Effect of the Coughing Technique During Subcutaneous Heparin Injection

NCT05681338 | Completed

• 1 other identifier: 2022-6/18
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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: a prospective, quasi-experimental study included 100 patients who had prescribed a subcutaneous low molecular weight heparin injection once in 24 hours. Each patient received two injections by the same researcher using standard injection technique with medium intensity coughing technique and only standard injection technique.

Conditions

Thyroidectomy; Colon Surgery; Cholecystectomy; Inguinal Hernia

Keywords

subcutaneous heparin injection; coughing technique; pain; individual satisfaction; non-pharmacological method

Outcome Measures

Primary Outcomes (2)

• Pain assessed by Visual Analog Scale (VAS)

  In evaluating the severity of pain felt by the patients during subcutaneous injections, a 10 cm long vertical VAS was used, on which one end represented no pain, and the other end the worst possible pain. The VAS is a commonly used pain assessment scale in clinical settings. Pain severity measurements were evaluated in millimeters.

  2 months

• "Satisfaction assessed by the Visual Individual Satisfaction Scale (VISS)

  During the administration of the injection, an evaluation was made to determine individuals' satisfaction using the Visual Individual Satisfaction Scale, which consisted of a vertical 10 cm scale with "I'm very satisfied" written at one end of it and "I'm not at all satisfied" at the other. The Visual Individual Satisfaction Scale incorporated the characteristics of the well-known Visual Analog Scale (VAS). Satisfaction level measurements were evaluated in millimeters.

  2 months

Secondary Outcomes (3)

• Weight

  2 months

• Height

  2 months

• BMI

  2 months

Study Arms (2)

the medium intensity coughing technique

EXPERIMENTAL

Immediately before the subcutaneous heparin injection was given, patients were asked to cough twice at a medium level. After that, they were asked to cough ten seconds later for a second time at the same level, and while they were coughing for the second time, the needle was inserted into the tissue.

Other: the medium intensity coughing technique

the standard injection technique

NO INTERVENTION

During the subcutaneous heparin injection, patients were not asked to perform any action, and the injection was given by the standard technique.

Interventions

the medium intensity coughing technique OTHER

The medium intensity coughing technique: Immediately before the subcutaneous LMWH injection was given, patients were asked to cough twice at a medium level. After that, they were asked to cough ten seconds later for a second time at the same level, and while they were coughing for the second time, the needle was inserted into the tissue.

the medium intensity coughing technique

Eligibility Criteria

• Age: 22 Years - 86 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participating voluntarily in the study
• Being over the age of 18,
• Having a doctor's prescription for subcutaneous low molecular weight heparin 0.6 mL treatment and not yet having begun treatment.
• Having no coagulation disorder, having no disorder that could affect pain perception, -
• Having no incision, lipodystrophy, or finding of infection at the injection site,
• Having no communication problem

You may not qualify if:

• Not wanting to participate in the study, or during the course of the research, wishing to withdraw from the study
• Having any condition which would affect the sensation of pain
• Not being able to agree on a place or time
• Being less than 18 years of age

Sponsors & Collaborators

• Uludag University: lead

Study Sites (1)

Bursa Uludag University Hospital

Bursa, Nilüfer, 16059, Turkey (Türkiye)

Location

Related Publications (1)

• Yilmaz D, Ayhan D, Yilmaz DU, Duzgun F. Effect of the coughing technique during subcutaneous heparin injection on pain severity and individual satisfaction. Rev Lat Am Enfermagem. 2023 May 15;31:e3923. doi: 10.1590/1518-8345.6504.3923. eCollection 2023.

  PMID: 37194813 DERIVED

MeSH Terms

Conditions

Hernia, Inguinal; Pain

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: The measurements were carried out by the first researcher.
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Bursa Uludag University, Department of Nursing

Study Record Dates

• First Submitted: December 25, 2022
• First Posted: January 12, 2023
• Study Start: March 17, 2022
• Primary Completion: May 30, 2022
• Study Completion: June 30, 2022
• Last Updated: March 6, 2025

Record last verified: 2025-03

Locations

TU (1)