.
6. Ozdemir L, Pιnarcι E, Akay BN, Akyol A. Effect of methylprednisolone injection speed on the perception of intramuscular injection pain. Pain Management Nursing 2013; 14(1): 3-10.
7. Suhrabi Z, Taghinejad H. Effect of acupressure (UB32) on pain intensity in intramuscular injections. Iranian Journal of Nursing and Midwifery Research 2014; 19(1): 24-27.
8. Farhadi A, Esmailzadeh M. Effect of local cold on intensity of pain due to Penicillin Benzathin intramuscular injection. International Journal of Medicine and Medical Sciences 2011; 3(11): 343-346.
9. Najafi SS, Nazaribin S, Momennasab M, Yoosefinejad AK. The effect of manual acupressure (point UB32) on pain associated with intramuscular injections of magnesium sulfate. Journal of Acupuncture and Meridian Studies 2018; 1-6.
10. Zore G, Ragina D. Effectiveness of nursing interventions on pain associated with intramuscular injection. International Journal of Science and Research 2014; 3: 1995–2000.
11. Derya EY, Karabacak U, Yavuz T, Izzet AY. Applying manual pressure before benzathine penicillin injection for rheumatic fever prophylaxis reduces pain in children. Pain Management Nursing 2015; 16(3): 328-335.
12. Attia AAM, Hassan AM. Effect of cryotherapy on pain management at the puncture site of arteriovenous fistula among children undergoing hemodialysis. International Journal of Nursing Sciences 2017; 4(1): 46-51.
13. Yavuz D.E. Effectiveness of the application of manuel pressure prior to intramuscular injection to decrease injection pain in children and adolescents with rheumatic fever. Master's thesis. Marmara University Institute of Health Sciences. Istanbul. 2012. (Turkish).
14. Bastami M, Azadi A, Mayel M. The use of ice pack for pain associated with arterial punctures. Journal of Clinical and Diagnostic Research: JCDR. 2015; 9(8): JC07–JC09.
15. Chung JW, Ng WM, Wong TK. An experimental study on the use of manual pressure to reduce pain in intramuscular injections. Journal of Clinical Nursing 2002; 11(4): 457-461.
16. Gülnar E, Özveren H. An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site. Nurse Education Today 2016; 36: 360-363.
17. Hasanpour M, Tootoonchi M, Aein F, Yadegarfar G. The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children. Acute Pain 2006; 8(1): 7-12.
18. Kant E. The effect of music and pressure applied on the region before intramuscular injection. Master's thesis. Atatürk University Institute of Health Sciences, Erzurum. 2015. (Turkish).
19. Kara D, Uzelli D, Karaman D. Using Ventrogluteal site in intramuscular injections is a priority or an alternative?. International Journal 2015; 8(2): 507-513.
20. Nasiry H, Hesam M, Asayesh H, Rahmani Anaraki H, Shariati K, A Bathai S. The effect of manual pressure on intramuscular injection pain severity. J Urmia Nurs Midwifery Fac 2013; 11(2): 113-118.
21. Öztürk 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 postinjection pain: a semi‐experimental study. Journal of Clinical Nursing 2017; 26(11-12): 1632-1638.
22. Schechter NL, Zempsky WT, Cohen LL, McGrath, PJ, McMurtry CM, Bright NS. Pain reduction during pediatric immunizations: evidence-based review and recommendations. Pediatrics 2007; 119(5), e1184-e1198.
23. Sorge RE, Strath LJ. Sex differences in pain responses. Current Opinion in Physiology. 2018; 6: 75-81.
24. Yıldız T. The effect of the lokal ice applications to the pain of intramuscular injection of penicilin in children. Master’s thesis. Halic University Institute of Health Sciences, Istanbul. 2014. ( Turkish).