The assessment of distances of intramuscular injection location from some landmarks in the students of Muğla School of Health Sciences
Öz
Abstract
Aim. This subject is a confusing matter for intramuscular injection administrators in clinical practice. The correct assessment of this situation is important for probable complications. There isn’t any research in the literature that assesses the distances of the injection area to some landmarks. This study was carried out to determine these regions more accurately.Introduction.Intramuscular injection is a commonplace nursing procedure. Although considered a basic technique, it is far from innocuous. Gluteal region muscles are the most commonly used region in the practice and the necessary precautions must be taken. Method. A total of 216 male and female students, from University of Muğla School of Health Sciences, Nursing and Physiotherapy and Rehabilitation Departments were randomly selected and included to the study. Results. In this study we found that intramuscular injection location in males is 1.87±0.63 cm and in females 2.28±1.01 cm from the upper point. Conclusion. The research base for intramuscular injection site is limited. We think that these distances will be very valuable in clinical practice in the patient population consisting of 17-29 years of age and who have normal body mass index. This study will be a norm for patients who have a normal body mass index.
Keywords: Intramuscular injection, distance, injection site, body mass index, nursing, clinical practice, dorsogluteal site
Özet
Amaç. Bu çalışma klinik uygulamada kas içi enjeksiyon uygulayıcıları için kafa karıştırcı bir konudur. Bu durumun doğru değerlendirilmesi muhtemel komplikasyonlar için önemlidir. Enjeksiyon bölgesinin mesafesini değerlendiren literatürde herhangi bir araştırma yoktur.bu çalışma bu bölgeleri daha doğru bir şekilde belirlemek için gerçekleştirildi. İntarmusküler enjeksiyon yaygın bir hemşirelik uygulamasıdır. Temel bir teknik olarak düşünülmesine rağmen zarar vermektedir. Gluteal bölge kasları pratikte en yaygın kullanılan bölgedir ve gerekli tedbirler alınmalıdır. Yöntem. Mugla Üniversitesi saglık yüksek okulunun hemşirelik, fizyoterapi ve rehabilitasyon bölümünden kadın ve erkek toplam 216 öğrenci rastgele seçildi ve çalışmaya dahil edildi. Bulgular. Bu çalışmada intramusküler enjeksiyonun bayanlarda en üst noktadan 2,28±1,01 cm ve erkeklerde 1,87±0,63 cm aşagısı olduğunu bulduk. Sonuç. Bu araştırma intramusküler enjeksiyon yeri için sınırlı bir çalışmadır. Bu mesafelerin normal vücut indeksine sahip ve 17-29 yaş arası hasta populasyonunda klinik pratikte çok değişken olacağını düşündük. Bu çalışma normal vücut kitle endeksine sahip hastalar için bir norm olacak.
Anahtar sözcükler: İntramusküler enjeksiyon, mesafe, enjeksiyon yeri, vücut kitle endeksi, dorsogluteal bölge, hemşirelik
Anahtar Kelimeler
Intramuscular injection distance injection site body mass index nursing clinical practice dorsogluteal site
Kaynakça
- Potter PA, Perry AG. Intramusculer injections, sites. Fundamentals of nursing concepts, process and practice, fourth edition, missouri: Mosby Company1997; 828Perry AG. & Potter PA. Clinical Nursing Skills and Techniques, 5th edn. Mosby, St Louis, MO 2002.
- Kozier B, Erb G. Techniques in Clinical Nursing, 3rd edn. Addison-Wesley, Redwood City, CA. 1989.
- Small SP. Preventing sciatic nerve injury from intramuscular injections: Literature review. Journal of Advanced Nursing 2004; 47: 287-96.
- Bergeson PS, Singer SA, Kaplan AM. Intramuscular injections in children, Pediatrics 1982; 70: 944-8.
- World Health Organization. Immunization in practice (a guide for health workers who give vaccines). 3. When and how to give vaccines. EPI/PHW/84/3 Rev. 1. Geneva, Switzerland: World Health Organization 1984.
- DuGas BW, Knor ER. Nursing Foundaions: A Canadian Perspective. Appleton & Lange, Scarborough, ON 1995.
- Perry AG, Potter PA. Clinical Nursing Skills and Techniques, 4th edn. Mosby, St Louis, MO 1998.
- Craven RF, Hirnle CJ. Fundamentals of Nursing: Human Health and Function, 4th edn. Lippincott Williams & Wilkins, Philadelphia 2003.
- Zaybak A, Güneş ÜY, Tamsel S, Khorshid L, Eşer İ. Does Obesity Prevent the Needle from Reaching Muscle in Intramuscular Injections? Journal of Advanced Nursing 2007; 58: 552-6.
- Preston RM. Drug errors and patient safety: The need for a change in practice. Br J Nurs 2004; 13: 72-8.
