Yildiz Güzel Nur, Çiftçi Bahar
Department of Dialysis, Vocational School of Health Services, Department of Dialysis, Mus Alparslan University, Mus, Turkey.
Department of Fundamental of Nursing, Atatürk University, Erzurum, Turkey.
BMC Nurs. 2025 Apr 8;24(1):390. doi: 10.1186/s12912-025-02901-8.
Deltoid Muscle intramuscular (IM) injection is a standard nursing procedure that often causes discomfort and anxiety. Helfer Skin Tap (HST) and ShotBlocker have been introduced to reduce injection-related pain and improve patient experience.
This study compares the effects of the deltoid muscle intramuscular injection techniques Helfer Skin Tap, ShotBlocker, and Standard Technique on patients' pain, comfort, satisfaction, and fear levels.
The study used a single-center, randomized, Controlled interventional study design in which three injection techniques were applied to one group.
Forty patients participated in the study.
A single-center randomized controlled interventional study was conducted with patients from the Emergency Department of Atatürk University Study Hospital. Data collection tools included forms for sociodemographic characteristics, pain assessment, comfort levels, satisfaction, and fear related to injections. The interventions were applied once daily for three days, and data were analyzed using appropriate statistical methods.
Compared to the Helfer Skin Tap and Standard Technique, the ShotBlocker technique caused the most minor pain and fear and the highest levels of comfort and satisfaction among patients.
The findings suggest that the ShotBlocker technique is the most effective in reducing pain and fear while providing the highest comfort and satisfaction levels. This indicates its potential for widespread adoption in clinical practice to improve patient outcomes during deltoid muscle IM injections.
This research is a randomized controlled study. Therefore, a registration number was applied for at ClinicalTrials.gov. The registration number was obtained with the number "NCT05577832". (First Posted 13/10/2022) CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: Due to its superior performance, the ShotBlocker technique should be integrated into nursing education and practice. This technique can improve the quality of patient care and enhance the patient experience during deltoid muscle IM injections.
三角肌肌内注射是一项标准护理操作，但常导致不适和焦虑。已引入海尔弗皮肤轻拍法（HST）和注射阻滞剂来减轻注射相关疼痛并改善患者体验。
本研究比较三角肌肌内注射技术海尔弗皮肤轻拍法、注射阻滞剂和标准技术对患者疼痛、舒适度、满意度及恐惧程度的影响。
本研究采用单中心、随机、对照干预研究设计，将三种注射技术应用于一组患者。
40名患者参与了本研究。
在阿塔图尔克大学研究医院急诊科的患者中进行了一项单中心随机对照干预研究。数据收集工具包括社会人口学特征、疼痛评估、舒适度、满意度以及与注射相关恐惧的表格。干预措施每天应用一次，持续三天，并使用适当的统计方法进行数据分析。
与海尔弗皮肤轻拍法和标准技术相比，注射阻滞剂技术在患者中引起的疼痛和恐惧最小，舒适度和满意度最高。
研究结果表明，注射阻滞剂技术在减轻疼痛和恐惧方面最有效，同时提供最高的舒适度和满意度。这表明其在临床实践中广泛应用以改善三角肌肌内注射期间患者结局的潜力。
本研究是一项随机对照研究。因此，已在ClinicalTrials.gov上申请注册号。注册号为“NCT05577832”。（首次发布于2022年10月13日）结论及对护理和/或卫生政策的启示：由于其卓越的性能，注射阻滞剂技术应纳入护理教育和实践。该技术可提高患者护理质量并增强三角肌肌内注射期间的患者体验。
