Effect of the Coughing Technique During Subcutaneous Heparin Injection

NCT ID: NCT05681338

Last Updated: 2025-03-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-03-17
• Study Completion Date: 2022-06-30

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.

Detailed 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).

Conditions

Thyroidectomy; Colon Surgery; Cholecystectomy; Inguinal Hernia

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

the medium intensity coughing technique

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.

Group Type: EXPERIMENTAL

the medium intensity coughing technique

Intervention Type: 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 standard injection technique

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

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

the medium intensity coughing technique

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.

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 22 Years
• Maximum Eligible Age: 86 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Uludag University

OTHER

Sponsor Role: lead

Responsible Party

Dilek Yilmaz, PhD

Bursa Uludag University, Department of Nursing

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Bursa Uludag University Hospital

Bursa, Nilüfer, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

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.

Reference Type: DERIVED

PMID: 37194813 (View on PubMed)

Other Identifiers

2022-6/18

Identifier Type: -

Identifier Source: org_study_id