- Dimond B. Research shows administration of medicines needs attention. Br J Nurs 2003; 12: 397.
- Beyea S. Wake-up-call-standardization is crucial to eliminating medication errors. AORN J 2002; 75: 1010-3.
- Monaghan JC. Procedures for your clinical practice. Patient Care 1990; 24: 1475
- Gilsenan I. Injections. Nursing Times 2000; 96: 43-4.
- DuGas BW, Esson L, Ronaldson SE. Nursing Foundations: A Canadian Perspective, 2nd edn. Prentice Hall, Scarborough, ON 1999.
- Harkreader H. Fundamentals of Nursing: Caring and Clinical Judgment. Saunders, Philadelphia 2000.
- Kozier B, Erb G, Berman AJ, Burke K. Fundamentals of Nursing: Concepts, Process, and Practice, 6th edn. Prentice Hall Health, Upper Saddle River, NJ 2000
- Ross-Kerr JC & Wood MJ. Canadian Fundamentals of Nursing, 2nd edn. Mosby, Toronto 2001.
- Campbell J. Injections. Professional Nurse 1995; 10: 455-8.
- Kerr JR, Sirotnik M. Canadian Fundamentals of Nursing. Mosby, St Louis, MO 199 Williams PL, Bannister LH, Berry MM. Gray's Anatomy. Soames, R. W. Edn. 39th. Churchill Livingstone, London 1995; 1283-5.
- Broadbent TR, Odom GL, Woodhall B. Peripheral nerve injuries from administration of penicillin: Report of four clinical cases. JAMA 1949; 140: 1008Clark K, Williams P, Willis W. Injection injuries of sciatic nerve. Clin Neurosurg 1970; 17: 111-25.
- Coombes M, Clark W, Gregory C. Sciatic nerve injury in infants: Recognition and prevention of impairment resulting from intragluteal injections. JAMA 1960; 173: 1336-8.
- Kline DG. Diagnostic approach to individual nerve injuries. In: Wilkins R, Rengachary S. Neurosurgery. New York: McGraw-Hill 1996; 3125-46.
- Huang Y, Yan Q, Lei W. Gluteal sciatic nerve injury and its treatment. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2000; 14: 83-6.
- Yuen EC, So YT Olney YK. Sciatic neuropathy: Clinical and prognostic features in 73 patients. Neurology 1994; 44: 1669-74.
- Yuen EC, So YT, Olney RK. The electrophysiologic features of sciatic neuropathy in 100 patients. Muscle Nerve 1995; 18: 414-20.
- Mayer M, Romain O. Sciatic paralysis after a buttock intramuscular injection in children: An ongoing risk factor. Arch Pediatr 2001; 8: 321-3.
- Ahuja B. Post injection sciatic nerve injury. Indian. Pediatr 2003; 40: 368-9.
- Nicoll LH. & Hesby A. Intramuscular injection: An integrative research review and guideline for evidence-based practice. Applied Nursing Research 2002; 16, 149-6
Öz
Amaç. Bu çalışma klinik uygulamada kas içi enjeksiyon uygulayıcıları için kafa karıştırcı bir konudur. Bu durumun doğru değerlendirilmesi muhtemel komplikasyonlar için önemlidir. Enjeksiyon bölgesinin mesafesini değerlendiren literatürde herhangi bir araştırma yoktur.bu çalışma bu bölgeleri daha doğru bir şekilde belirlemek için gerçekleştirildi. İntarmusküler enjeksiyon yaygın bir hemşirelik uygulamasıdır. Temel bir teknik olarak düşünülmesine rağmen zarar vermektedir. Gluteal bölge kasları pratikte en yaygın kullanılan bölgedir ve gerekli tedbirler alınmalıdır. Yöntem. Mugla Üniversitesi saglık yüksek okulunun hemşirelik, fizyoterapi ve rehabilitasyon bölümünden kadın ve erkek toplam 216 öğrenci rastgele seçildi ve çalışmaya dahil edildi. Bulgular. Bu çalışmada intramusküler enjeksiyonun bayanlarda en üst noktadan 2,28±1,01 cm ve erkeklerde 1,87±0,63 cm aşagısı olduğunu bulduk. Sonuç. Bu araştırma intramusküler enjeksiyon yeri için sınırlı bir çalışmadır. Bu mesafelerin normal vücut indeksine sahip ve 17-29 yaş arası hasta populasyonunda klinik pratikte çok değişken olacağını düşündük. Bu çalışma normal vücut kitle endeksine sahip hastalar için bir norm olacak.
