Effect of the Coughing Technique During Subcutaneous Heparin Injection

Bursa Uludag University

Status: Completed

Conditions: Colon Surgery; Cholecystectomy; Thyroidectomy; Inguinal Hernia

Treatments: Other: the medium intensity coughing technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05681338

2022-6/18

Details and patient eligibility

About

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.

Full description

Aims and objectives: The aim of this study was to examine the effect on the level of pain severity and satisfaction of patients of the medium intensity coughing technique applied to patients during the administration of subcutaneous low molecular weight heparin (LMWH) injection.

Design: This research was a prospective quasi-experimental study. Methods: It was conducted with 100 patients in the General Surgery Clinic of a university hospital in the Marmara Region of Turkey. Subcutaneous LMWH injections were administered by the same nurse to the outer side of the right and left upper arms by the standard injection technique and the medium intensity coughing technique. Immediately after the subcutaneous LMWH injection was given, a researcher who did not know which injection method had been used asked the patients to evaluate their pain levels by the Visual Analog Scale (VAS) and their satisfaction with the performance of the injection by the Visual Individual Satisfaction Scale (VISS).

Enrollment: 60 patients

Sex: All

Ages: 22 to 86 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

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60 participants in 2 patient groups

the medium intensity coughing technique

Experimental group

Description:

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.

Treatment:

Other: the medium intensity coughing technique

the standard injection technique

No Intervention group

Description:

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