PURPOSE This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. METHODS In this descriptive cross-sectional survey, the participants were 472 nurses working at a tertiary hospital in Seoul, Korea. A self-report questionnaire presented nurses with a smiling patient complaining of acute post-surgical pain and a grimacing patient with cancer pain, both of whom reported a pain level of 8 out of 10, and asked nurses to indicate their perception of the pain intensity, the pain score that they would record, and the medication that they would provide for each patient. RESULTS The pain intensity perceived by nurses for the grimacing patient was significantly higher than that for the smiling patient (P<0.001). The recorded pain score was likewise significantly higher for the grimacing patient than for the smiling patient (P<0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain interventions between the smiling and grimacing patients (P=0.040). Higher perceived pain intensity and score were associated with higher administered doses of morphine. CONCLUSION These findings suggest that nurses might be affected by patients’ facial expressions when treating pain. A pain management program should be developed that trains nurses to accurately recognize pain hidden in patients’ faces and provides them with the knowledge of how to appropriately assess and manage patients’ pain.

中文翻译：

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韩国护士根据患者面部表情对自我报告疼痛和吗啡剂量的感知差异

目的 本研究旨在比较护士对自我报告疼痛的感知、记录的疼痛评分以及根据患者面部表情进行的疼痛治疗。方法 在这项描述性横断面调查中，参与者是在韩国首尔一家三级医院工作的 472 名护士。一份自我报告问卷向护士展示了一名抱怨急性手术后疼痛的微笑患者和一名患有癌症疼痛的鬼脸患者，他们报告的疼痛水平均为 10 分中的 8 分，并要求护士指出他们对疼痛强度的看法，他们将记录的疼痛评分，以及他们将为每位患者提供的药物。结果护士对做鬼脸患者的疼痛强度明显高于微笑患者（P<0.001）。做鬼脸的患者记录的疼痛评分同样显着高于微笑的患者（P<0.001）。护士选择的用于疼痛干预的吗啡量在微笑和做鬼脸的患者之间存在显着差异（P = 0.040）。较高的感知疼痛强度和评分与较高剂量的吗啡相关。结论 这些发现表明护士在治疗疼痛时可能会受到患者面部表情的影响。应制定疼痛管理计划，培训护士准确识别隐藏在患者面部的疼痛，并为他们提供如何适当评估和管理患者疼痛的知识。护士选择的用于疼痛干预的吗啡量在微笑和做鬼脸的患者之间存在显着差异（P = 0.040）。较高的感知疼痛强度和评分与较高剂量的吗啡相关。结论 这些发现表明护士在治疗疼痛时可能会受到患者面部表情的影响。应制定疼痛管理计划，培训护士准确识别隐藏在患者面部的疼痛，并为他们提供如何适当评估和管理患者疼痛的知识。护士选择的用于疼痛干预的吗啡量在微笑和做鬼脸的患者之间存在显着差异（P = 0.040）。较高的感知疼痛强度和评分与较高剂量的吗啡相关。结论 这些发现表明护士在治疗疼痛时可能会受到患者面部表情的影响。应制定疼痛管理计划，培训护士准确识别隐藏在患者面部的疼痛，并为他们提供如何适当评估和管理患者疼痛的知识。结论 这些发现表明护士在治疗疼痛时可能会受到患者面部表情的影响。应制定疼痛管理计划，培训护士准确识别隐藏在患者面部的疼痛，并为他们提供如何适当评估和管理患者疼痛的知识。结论 这些发现表明护士在治疗疼痛时可能会受到患者面部表情的影响。应制定疼痛管理计划，培训护士准确识别隐藏在患者面部的疼痛，并为他们提供如何适当评估和管理患者疼痛的知识。