Kim K S
Kanho Hakhoe Chi. 1988 Dec;18(3):257-68. doi: 10.4040/jnas.1988.18.3.257.
The purpose of this study was to compare the effect of the Z-track intramuscular injection technique with the effect of the stand and intramuscular injection technique on the severity of discomfort and lesions at the injection site. The subjects of the study were 20 patients with only early tuberculosis excluding another abnormalities (a skin rash, allergy to topical use of alcohol, jaundice, edema, neurosensory abnormality, coagulation defects, obesity and thin). Data collection was done from Feb. 1 to March 15, 1988 by means of Korean Pain Measurement Tool, Visual Analogue Scale, and Objective measures of injection site lesions. The results of this study were as follows: 1) Hypothesis 1; "The severity of subject discomfort is less following administration of the Z-track intramuscular injection technique than following administration injection technique." was not supported. 2) Hypothesis 2; "The degrees of severity subject discomfort is less following administration of the Z-track intramuscular injection technique than following administration of the standard intramuscular injection technique." was not supported. 3) Hypothesis 3; "The severity of injection sites lesions is less following administration of the Z-track intramuscular injection technique than following administration of the standard intramuscular injection techniques." was not supported. 4) The terms that were selected included factor II (mild-moderate pain) of Ratio Scale Measuring Pain using Korean Pain Terms. In conclusion; it was found that there was not a difference from the severity of subject discomfort between two groups, but the degrees of severity of subject discomfort about following administration of the Z-track intramuscular injection was tended to be declined. Therefore further studies suggest that the Z-track intramuscular injection technique can decrease the severity of discomfort in persons receiving frequently intramuscular injections. First of all, it is necessary to be developed an effect tool of dis comfort measurement for the intramuscular injection in Korean.
本研究的目的是比较Z形轨迹肌内注射技术与常规肌内注射技术对注射部位不适严重程度和损伤的影响。研究对象为20例仅患有早期结核病且无其他异常情况（皮疹、对局部使用酒精过敏、黄疸、水肿、神经感觉异常、凝血缺陷、肥胖和消瘦）的患者。1988年2月1日至3月15日，通过韩国疼痛测量工具、视觉模拟量表以及注射部位损伤的客观测量方法收集数据。本研究结果如下：1）假设1“采用Z形轨迹肌内注射技术给药后受试者的不适严重程度低于常规注射技术给药后”未得到支持。2）假设2“采用Z形轨迹肌内注射技术给药后受试者的不适严重程度低于标准肌内注射技术给药后”未得到支持。3）假设3“采用Z形轨迹肌内注射技术给药后注射部位损伤的严重程度低于标准肌内注射技术给药后”未得到支持。4）所选术语包括使用韩国疼痛术语的疼痛比率量表中的因素II（轻度至中度疼痛）。总之，发现两组受试者的不适严重程度没有差异，但采用Z形轨迹肌内注射给药后受试者的不适严重程度有下降趋势。因此，进一步的研究表明，Z形轨迹肌内注射技术可以降低频繁接受肌内注射者的不适严重程度。首先，有必要开发一种针对韩语使用者的肌内注射不适测量有效工具。
