Objective: to examine the effect of the medium intensity coughing technique during subcutaneous low molecular weight heparin injection on pain severity and individual satisfaction in general surgery patients. Method: the prospective, quasi-experimental study included 100 patients who had been prescribed a subcutaneous low molecular weight heparin injection once in 24 hours. Each patient received two injections by the same researcher, one using the standard injection technique with medium intensity coughing technique and the other only the standard injection technique. Results: there was a statistically significant difference between patients’ mean scores on pain severity and satisfaction levels after injections administered by the two techniques (p= 0.000). Also, it was found that gender affected pain severity relating to the injection but did not affect the level of individual satisfaction. Conclusion: the medium intensity coughing technique was found to reduce pain severity and increase patient satisfaction in general surgery patients receiving subcutaneous low molecular weight heparin injections. Trial registration: NCT05681338.

Objetivo: examinar o efeito da técnica de tosse de média intensidade durante injeção subcutânea de heparina de baixo peso molecular na intensidade da dor e satisfação individual em pacientes submetidos à cirurgia geral. Método: estudo prospetivo, quasi experimental que incluiu 100 pacientes que haviam recebido uma injeção subcutânea de heparina de baixo peso molecular em 24 horas. Cada paciente recebeu duas injeções pelo mesmo pesquisador usando a técnica de injeção padrão com técnica de tosse de média intensidade e apenas técnica de injeção padrão. Resultados: houve diferença estatisticamente significativa entre as pontuações médias dos pacientes quanto à gravidade da dor e níveis de satisfação após as injeções administradas pelas duas técnicas (p = 0,000). Além disso, verificou-se que o sexo do paciente afetou a intensidade da dor relacionada à injeção, mas não afetou o nível de satisfação individual. Conclusão: a técnica de tosse de média intensidade reduz a intensidade da dor e aumenta a satisfação de pacientes submetidos à cirurgia geral recebendo injeções subcutâneas de heparina de baixo peso molecular. Registro do ensaio clínico: NCT05681338.

Objetivo: examinar el efecto de la técnica de tos de mediana intensidad durante la inyección subcutánea de heparina de bajo peso molecular sobre la severidad del dolor y la satisfacción individual en pacientes de cirugía general. Método: estudio prospectivo, cuasi experimental, que incluyó a 100 pacientes a los que se les prescribió una inyección subcutánea de heparina de bajo peso molecular una vez cada 24 horas. Cada paciente recibió dos inyecciones por el mismo investigador utilizando técnica de inyección estándar con técnica de tos de intensidad media y solo técnica de inyección estándar. Resultados: hubo una diferencia estadísticamente significativa entre las puntuaciones medias de los pacientes sobre la intensidad del dolor y los niveles de satisfacción después de las inyecciones administradas por las dos técnicas (p= 0,000). Además, se encontró que el género afectó la severidad del dolor relacionado con la inyección, pero no afectó el nivel de satisfacción individual. Conclusión: se encontró que la técnica de tos de intensidad media reduce la severidad del dolor y aumenta la satisfacción del paciente de cirugía general que reciben inyecciones subcutáneas de heparina de bajo peso molecular. Registro del ensayo: NCT05681338.

This study aimed to evaluate the relationship between bricolage and innovation behaviors in intensive care nurses. This study has a descriptive and cross-sectional design. The study sample consisted of 83 nurses working in the Intensive Care Units of Bursa Uludağ University Health Application and Research Center between December 2021 and April 2022. Research data were collected using a "Nurse Introduction Form", the "Individual Innovation Scale (IIS)", and the "Bricolage Scale". Mann-Whitney U Test, Kruskal-Wallis test, and Spearman correlation analysis were used in the analysis of research data. The mean scores of the nurses on the subscales of IIS were 28.53±4.90, 18.54±2.45, 19.81±2.49, and 6.79±1.59 for resistance to change, opinion leadership, being open to experience, and taking risk, respectively, and their mean total score was 58.62±5.61. The mean total score of the nurses on the Bricolage Scale was 33.44±4.51. As a result of the statistical analysis, it was determined that the score of the nurses working only in the day shift on the subscale of being open to experience, the total IIS score of the nurses who had been working for 4-8 years, and the score of the male nurses on the subscales of being open to experience and taking risk and the Bricolage Scale were statistically significant compared to the other nurses. Moreover, there was a positive and strong correlation between the Bricolage Scale score and the scores on the subscales of opinion leadership, being open to experience, and taking risk, and total IIS. It was concluded that there was a positive relationship between intensive care nurses' bricolage and innovation behaviors and that some independent variables of nurses influenced bricolage and innovation behaviors.