List of Publications
Paper 1:
Bulletin of High Institute of Public Health Vol. 33 No.2 [2003]
Evaluation of Bruises and Induration Formation after Two Techniques of Subcutaneous Heparin Injection
Mervat A. Ghaleb, Mervat Abdel Fatah and Neema Abou Shady
Abstract:
The subcutaneous [SC] administration of the anticoagulant heparin is a frequently performed nursing intervention. Bruising and induration occur after some but not all such injections. Administration technique is frequently considered as a possible cause of bruising and induration. The purpose of the study was to compare the effect of two techniques of SC heparin injection on bruises and induration formation. Variables studied include change the needle that was used to draw heparin into the syringe, adding 0.2 ml air and the type of sponge dry or alcohol applied to the site after injection. The results revealed that the technique which encompassed changing the needle after drawing medication into the syringe, using 0.2ml air and dry sponge resulted in smaller areas of bruising and induration than the other technique studied. The use of this technique will be cost effective for the health institutions as it is less expensive than the commercially prepared heparin syringe.
Paper 2:
Positioning Intervention to Minimize Discomfort from Intramuscular Injections in the Dorsogluteal Site
*Mervat A. Ghaleb, *Mervat Abdel Fattah Mohamed
*Lecturer I Adult Nursing Department
Faculty of Nursing, Alexandria University
Abstract:
Injections are traumatic experiences for many people. Intramuscular injections are a common therapeutic technique performed by nurses. Nurses frequently encounter patient discomfort from injections. Since, the nurse is the health professional most often responsible for administration of medications, she can do much to relieve or prevent discomfort from injections.
Positioning intervention to minimize discomfort from intramuscular injections in the dorsogluteal site were the main objective of this study. Forty patients who received irritating drug (Depovit) every other day were included in the study.
The patients were positioned in prone position with the hip joint internally rotated for the first injection while on the second prescribed time, the patients were positioned in the same position but with the hip joint externally rotated. Patients rated their perceived discomfort after each injection on a five point scale.
It was found that the degree of discomfort increased during external rotation of the hip joint in comparison to internal rotation and this difference was statistically significant.
The positioning technique was effective and indicates that the technique did not depend on the person who used it.