The Effect of Two Different Methods Applied During Intramuscular Injection on the Level of Pain and Fear in Children

NCT05833854 | Completed

• 1 other identifier: 732202
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to determine the effects of using virtual reality glasses and manual pressure during intramuscular injection on the level of pain and fear in children. The study will consist of children aged 6-10 years who come to the Pediatric Emergency Service injection room for prescription penicillin injection and meet the inclusion criteria. One of the main purposes of nursing care is to relieve the child's pain and improve the quality of life. In this context, it has been suggested that two different methods used by the researcher can positively affect the levels of pain and fear. For this reason, it is aimed to determine the efficiency level of two different methods.

Conditions

Intramuscular Injection

Keywords

manual pressure; virtual reality glasses; intramuscular injection; pain; fear

Outcome Measures

Primary Outcomes (1)

• Child Fear Scale

  The purpose of the Child Fear Scale is to evaluate the fear level of children. It consisted of five facial expressions ranging from neutral expression (0 = No anxiety) to fearful expression (4 = Severe anxiety).

  The child's fear level will be evaluated by 3 people (child, parent and researcher) 2 minutes before intramuscular penicillin injection is given to the whole group. This process will take 1 minute.

Secondary Outcomes (1)

• Facial Expressions Pain Scale-Revised

  Two minutes after intramuscular penicillin injection is given to the whole group, the child's pain will be evaluated by 3 people (child, parent and researcher). This process takes 1 minute.

Study Arms (3)

Virtual reality glasses group

EXPERIMENTAL

The study group (n=25) will watch a video with virtual reality glasses during the intramuscular injection.

Other: Virtual reality glasses group

Manual pressure group

EXPERIMENTAL

In the study group (n=25), pressure will be applied to the area to be injected for 10 seconds before the intramuscular injection procedure.

Other: Manual pressure group

Control group

NO INTERVENTION

The control group (n=25) will not be subjected to any application other than intramuscular injection, which is routinely applied in pediatric emergency.

Interventions

Virtual reality glasses group OTHER

It is suggested that the use of virtual reality glasses during the injection will positively affect the pain and fear levels in children who received penicillin injection in the pediatric emergency department where the study was conducted.

Virtual reality glasses group

Manual pressure group OTHER

In the pediatric emergency department where the study was conducted, pressure will be applied to the area to be injected for 10 seconds before the injection procedure in children who received penicillin injection. Pressing with the thumb of the hand, which will be passive in the pressing application, will be understood by the whitening of the nail, and thus pressure will be applied to the skin. It is suggested that it can positively affect pain and fear levels.

Manual pressure group

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Having applied to the pediatric emergency service for the administration of a penicillin antibiotic group drug,
• Absence of a significant chronic disease,
• Absence of visual and auditory disabilities,
• Having no communication problems and being conscious,
• No previous history of fainting during injection,
• Not taking analgesics in the last three hours,
• Percentile value is in the range of 3-97 points,
• Injection into the vastus lateralis muscle can be applied,
• The child's and parent's willingness to participate in the research.

You may not qualify if:

• The percentile value is below 3 and the percentile value is above 97,
• Family's inability to cooperate in the assessment of pain and fear,
• Having a diagnosed physical or mental disability,
• To have taken analgesics in the last 3 hours,
• Presence of incision and scar tissue in the area to be injected,
• The child's and parent's refusal to participate in the research.

Sponsors & Collaborators

• Selmin Kose: lead

Study Sites (1)

Selmin Köse

Istanbul, 34010, Turkey (Türkiye)

Location

Related Links

• Related Info

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• EMINE KURTAR, RN

  Adana City Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor Doctor

Study Record Dates

• First Submitted: April 2, 2023
• First Posted: April 27, 2023
• Study Start: December 11, 2023
• Primary Completion: February 29, 2024
• Study Completion: February 29, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)