The effect of the application of manual pressure before the administration of intramuscular injections on students' perceptions of postinjection pain: a semi‐experimental study

Öztürk, Deniz; Baykara, Zehra Göçmen; Karadağ, Ayişe; Eyikara, Evrim

doi:10.1111/jocn.13530

Cited by 22 publications

(50 citation statements)

References 17 publications

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Section: Discussionmentioning

confidence: 99%

“…Beside these, studies that suggest performing direct pressure to the injection site independent of acupressure points were also found to be effective for reducing injection pain (Derya et al, ; Nasiry et al, ; Öztürk et al, ). According to the study of Öztürk et al, after pressure was performed on the injection site for 10 s before injection, mean pain severity score was significantly lower (Öztürk et al, ). As similar, in a study by Derya et al, it was determined that the mean pain severity score of the group for whom manual pressure was performed before injection was significantly lower than the control group (Derya et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…There are many studies that have investigated the effect of nonpharmacologic methods for controlling injection pain. Skin stimulations as physical stimulation massage, pressure, local cold-hot application, mechano-analgesia, transcutaneous electrical nerve stimulation and acupressure are among nonpharmacologic methods (Alavi, 2007;Çelik & Khorshid, 2015;Cobb & Cohen, 2009;Derya, Karabacak, Taner, & Izzet, 2015;Hasanpour, Tootoonchi, Aein, & Yadegarfar, 2006;Nasiry et al, 2013;Öztürk, Baykara, Karadag, & Eyikara, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

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The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study

İnangil

2020

Journal of Clinical Nursing

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Aims and Objective To evaluate the effect of acupressure on intramuscular injection pain, satisfaction and vital signs. Background Pain at the injection site may lead to discomfort and may affect patients' compliance to treatment. Design This was a prospective, single‐blind, crossover study. The study complied with the guidelines of Consolidated Standards of Reporting Trials (CONSORT) Checklist. Methods Seventy‐two healthy volunteer university students received an intramuscular injection of 2 ml sterile saline (%0.9 NaCl) to the ventrogluteal site with and without acupressure on separate days in a random order following a standard procedure by the same investigator. Pain and satisfaction were assessed immediately after the injection with the visual analog scale (VAS) by a researcher blinded to the study. Results A total of 134 injections were analysed. The result of the study reveals that acupressure alleviates the severity of pain and increases the patient satisfaction. Conclusions The findings of this research support that use of acupressure, which is easy and cost‐effective, could reduce injection pain when performed on a specific point. Relevance to Clinical Practice Safe and accurate administration of medications is one of the crucial responsibilities of nurses. Acupressure is a nonpharmacologic approach, which can be effective in decreasing the injection pain and increasing patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

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The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study

İnangil

2020

Journal of Clinical Nursing

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“…Barnhill et al (), Chung et al () and Öztürk et al () compared a group with the application of manual pressure with a group without the application of manual pressure at the injection site (Figure ). Regarding the results of individual studies in the meta‐analysis, these studies reported that participants in the manual pressure groups reported lower pain intensity scores (at a small to moderate level) relative to those in the comparison group.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have evaluated the level of pain during IM injections. Included among the studies that were used in this meta‐analysis, the study by Öztürk Baykara Karadag and Eyikara () examined the efficiency of manual pressure before IM injections in young adults. This study showed that the application of manual pressure to the injection site prior to the IM injection decreased the level of pain intensity.…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta‐analysis: Physical‐procedural interventions used to reduce pain during intramuscular injections in adults

Zeyrek

Takmak

Kurban

et al. 2019

Journal of Advanced Nursing

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Aims To assess the effectiveness of physical‐procedural interventions in reducing pain during intramuscular injections. Design Systematic review and meta‐analysis. Method English keywords were used to search databases [MEDLINE (OVID, Ebsco), SCOPUS, Science Direct, COCHRANE and the reference lists from retrieved articles] from their inception to November 2017 and randomized and quasi‐experimental trials were selected based on inclusion and exclusion criteria. The standardized mean difference and random effects model were used. Results From 2,318 articles, 15 articles (1996–2017) met the criteria for the meta‐analysis. Physical‐procedural interventions described in the articles were included in this systematic review. The overall standardized mean difference was 0.595 (95% confidence interval (CI) = 0.417–0.773), indicating a moderate effect on pain levels. Generally, these interventions (two‐needle technique, acupressure, manual pressure, ShotBlocker, Z‐technique, air‐lock technique, injection site postinjection massage, and speed of injection) have been found to moderately reduce pain. Conclusion It seems difficult to conclude that a single intervention reduces pain in adults. However, we can state that the most effective interventions for reducing pain during intramuscular injections in adults involve the ventrogluteal site, the Z‐technique, and manual pressure. Impact The systematic review will provide guidance to clinicians, staff, and educator nurses and future studies. The systematic review will help nurses and educators apply techniques based on evidence in any setting. The systematic review will guide well‐designed and well‐reported studies to contribute to the accumulation of evidence in nursing research.

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Massaging as a pain-relieving intervention before performing intravenous access

Bumin Aydin,

Ozkan Sipahioglu,

Alptekin

2023

Applied Nursing Research

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The effect of the application of manual pressure before the administration of intramuscular injections on students' perceptions of postinjection pain: a semi‐experimental study

Abstract: Applying pressure to the injection area is a simple and cost-effective method to reduce the pain associated with injection.

Cited by 22 publications

References 17 publications

The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study

The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study

Systematic review and meta‐analysis: Physical‐procedural interventions used to reduce pain during intramuscular injections in adults

Massaging as a pain-relieving intervention before performing intravenous access

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