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Research findings show that ecchymosis occurred in 6.6% of all injections. The lowest and smallest ecchymosis occurred in cold application, but the difference was not statistically significant among the techniques (P = .178). Use of mechano-analgesia and cold application reduce pain (P = .0. Mechano-analgesia was ineffective for ecchymosis while reducing pain. The satisfaction level was highest with mechano-analgesia, with statistically significant differences among the techniques (P = 0.001). Mechano-analgesia and cold application can

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