Needle free versus needle insulin injection on pain sensation among type 1 diabetic children in Saudi Arabia
Tahani Mohammed Al-Shammari1, Magda Aly Hassan Essawy1 and Mohammed Hussein AL-Qahtani2
1Pediatric Nursing department, Nursing College, University of Dammam
2Pediatric Medicine, Faculty of Medicine, University of Dammam.
Abstract: The needle free insulin injection is recently used to administer insulin injections to patient suffering from diabetes. Insulin administered by needle free jet injectors is dispensed over a larger subcutaneous area thaninsulin injected with a syringe, which may facilitate a more rapid absorption. The aim of the study is to investigate the needle free versus needle insulin injection on pain sensation among type 1 diabetic children. Randomized control clinical trial design was used in this study. This study was conducted in the Pediatric Diabetes Clinic at King Fahad Hospital of University, University of Dammam in Al Khobar city. Systematic random sampling of 30 children who have type 1 DM and their mothers were selected from the previous mentioned setting. Subjects were divided into two homogenous groups, 15 children for each group, control and study groups. Control group received the hospital routine of insulin therapy (needle insulin injection), while study group received needle free insulin injection .Two tools were used in this study to assess the studied children’s pain intensity, faces pain scale ( for children aged 3 to 7 years) and numerical rating scale ((for children aged 7 years and above). One session of interview for every child and his mother in study group was carried out by the researcher to train them about the needle free insulin injection .The session was done immediately before the use of needle free insulin injection, and its time ranged from 45-60 minutes. In follow up [after 3months of using needle free insulin injection], the researcher assessed the children's pain intensity before and during the insulin administration therapy by using the study tools. The results of present study revealed a significant difference for children in study and control groups according to their pain sensation after the implementation of the training session [Z=5*, P<0.001]. Where, all children in study group (100%) experienced no pain during their needle free insulin injection compared to those children in control group who were experiencing pain with needle injection either moderate (46.7%) or severe (53.3%). The same results were found between children in study and control group regarding to their pain sensation for insulin injection in follow up [Z=5.002*, P<0.001]. It was concluded from the present study that the needle free insulin injection (INJEXTM Germany) promotes no pain sensation for type 1 diabetic children. Finally, it is recommended that, encouraging the nurses to attend continuous workshop about needle free insulin injection for diabetic children. Providing enough needle free insulin injection devices (INJEXTM Germany) in pediatric hospitals.
[Tahani Mohammed Al-Shammari, Magda Aly Hassan Essawy and Mohammed Hussein AL-Qahtani. Needle free versus needle insulin injection on pain sensation among type 1 diabetic children in Saudi Arabia. J Am Sci2013;9(6):545-553]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 68
Keywords: free needle insulin injection (INJEXTMGermany), diabetic children, pain sensation, needle insulin injection Full Text 68