KMID : 1038320200170010038
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º¸°ÇÀÇ·á±³À°Æò°¡ 2020 Volume.17 No. 1 p.38 ~ p.38
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Difference in perception of and morphine dose administered to the patient¡¯s self-reported pain according to the patient¡¯s facial expression in Korea
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Park Jeong-Yun
Lee Da-In
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Abstract
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Purpose: This study aimed to compare the nurses¡¯ perception, recording, and treatment of the patient¡¯s self-reported pain according to the patient facial expression.
Methods: It is a descriptive cross-sectional survey. Participants were 482 nurses working at a tertiary hospital in Seoul, Korea. The self-reporting questionnaire required nurses to answer the pain intensity, records, and medication for a smiling patient complaining of acute post-surgical pain and a grimacing cancer-pain patient.
Results: The pain intensity perceived by nurses in grimacing patients was significantly higher than that for smiling patients (P < 0.001). The score of pain recording was significantly higher for grimacing patients than for smiling patients (P < 0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain intervention in smiling and grimacing patients (P=0.040). Higher perceived pain intensities and scores reflected in the pain record resulted in greater administered doses of morphine.
Conclusion: These findings suggest that the nurses might be affected by a patient¡¯s facial expression when treating pain. A pain-management program should be developed that enables nurses to accurately recognize pain hidden in patients¡¯ faces and provides them with the knowledge of how to appropriately assess and manage patients¡¯ pain.
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KEYWORD
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Cancer pain, Facial expression, Morphine, Pain management, Republic of Korea
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