Effect of Hand Holding on Pain and Anxiety

Necmettin Erbakan University

Status: Completed

Conditions: Pain and Anxiety

Treatments: Other: Hand Holding

Study type: Interventional

Funder types: Other

Identifiers

NCT06417047

Necmettin Erbakan U

Details and patient eligibility

About

It was aimed to examine the effect of the hand holding method applied during intramuscular injection on pain and anxiety.

Full description

This study was designed as a pre-test-post-test regular parallel group, randomized controlled experimental design. The research will be carried out in the Adult Emergency Service of the Ministry of Health of the Republic of Turkey, Konya City Hospital. Patients will be randomly divided into two groups: handholding (52) and control group (52). For the Hand Holding Group: After the patient is positioned appropriately, the patient's hand will be held by the researcher. Once the intramuscular injection is completed, the patient's hand holding will be stopped. For the Control Group: No application will be made during intramuscular injection in the control group. The primary outcome of this study is to determine patients' pain scores during the intramuscular injection procedure. The secondary outcome is to determine the anxiety levels of patients.

Enrollment: 104 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having vitamin B 12 1000 mcg/ml (1 ml ampoule) intramuscular treatment,
• Being literate,
• Are between the ages of 18-65,
• No visual, hearing, sensory or motor loss or cognitive impairment,
• Not using centrally or peripherally acting analgesics or sedatives,
• There is no scar tissue, incision, lipodystrophy or signs of infection on the skin of the injection area,
• Having a body mass index between 18.5 and 29.5,
• Injected into the ventrogluteal area,
• Individuals who agree to participate in the research will be included.

Exclusion criteria

• Those with chronic pain,
• Having a psychiatric disorder,
• Foreign nationals,
• Patients with contact-communicable diseases will be excluded from the study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

104 participants in 2 patient groups

Hand Holding Group

Experimental group

Description:

In the experimental group, hand holding will be done by the researcher, and intramuscular injection will be done by the clinical nurse. All intramuscular injections will be performed by a single nurse and the ventrogluteal region will be used as the injection site. Patients will first fill out the Voluntary Information and Consent Form, and then the Descriptive Characteristics Form and State Anxiety Scale. After the injection site is evaluated, the researcher will hold the patient's hand, the nurse will enter the tissue at a 90-degree angle and administer the drug slowly (1 ml/10 seconds). After removing the needle from the tissue, the nurse will apply pressure with dry cotton, and then the researcher will stop holding the patient's hand. After the procedure, the Numerical Pain Scale and State Anxiety Scale will be filled in within 1 minute.

Treatment:

Other: Hand Holding

Control Group

No Intervention group

Description:

In the control group, intramuscular injection will be performed by the clinic nurse. All intramuscular injections will be performed by a single nurse and the ventrogluteal region will be used as the injection site. Patients will first fill out the Voluntary Information and Consent Form, and then the Descriptive Characteristics Form and State Anxiety Scale. After the injection site is assessed, the nurse will enter the tissue at a 90-degree angle and administer the medication slowly (1 ml/10 seconds). After removing the needle from the tissue, the nurse will apply pressure with dry cotton. After the procedure, the Numerical Pain Scale and State Anxiety Scale will be filled in within 1 minute.