Comparison of pain levels developed during intramuscular injections to laterofemoral and ventrogluteal regions in children: a randomized controlled study

Rev Assoc Med Bras (1992). 2023 Jan 9;69(1):85-89. doi: 10.1590/1806-9282.20220770. eCollection 2023.

Abstract

Objective: The aim of this study was to compare the levels of pain developed during intramuscular injections to the laterofemoral and ventrogluteal regions in children.

Methods: The study population consisted of all children aged between 7 and 12 years who presented to the pediatric emergency clinic of a hospital. The sample consisted of 62 children who met the inclusion criteria and agreed to participate in the study, and the children were randomly assigned to each group (laterofemoral n=31, ventrogluteal n=31). "Buzzy" and "deep breathing" were applied to children in both groups to relieve pain during the procedure. The data were obtained using an Information Form, a visual analog scale, and the Facial Pain Scale-Revised.

Results: It was determined that the children in the ventrogluteal group during the intramuscular injections had lower visual analog scale and faces pain scale-revised scores immediately after the procedure compared with the vastus lateralis group, that is, they experienced less pain, and the difference between the two groups was significant (p<0.001).

Conclusion: In children, it is recommended to choose the less painful ventrogluteal region for intramuscular injection and to inform health professionals about it.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Buttocks
  • Child
  • Health Personnel
  • Humans
  • Injections, Intramuscular / methods
  • Pain*
  • Quadriceps Muscle*