Effect of Cold Needle on Injection Complications

Propose: This study aimed to evaluate the effects of cold needle (0–2°C) application on pain intensity, ecchymosis rate, and patient comfort during subcutaneous (SC) insulin injections. The hypotheses; When administering insulin via the SC route, a cold needle temperature reduces pain intensity and incidence of ecchymosis. Using a cold needle during subcutaneous insulin injection increases comfort levels.Methods: A semi-experimental two-group design was used. Eighty hospitalized patients receiving SC insulin (Intervention=40, control=40) were included in the study. In the Intervention group, insulin syringes were stored at 0–2°C for at least 2 hours prior to use; in the control group, syringes at room temperature were used. Data were collected using the Patient Information Form, SC Route Injection Follow-up Chart, Visual Analogue Scale, and Opsite-Flexigrid Measurement Tool; observations were performed by two different observers.Results: The cold needle application significantly reduced pain intensity immediately after injection and at 24 and 48 hours (p

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Publication Details

Journal
Acibadem Universitesi Saglik Bilimleri Dergisi
Published
2026-09-22
DOI
https://doi.org/10.31067/acusaglik.1973962
Primary Topic
Intramuscular injections and effects
Type
article
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article

Effect of Cold Needle on Injection Complications

Funda Büyükyılmaz, Azzet YÜKSEL, Huriye Arslaner
Acibadem Universitesi Saglik Bilimleri Dergisi
Intramuscular injections and effects
article

Effect of Cold Needle on Injection Complications

Funda Büyükyılmaz, Azzet YÜKSEL, Huriye Arslaner
article en

Abstract

Propose: This study aimed to evaluate the effects of cold needle (0–2°C) application on pain intensity, ecchymosis rate, and patient comfort during subcutaneous (SC) insulin injections. The hypotheses; When administering insulin via the SC route, a cold needle temperature reduces pain intensity and incidence of ecchymosis. Using a cold needle during subcutaneous insulin injection increases comfort levels.Methods: A semi-experimental two-group design was used. Eighty hospitalized patients receiving SC insulin (Intervention=40, control=40) were included in the study. In the Intervention group, insulin syringes were stored at 0–2°C for at least 2 hours prior to use; in the control group, syringes at room temperature were used. Data were collected using the Patient Information Form, SC Route Injection Follow-up Chart, Visual Analogue Scale, and Opsite-Flexigrid Measurement Tool; observations were performed by two different observers.Results: The cold needle application significantly reduced pain intensity immediately after injection and at 24 and 48 hours (p

Acibadem Universitesi Saglik Bilimleri DergisiVol. 17(July, August, September 2026)
Istanbul University-Cerrahpaşa (TR), Nightingale Hospital (IN), Kocaeli Üniversitesi (TR)
Good health and well-being
Openalex Percentile: Top 7%
Intramuscular injections and effects
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Effect of Cold Needle on Injection Complications — Funda Büyükyılmaz, Azzet YÜKSEL, et al. · Acibadem Universitesi Saglik Bilimleri Dergisi (2026) | TGRS Research Map | TGRS