Health & Medicinearticle2026-09-22

Effect of Cold Needle on Injection Complications

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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

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View paper (DOI)Open access versionOpenAlexAcibadem Universitesi Saglik Bilimleri DergisiPublished 2026-09-22

Authors: Azzet YÜKSEL, Huriye Arslaner, Funda Büyükyılmaz

Institutions: Kocaeli Üniversitesi, Istanbul University-Cerrahpaşa, Nightingale Hospital