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Validity and reliability of fatigue severity scale in stroke

机译:中风中疲劳严重程度规模的有效性和可靠性

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Background: Fatigue is a frequent complaint after stroke and may be associated with dependence in activities of daily living, decreased quality of life, increased institutionalization and mortality. Although fatigue severity scale (FSS) is the most frequently used scale in stroke, validation studies are scarce. Objectives: This study aimed to examine the psychometric properties of FSS in subjects with stroke. Methods: A total of 46 subjects with stroke who were admitted for rehabilitation and 52 control subjects who were admitted for local musculoskeletal problems were included. A comprehensive assessment including functional independence measure, Folstein Mini-Mental State Examination, Hospital Anxiety and Depression Scale (HADS), visual analog scale for fatigue (VAS), FSS, and vitality subscale of 36-item Medical Outcomes Study Short-Form Health Survey (SF-36v) was conducted. FSS, VAS and SF-36v were repeated 7 days later. Results: FSS demonstrated excellent internal consistency in subjects with stroke (Cronbach's alpha: 0.928). There was a moderate correlation between FSS and SF-36v (r = -0.498, p < 0.001). FSS was weakly correlated with HADS anxiety (r = 0.310, p = 0.041) and HADS depression (r = 0.334, p = 0.027). Test-retest reliability of SF-36v (ICC: 0. 746, CI: 0.518-0.866), VAS (ICC: 0.829, CI: 0.671-0.911) and FSS (ICC: 0.742, CI: 0.512-0.863, p < 0.001) was good. ICC values for individual items of FSS were good except for item 6. Conclusions: FSS is a valid and reliable scale to measure fatigue in stroke. FSS is not sensitive to differentiate fatigue in stroke from the control subjects with orthopedic problems with similar age and gender.
机译:背景:疲劳是中风频繁的抱怨,可能与日常生活活动的依赖相关,减少生活质量,增加制度化和死亡率。虽然疲劳严重程度(FSS)是中风中最常用的规模,但验证研究是稀缺的。目的:本研究旨在研究中风中受试者FSS的心理测量特性。方法:还有46项中风,入院康复和52项被录取的52名受试者被录取的受试者录入。综合评估,包括功能独立措施,Folstein迷你精神状态检查,医院焦虑和抑郁症(HAVES),疲劳(VAS),FSS和活力差分的视觉模拟规模36项医学结果研究短型健康调查(SF-36V)进行了。 FSS,VAS和SF-36V在7天后重复。结果:FSS在中风的主题中显示出优异的内部一致性(Cronbach的Alpha:0.928)。 FSS和SF-36V之间存在适中的相关性(R = -0.498,P <0.001)。 FSS与患有焦虑弱相关(r = 0.310,p = 0.041),抑郁症(r = 0.334,p = 0.027)。测试 - 重新测试SF-36V的可靠性(ICC:0.746,CI:0.518-0.866),VAS(ICC:0.829,CI:0.671-0.911)和FSS(ICC:0.742,CI:0.512-0.863,P <0.001 )很好。除了第6项外,FSS各个项目的ICC值很好。结论:FSS是一种有效且可靠的规模,以测量中风中的疲劳。 FSS对来自对照科目的疲劳性与具有相似年龄和性别的矫形问题的矫形问题差异不敏感。

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