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Advantages of an abdominal anticoagulant subcutaneous injection procedure based on a personal digital assistant and positioning card system: A clinical trial with a historical control cohort

International Journal of Clinical Pharmacology and Therapeutics +

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March 21, 2025

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March 21, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

A new mobile personal digital assistant (PDA)-based injection card for low molecular weight heparin (LMWH) reduces injection time and improves patient satisfaction without increasing bleeding risk. This digital tool optimizes subcutaneous injection procedures for anticoagulant therapy.

Area Of Science

  • Medical Technology
  • Pharmacology
  • Nursing Informatics

Background

  • Subcutaneous injections of low molecular weight heparin (LMWH) are crucial for managing venous thromboembolism.
  • Accurate site selection is vital to minimize adverse events like subcutaneous bleeding.
  • Traditional paper-based injection guides may lack precision and efficiency.

Purpose Of The Study

  • To evaluate the efficacy of a mobile personal digital assistant (PDA)-based injection positioning card for LMWH abdominal subcutaneous injections.
  • To compare the incidence of subcutaneous bleeding, procedure time, and patient satisfaction between PDA-based and traditional paper-based methods.

Main Methods

  • A historical control study involving 210 patients receiving dalteparin sodium (Fragmin) for venous thromboembolism.
  • Patients were divided into a control group (paper cards) and an experimental group (PDA-based cards).
  • Key outcome measures included subcutaneous bleeding, injection time, and patient satisfaction.

Main Results

  • No statistically significant difference in subcutaneous bleeding incidence between the experimental (5.59%) and control (5.61%) groups.
  • Significantly reduced injection time in the experimental group (63.11 ± 3.59 seconds) compared to the control group (83.38 ± 6.96 seconds).
  • Higher patient satisfaction rates in the experimental group (94.3%) versus the control group (80.0%).

Conclusions

  • The PDA-based injection positioning card is a safe and effective tool for LMWH abdominal subcutaneous injections.
  • It does not increase adverse reactions like bleeding, ensuring medication accuracy and patient safety.
  • The digital card optimizes nursing operations, streamlines the process, and enhances patient satisfaction.