Anahtar Kelimeler
İntramusküler enjeksiyon mesafe enjeksiyon yeri vücut kitle endeksi dorsogluteal bölge hemşirelik
Kaynakça
- Potter PA, Perry AG. Intramusculer injections, sites. Fundamentals of nursing concepts, process and practice, fourth edition, missouri: Mosby Company1997; 828Perry AG. & Potter PA. Clinical Nursing Skills and Techniques, 5th edn. Mosby, St Louis, MO 2002.
- Kozier B, Erb G. Techniques in Clinical Nursing, 3rd edn. Addison-Wesley, Redwood City, CA. 1989.
- Small SP. Preventing sciatic nerve injury from intramuscular injections: Literature review. Journal of Advanced Nursing 2004; 47: 287-96.
- Bergeson PS, Singer SA, Kaplan AM. Intramuscular injections in children, Pediatrics 1982; 70: 944-8.
- World Health Organization. Immunization in practice (a guide for health workers who give vaccines). 3. When and how to give vaccines. EPI/PHW/84/3 Rev. 1. Geneva, Switzerland: World Health Organization 1984.
- DuGas BW, Knor ER. Nursing Foundaions: A Canadian Perspective. Appleton & Lange, Scarborough, ON 1995.
- Perry AG, Potter PA. Clinical Nursing Skills and Techniques, 4th edn. Mosby, St Louis, MO 1998.
- Craven RF, Hirnle CJ. Fundamentals of Nursing: Human Health and Function, 4th edn. Lippincott Williams & Wilkins, Philadelphia 2003.
- Zaybak A, Güneş ÜY, Tamsel S, Khorshid L, Eşer İ. Does Obesity Prevent the Needle from Reaching Muscle in Intramuscular Injections? Journal of Advanced Nursing 2007; 58: 552-6.
- Preston RM. Drug errors and patient safety: The need for a change in practice. Br J Nurs 2004; 13: 72-8.
- Dimond B. Research shows administration of medicines needs attention. Br J Nurs 2003; 12: 397.
- Beyea S. Wake-up-call-standardization is crucial to eliminating medication errors. AORN J 2002; 75: 1010-3.
- Monaghan JC. Procedures for your clinical practice. Patient Care 1990; 24: 1475
- Gilsenan I. Injections. Nursing Times 2000; 96: 43-4.
- DuGas BW, Esson L, Ronaldson SE. Nursing Foundations: A Canadian Perspective, 2nd edn. Prentice Hall, Scarborough, ON 1999.
- Harkreader H. Fundamentals of Nursing: Caring and Clinical Judgment. Saunders, Philadelphia 2000.
- Kozier B, Erb G, Berman AJ, Burke K. Fundamentals of Nursing: Concepts, Process, and Practice, 6th edn. Prentice Hall Health, Upper Saddle River, NJ 2000
- Ross-Kerr JC & Wood MJ. Canadian Fundamentals of Nursing, 2nd edn. Mosby, Toronto 2001.
- Campbell J. Injections. Professional Nurse 1995; 10: 455-8.
- Kerr JR, Sirotnik M. Canadian Fundamentals of Nursing. Mosby, St Louis, MO 199 Williams PL, Bannister LH, Berry MM. Gray's Anatomy. Soames, R. W. Edn. 39th. Churchill Livingstone, London 1995; 1283-5.
- Broadbent TR, Odom GL, Woodhall B. Peripheral nerve injuries from administration of penicillin: Report of four clinical cases. JAMA 1949; 140: 1008Clark K, Williams P, Willis W. Injection injuries of sciatic nerve. Clin Neurosurg 1970; 17: 111-25.
- Coombes M, Clark W, Gregory C. Sciatic nerve injury in infants: Recognition and prevention of impairment resulting from intragluteal injections. JAMA 1960; 173: 1336-8.
- Kline DG. Diagnostic approach to individual nerve injuries. In: Wilkins R, Rengachary S. Neurosurgery. New York: McGraw-Hill 1996; 3125-46.
- Huang Y, Yan Q, Lei W. Gluteal sciatic nerve injury and its treatment. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2000; 14: 83-6.
- Yuen EC, So YT Olney YK. Sciatic neuropathy: Clinical and prognostic features in 73 patients. Neurology 1994; 44: 1669-74.
- Yuen EC, So YT, Olney RK. The electrophysiologic features of sciatic neuropathy in 100 patients. Muscle Nerve 1995; 18: 414-20.
- Mayer M, Romain O. Sciatic paralysis after a buttock intramuscular injection in children: An ongoing risk factor. Arch Pediatr 2001; 8: 321-3.
- Ahuja B. Post injection sciatic nerve injury. Indian. Pediatr 2003; 40: 368-9.
- Nicoll LH. & Hesby A. Intramuscular injection: An integrative research review and guideline for evidence-based practice. Applied Nursing Research 2002; 16, 149-6
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Haziran 2014 |
| Yayımlandığı Sayı | Yıl 2014 |