Helfer Skin Tap Technique For The Im Injection Pain Among Adult Patients

Jyoti, Gyan; Arora, Smriti; Sharma, Bhartendra

doi:10.33698/nrf0236

Cited by 2 publications

(18 citation statements)

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“…The type of medication used was not mentioned in two trials 45,48. The washout period was stated in one nonrandomized crossover trial41 and the effect of the first intervention phase prior to crossover in another 40…”

Section: Resultsmentioning

confidence: 99%

“…Four trials reported withdrawals and dropouts, 13,17,45,52 and intention-to-treat analysis was not undertaken by any trial included in the review. Eight trials 14,21,40,47,48,50,52,53 reported the blinding of participants.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…The physical stimulation interventions included the Helfer skin tap technique, 28,[37][38][39][40][41]45,46,48,50,53,54 acupressure, 21,42,49,51 manual pressure, 13,17,22,43 pinch technique, 44,47 ShotBlocker, 14 massage, 5 and combination (skin traction, pressure, and rapid muscle release). 52 A detailed description of the intervention was reported in all studies.…”

Section: Systematic Reviewmentioning

confidence: 99%

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Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis

Cmc

Lord

Vargese

et al. 2023

JBI Evidence Synthesis

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Objective: The objective of this review was to synthesize the best available research evidence regarding the effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections. Introduction: Pain associated with intramuscular injections continues to be a challenge for nurses. Various physical stimulation methods to alleviate pain and improve satisfaction for patients receiving intramuscular injections have been reported; however, the evidence surrounding the effectiveness of these methods remains inconclusive. Inclusion criteria: This systematic review considered randomized and quasi-experimental studies that used any physical stimulation strategies (eg, skin tapping, manual pressure, massage, pinch, traction) for adults aged 18 years and over receiving intramuscular injections. Studies that evaluated pain using validated instruments were considered for inclusion. Methods: A three-step search strategy was conducted. MEDLINE, Embase, CINAHL, the Cochrane Library (Cochrane CENTRAL), Google Scholar, Dissertation Abstracts International, ProQuest Dissertations and Theses, and MedNar were searched from inception until 2020. We restricted the inclusion of studies to trials published in English. Two independent reviewers conducted the critical appraisal of eligible studies using the JBI checklists for randomized controlled and quasi-experimental trials. Data were extracted using the JBI data extraction tool, and meta-analysis and subgroup analysis were undertaken, where appropriate. Results: Twenty-five studies were included with a total sample size of 1956 patients. Pooled results demonstrated that pain was significantly less with the use of the Helfer skin tap technique compared to no intervention (two studies; RR 0.73; 95% CI 0.66, 0.81; P<0.00001) or standard intervention (three studies; SMD –2.25; 95% CI –3.65, –0.85; P=0.002). Intervention with acupressure using standard treatment as control showed significant reduction in pain intensity (MD –4.78; 95% CI –5.32, –4.24; P<0.00001). Similarly, pain was significantly lower with manual pressure (two studies; SMD –0.42; 95% CI –0.69, 0.15; P=0.002) when compared to standard treatment. Pain scores were significantly lower in patients who received pinch technique, ShotBlocker, massage, or combination intervention (skin traction, pressure, and rapid muscle release) compared with no intervention, standard treatment, or placebo control. Conclusions: The evidence from this review demonstrates that physical stimulation – particularly the Helfer skin tap technique, acupressure, manual pressure, pinch technique, ShotBlocker, massage, and combination – can significantly lower intramuscular injection pain; however, this is based on low or very low certainty of evidence. Systematic review registration number: PROSPERO CRD42020168586

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Section: Resultsmentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

Section: Systematic Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis

Cmc

Lord

Vargese

et al. 2023

JBI Evidence Synthesis

View full text Add to dashboard Cite

show abstract

“…Nurses are responsible for relieving individuals with the methods and techniques they apply in care (11,25). In the literature, it is stated that gender is important among the factors affecting pain behavior in individuals, and men can tolerate pain better with the effect of universal and social reasons (11,26). However, in our study, the difference between the pain levels of men and women due to IM injection application was found to be statistically insignificant (p> 0.05), and there was no difference between genders in responses to acute pain in IM injection application (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…In our study, the mean pain scores of the Helfer Skin Tap technique, which is used to provide pain control in IM injection application, compared to the standard application, and the use of Shot Blocker was found to be statistically significantly lower than the Helfer Skin Tap and standard application. When the studies using the Helfer Skin Tap technique in the literature were examined, Jyoti et all., (2018) found that the use of the Helfer Skin Tap technique to provide pain control in IM injection application was found to be significantly effective in reducing pain due to injection (26). Again, Soliman and Hassnein (2016) found that IM injections using the Helfer Skin Tap technique were an effective method in reducing IM injection pain compared to the standard technique (27).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection

Karabey¹,

Karagözoğlu

2021

Clinical and Experimental Health Sciences

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Objective: This study was performed experimentally and single-blind randomized controlled trial to compare the effects of Helfer Skin Tap technique and Shot Blocker application on pain in the intramuscular injectıon application to the deltoid muscle. Methods:The study was designed as a prospective, single-blind randomized controlled trial. The research was conducted in accordance with the Consolidated Standards of Reporting Trials (CONSORT) Checklist guide. The study was conducted in a family health center in Sivas Province between 05.10.2020-30.12.2020. Individuals who received Hepatitis B vaccine injection were included in the sample of the study. All intramuscular injections were made by the same nurse, and the approaches to reducing pain were made by the researcher. A total of 120 patients including the Helfer Skin Tap Technique (n=40), the standard application (n=40) and the ShotBlocker technique (n=40) were included. Mann Whitney U and Kruskal Wallis tests were used to evaluate the data.Results: In our study, 75% (n=30) of the Helfer Skin Tap group, 82.50% (n=33) of the standard administration group and 75% (n=30) of the ShotBlocker group reported that they had no fear of injection. When the distribution of post-injection pain scores of the individuals according to different injection methods was examined, the difference between the average pain scores of the different methods used to provide pain control was found to be significant and statistically significant (p=0.001). Conclusion:In line with the findings of our study, it was concluded that the use of ShotBlocker in intramuscular injection application of individuals was more effective in reducing pain due to injection compared to Helfer Skin Tap and standard application, and the Helfer Skin Tap technique was more successful in pain control than standard practice. All health professionals', especially nurses', awareness of the effectiveness of different methods in reducing pain during IM injection should be raised. To ensure pain control during IM injection, Shotblocker and Helfer Skın Tap Technıque should be preferred since they are easy to apply and cost effective,

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Helfer Skin Tap Technique For The Im Injection Pain Among Adult Patients

Cited by 2 publications

References 0 publications

Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis

Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis

The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection

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