Misinterpretation of the Faces Pain Scale-Revised in adult clinical practice

Grazyna Jastrzab , Susie Kerr , Greg Fairbrother
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引用次数: 6

Abstract

Background

The Faces Pain Scale-Revised (FPS-R) is commonly used for measuring pain intensity in paediatric and adult populations. When applied in a clinical setting, this scale may not always be used correctly as a patient self-report.

Methods

A sample of 99 nurses was selected at random from medical, surgical, critical care and aged care units over a 1-week snapshot period in 2002. This group of nurses was surveyed via open-ended questioning to assess their knowledge about applying the FPS-R, when measuring pain in adult patients who are able to communicate. Following the survey, a range of ongoing education strategies was implemented. Three years later, the survey was repeated using the same process (n = 101).

Results

In the initial survey, 52% of respondents gave a correct answer, stating that they would ask the patient to choose the face representing their level of pain. The second survey yielded a similar result with 55% of answers coded as correct by the investigators.

Conclusion

A substantial proportion of surveyed nurses were unable to describe the correct use of the FPS-R at either point of knowledge canvassing. In practice, it would appear that these nurses, if using the FPS-R, would not ask the patient about the intensity of their pain in situations when the patient is capable of a self-report. Implemented education strategies did not contribute to the correct application of FPS-R tool. Clinicians need to be aware of the possibility of misinterpreted application of self-reporting pain intensity measurement tools which employ a facial expression.

对面部疼痛量表的误解——成人临床实践中的修正
面部疼痛量表修订版(FPS-R)通常用于测量儿童和成人人群的疼痛强度。当应用于临床设置时,该量表可能并不总是被正确地用作患者自我报告。方法于2002年在内科、外科、重症监护和老年监护病房随机抽取99名护士,抽样时间为1周。这组护士通过开放式问题进行调查,以评估他们在测量能够沟通的成年患者的疼痛时应用FPS-R的知识。在调查之后,实施了一系列持续的教育策略。三年后,用同样的方法再次进行调查(n = 101)。结果在最初的调查中,52%的受访者给出了正确的答案,表示他们会让患者选择代表他们疼痛程度的脸。第二次调查得出了类似的结果,调查人员认为55%的答案是正确的。结论有相当比例的受访护士无法在知识调查的任何一点上描述FPS-R的正确使用。在实践中,如果使用FPS-R,这些护士似乎不会在患者能够自我报告的情况下询问患者疼痛的强度。实施的教育策略无助于正确应用FPS-R工具。临床医生需要意识到使用面部表情的自我报告疼痛强度测量工具被误解的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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