The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children

Hasanpour, Marzieh; Tootoonchi, Mina; Aein, Fereshteh; Yadegarfar, Ghasem

doi:10.1016/j.acpain.2005.11.001

Cited by 54 publications

(37 citation statements)

References 14 publications

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“…Since distraction acts by a mechanism of the gate control theory, it can be effective only when the distracter method is able to distract the patient’s attention away from the pain stimuli [20]. Therefore, it seems that the forced coughing method may not be a potent distracter, as it does not provide the reticular activating system with enough sensory intake to cause other selected stimulation to be ignored [1,20]. …”

Section: Discussionmentioning

confidence: 99%

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Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

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Background/Aims: To compare local anesthesia and forced coughing in terms of subjective pain perception during cervical punch biopsy. Methods: In this randomized controlled trial, 114 patients (mean age: 38.9 ± 9.0 years) scheduled for colposcopically directed cervical punch biopsy were randomly assigned to local anesthesia (n = 39), forced coughing (n = 39) and control (n = 36) groups. Pain perception was measured on a 10-cm visual analog scale (VAS) during the insertion of the speculum, injection of the local anesthetic to the cervix and the taking of the first cervical biopsy, as well as for the overall pain perceived during the entire procedure. Results: Experimental groups were similar in age, gravidity, parity and prior curettage. The pain score obtained during the first cervical biopsy was significantly lower if local anesthesia was applied (p = 0.016). Groups were similar in other pain subscores. The duration of the entire procedure was significantly longer (p < 0.001) in the local anesthesia group, while it was not significantly different in forced coughing patients compared to controls. Conclusion: Local anesthesia, but not forced coughing, provides significant pain relief during cervical biopsy. Based on similarity to control data in terms of pain relief and shortening of the operation, forced coughing per se seems related neither to pain relief nor a faster cervical biopsy.

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Section: Discussionmentioning

confidence: 99%

“…Pain has been considered as the leading cause of human suffering [1]. Therefore, acknowledgement concerning the utility of approaches in pain reduction and anxiety [2] associated with medical procedures has been reported to increase day by day [3,4].…”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

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“…The findings indicate that pain intensity was significantly higher in the control group than in experimental group. Nurses are adviced to use cold therapy and distraction to decrease pain of penicillin intramuscular injection 11 . The results of the above studies supports the use of topical refrigerant anesthetic, as a pragmatic, simple intervention, and effective treatment modality for reducing short-term procedural pain.…”

Section: Discussionmentioning

confidence: 99%

A Study to Assess the Effectiveness of Ice Application on Pain Response Prior to Intravenous Procedures among Children at Tertiary Care Hospital

Gaikwad

Naregal

Mohite

et al. 2017

Asian Journal of Pharmaceutical Research and Health Care

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Children fear the most for pain from intravenous procedures during their hospitalization. The procedural pain is worse than the illness itself. Ice is a convenient topical refrigerant modality which can be used to reduce pain. The study was aimed to assess the pain response of children during intravenous procedures in experimental group and control group and the effectiveness of ice application on pain response during intravenous procedures among children and find association between pain score and selected demographic variables of children admitted in pediatric ward at Krishna Hospital and Medical Research Centre, Karad, Maharashtra, India. The study was two groups post-test only control group design. 60 children aged 6 -12 years were selected, 30 children in experimental and 30 in control group were the sample selected by Non probability purposive sampling technique. The result shows the mean pain score of experimental group was 0.66 and control group was 8.93. The unpaired t test value was 24.817 (p<0.01), showing significant difference was present between mean pain score level among children in control and experimental group as p value <0.05. No significant association between pain scores and selected demographic variables of children in control group was present, whereas pain scores with age of children (χ2 =8.816), gender of children (χ 2 = 5), and weight of children (χ 2 = 4.909) in experimental group had significant association. The study concluded that the ice application is a practical modality of choice, promote comfort and cost effective, means of reducing pain in children during intravenous procedures.

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“…[4, 13,[17][18][19] Ventrogluteal bölge uygulaması aşırı obez bireylerde bölge tesbitinin zor olması dışında gelişebilecek komplikasyon sadece ilaca bağlı oluşan reaksiyon sonucunda gelişen komplikasyonlar olabilmekte, uygulamaya yönelik bir tıbbi hata olmamaktadır. [17] İntramüsküler enjeksiyonda en sık tercih edilen DG ve VG bölgenin avanataj ve dezavantajları hakkında birçok çalışma mevcut olup, Tablo 1'de özet olarak sunulmuştur. .…”

Section: Neden Ventrogluteal Bölge?unclassified

“…[22] Son yıllarda ise özellikle, VG' nin ağrı, siyatik sinir nöropatisi ve doğru bölgeye uygulama hakkında üstünlüğünün ortaya konulması yönünde çalışmalar yapılmıştır. Bölgedeki subkutan yağ dokusunun daha ince olması nedeni ile subkutan doku irritasyonuna bağlı gelişen ağrı ve rahatsızlığı da azalttığı, [9,11,13,20,23,24] yurt dışında DG bölgeye uygulanan intramusküler enjeksiyonlar sonrası %21.9, Türkiye'de ise %31.2 siyatik sinir nöropatisi geliştiği [4,5,13,17,18,25] ve bölgenin kemik palpasyonu ile tesbit edilmesi sayesinde doğru bölge uygulamasında güvenilirliği arttırdığı kanıtlanarak ortaya konulmuştur. [6,9,18,19] Ventrogluteal Bölgenin Uygulamada Kullanımı…”

Section: Ventrogluteal Bölgenin Araştırmada Kullanımıunclassified

Invisible aspects of the ıceberg; How often using Ventrogluteal area?

Doğu¹

2016

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ÖZParenteral olarak ilaç uygulama yollarından biri olan intramüsküler enjeksiyonlar, hemşirenin görevleri arasında yer alan invazif girişim-lerdendir. İntramüsküler enjeksiyonlarda en sık kullanılan bölge çok riskli, hatalı uygulamalara neden olabilen, en fazla komplikasyon yaşanan ama buna rağmen en sık tercih edilen dorsagluteal bölgedir. Ancak, hemşirelerin uygulamalarını kanıta dayandırması ile yaşanabi-lecek tüm olumsuzlukların önüne geçilmesi sağlanacaktır. Kanıtlanmış uygulamalar ventrogluteal bölgeyi önerirken, uygulamanın kullanımı hala yaygınlığı sağlanamamış olduğu çalışmalarla da belirtilmektedir. Bu derlemedeki amaç, VG bölgenin eğitim, araştırma ve uygulamada kullanımını yapılan farklı çalışmalar ışığında sunmak ve yaygınlaşma-sını sağlamak için rehber oluşturmaktır. ABSTRACTThe parenteral drug administration by intramuscular injections is one of the invasive therapies implemented by the nurses. Dorsagluteal area is the most commonly prefered area for the intramuscular injections, even though this may be too risky, since it often leads to errors or complications. However, these problems can be avoided if the nursing practice will be evidence-based. The proven applications propose the ventrogluteal area and state that this application is still not that widespread based on the existing studies. The purpose of this review is to display different ways in which the VG area is used in education, research and implementation in accord with the existing literature and provide a guideline so that this practice can be more widespread.

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The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children

Cited by 54 publications

References 14 publications

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

A Study to Assess the Effectiveness of Ice Application on Pain Response Prior to Intravenous Procedures among Children at Tertiary Care Hospital

Invisible aspects of the ıceberg; How often using Ventrogluteal area?

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