Comparison of Intramuscular Injection From Two Different Sites in Children
Condition: Application Site Infection
Study type: Interventional

Summary: 
      Administration of intramuscular injections (IM) is now common practice in pediatric clinical
      settings. For this reason, nurses should both update their clinical skills and provide
      evidence-based practices to children. The aim of this study; The aim of this study is to
      compare vastus lateralis (VL) and ventrogluteal (VG) region applications in terms of pain and
      fear in safe and evidence-based intramuscular injection application in children.

      H0: There is no difference in terms of pain and fear between the children aged 4-6 years who
      received IM from the vastus lateralis (VL) region and those who received IM from the
      ventrogluteal (VG) region.

      H1: Children between the ages of 4 and 6 years IM administered from the vastus lateralis (VL)
      region have higher pain than those administered IM from the ventrogluteal (VG) region.

      H2: The fear of children aged 4-6 years who underwent IM from the vastus lateralis (VL)
      region is higher than that of children who were administered IM from the Ventrogluteal (VG)
      region.
    

Detailed description: 
      Intramuscular injection (IMI) is widely used in the pediatric emergency department and is a
      cause of pain for children. The aim of this study is to compare the vastus lateralis (VL) and
      ventrogluteal (VG) region applications in terms of pain and fear in intramuscular injection
      application in children aged 4-6 years.

      The population of the study consists of children aged 4-6 years who applied to the emergency
      department for IM injection. The sample of the study consisted of 80 children (40 in the
      intervention group, 40 in the control group) who met the inclusion criteria within the
      specified date range.

      The injection technique was explained to the parents and children by showing the location of
      the VL and VG regions on the model doll. Both parents and their children were informed about
      the research. Written and verbal consent was obtained from the parents and verbal consent was
      obtained from the children. It was decided to meet the control group for one week and the
      intervention group for one week in order to avoid any interference between the two groups. In
      which week the children will be included in which group was randomly determined in the
      computer environment. There are two stretchers and a privacy curtain between them in the
      injection room in the Pediatric Emergency Clinic where the research was conducted. The nurse
      in charge of the daily injection room changes. For each patient who comes for injection, the
      ordered prescription is checked first, and then it is entered into the hospital system. The
      ordered drug is based on 10 correct drug administration principles (1. Correct drug, 2.
      Correct dose, 3. Correct patient, 4. Correct time, 5. Correct route of administration, 6.
      Correct patient education, 7. Correct registration, 8. Confirmation of rejection. , 9.
      Correct drug preparation (form), 10. Correct answer). In order to determine whether a
      drug-related reaction has developed or not, the patient is observed until 15-30 minutes after
      the application (the time varies according to the drug). In the clinic, IM injection to
      children aged 4-6 years is routinely performed by nurses from the VL region.

      Data collection instruments Questionnaire form, Wong-baker faces pain rating scale (WBFPTS),
      Children's Fear Scale (CFS) were used in the study.
    

Intervention name(s): Ventroguleal
Intervention type(s): Other
Intervention description(s): Vastus Lateralis
Other intervention name(s): Control
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Comparison of vastus lateralis (VL) and ventrogluteal (VG) region applications in terms of pain and fear in safe and evidence-based intramuscular injection application in children.
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: children; fear; pain; Intramuscular injection; injection site