Detail Article

Jurnal Ners

ISSN 1858-3598

Vol. 10 / No. 1 / Published : 2015-04

Order : 12, and page :112 - 117

Related with : Scholar   Yahoo!   Bing

Original Article :

Utilizing z-track air lock technique to reduce pain in intramuscular injections

Author :

  1. Evelyn Hemme Tambunan*1
  2. Imanuel Sri Wulandari*2
  1. Fakultas Ilmu Keperawatan, Universitas Advent Indonesia
  2. Fakultas Ilmu Keperawatan, Universitas Advent Indonesia

Abstract :

Introduction:Injection is one of most painful and common medical interventions that more than 12 billion of it are administered annually throughout the world. Pain remains as one of the unresolved health problems. The objective of this research was to investigate the pain severity utilizing the z-track air lock technique during intra muscular injection procedure.Method:This study was conducted as an unblinded cinical trial, where 90 female subjects aged between 18-25 years old were randomly assigned to three groups of 30. Each group received z-track air lock (Group ZTAL), air lock (AL),and  z-track (Group ZT) techniques. Neurobion 5000 vitamin used as an injection substance.A Verbal Rating Scale (VRS) on 0-3was used to evaluate the severity of pain during procedure. Data were analized using the SPSS version 19. Groups’ age, Body Mass Index (BMI) and pain severity were analyzed through descriptive and One Way ANOVA statistics. Results: Results showed that there were no significant differences of pain severity both within and between groups (p >0.05). Discussion:Both Z-track and air lock method are less pain compared to traditional method according to previous studies. Noncicepti stimulus inhibited nocicepti stimulus in z-track technique while locking effect inhibit leakeage of substance injection to subcutaneous layer of skin which contain of nerve fibers. However All techniques are recommended to produce less pain therefore it can be considered as a standard procedure for intra muscular injection.

Keyword :

intramuscular injection, z-track air lock technique, pain,

References :

  1. Tortora G, Derrickson B., (2008). Principles of Anatomy and Physiology. 12 edition : USA:Wiley.
  2. World Health Organization, (2010). WHO best practices for injections and related proceduresToolkit. - : Geneva: WHO

Archive Article

Cover Media Content

Volume : 10 / No. : 1 / Pub. : 2015-04
  1. Improving nutrition of pregnant village women in indonesia: the important roles of village midwives and cadres
  2. The difference in breastmilk production between acupresure point for lactation and oxytocin massage
  3. Breastfeeding self efficacy and effective breastfeeding on postpartum women
  4. Effectiveness of dhikr toward decreasing anxiety and labour pain during active phase of first stage among primigravida
  5. The changes of premenstrual symptoms after aerobic exercise intervention
  6. Response and coping on physically to side effect cemotheraphy in women suferred cervic cancer
  7. Parents experiences using alternative medicine on children suffering cancer in jakarta
  8. Gfr and blood lead levels in gas station workers based on δ-alad gene polymorphisms
  9. The level of asthma diagnosing system by using fuzzy inference system
  10. An ergonomic desk and chair prototype to improve seating position on senior high school students at kabupaten gresik
  11. Modification of breast pump as a negative pressure wound therapy for accelerating wound healing of diabetic ulcer
  12. Utilizing z-track air lock technique to reduce pain in intramuscular injections
  13. Cognitive support increase cd4 level on patient with hiv at kota kediri
  14. Hopelessness experience among stroke survivor in semarang, a phenomenological study
  15. Modern and convensional wound dressing to interleukin 1 (il-1) and interleukin 6 (il-6) in diabetic wound
  16. The incidence of vap after vap bundle intervention among patients with mechanical ventilation
  17. The factors associated with the triage implementation in emergency department
  18. Model of caring behavior improvement to achieve the competence in critical care nursing
  19. Model of quality management system using malcolm baldrige criteria in nursing education in surabaya
  20. The effectiveness of nursing care: social isolation implementation in mental pmhnpm to patient’s capability
  21. Health empowerment, and economics of women with hiv/ aids through life skills education
  22. A nursing management model to increase medication adherence and nutritional status of patients with pulmonary tb