《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (05): 458-460.

• 临床研究 • 上一篇    下一篇

3种疲劳量表对脑梗死患者疲劳状况的综合评价

吴春薇;刘占东;张拥波;李继梅;王得新   

  1. 首都医科大学附属北京友谊医院神经内科, 北京市 100050
  • 收稿日期:2009-02-16 出版日期:2009-05-01 发布日期:2009-05-01
  • 通讯作者: 王得新

Evaluation of Chinese Version of 3 Fatigue Questionnaires for Stroke Patients

WU Chun-wei, LIU Zhan-dong, ZHANG Yong-bo, et al   

  1. Department of Rehabilitation Medicine, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
  • Received:2009-02-16 Published:2009-05-01 Online:2009-05-01

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摘要： 目的 比较疲劳严重度量表(FSS)、个人强度目录（CIS）和疲劳影响量表 (FIS)各自的侧重点。方法 同时应用3种量表对214例脑梗死患者进行问卷调查,将3种量表在FSS总分、CIS和FIS子量表分数水平混合，采用莫克量表分析及信度、效度分析。结果和结论 混合条目的新量表可以成立而基本可信的(H>0.5)。共提取到3个公因子，累计贡献率为77.504%，信度分别为0.8097、0.7094、0.8019。三种量表各有侧重，FSS侧重于评价卒中患者疲劳状况，CIS更适于评价疲劳对患者认知的影响，而FIS能更好地反映疲劳对患者实现社会功能的影响。

关键词: 脑梗死, 疲劳, 疲劳严重度量表(FSS), 个人强度目录（CIS）, 疲劳影响量表(FIS), 效度, 信度

Abstract: Objective To analyze the instruments for post stroke fatigue, Fatigue Severity Scale (FSS)，Checklist Individual Strength (CIS) and Fatigue Impact Scale (FIS). Methods The FSS，CIS and FIS were applied in 214 cases with cerebral infarction. They were combined together at the (sub)scale level, and evaluated with Mokken Scale Analysis for Polytomous Items, for validity and reliability. Results and Conclusion Three scales were and The combined scale proved to be acceptable (H>0.5). 3 components were extracted in factor analysis, and the their total cumulative contribution was 77.504%, with reliability (α) of 0.8097，0.7094 and 0.8019 respectively. FSS put emphasis on the fatigue experiences of stroke patients, CIS on the influence of fatigue on, and FIS on the social function.

Key words: cerebral infarction, fatigue, Fatigue Severity Scale (FSS), Checklist Individual Strength (CIS), Fatigue Impact Scale (FIS), validity, reliability