Inclusion Criteria:  He has not had an IM injection in the last week, Upper respiratory tract infection patients in the Examination Department, where green field patients of the Emergency Service are located, Over the age of 18, No complications related to IM injections such as pain at the IM injection site, abscess, infection, tissue necrosis, hematoma, Does not have pain anywhere in the body that will affect the work result, Are conscious and have no communication problem, No vision or hearing problems, Not taking analgesic in the last 24 hours, Does not have any known chronic disease, No psychiatric disorder, Diclofenac sodium ampoule has been ordered, Can evaluate "Visual Comparison Scale and Injection Satisfaction Scale" correctly, Individuals who volunteered to participate in the study and signed the written informed consent form were included.  Exclusion Criteria:  Not wanting to participate in the study, Patients who did not meet the study acceptance criteria were not included.