The document discusses the Fatigue Assessment Instrument (FAI), which measures fatigue across medical conditions. It has four subscales that assess fatigue severity, specificity, consequences, and responsiveness to rest. The FAI severity score is used as an outcome measure. A cutoff of 4 is used to identify patients with severe fatigue. The fatigue severity score is the mean rating on a scale of 1 to 7 for 11 items measuring fatigue symptoms and impact.
The document discusses the Fatigue Assessment Instrument (FAI), which measures fatigue across medical conditions. It has four subscales that assess fatigue severity, specificity, consequences, and responsiveness to rest. The FAI severity score is used as an outcome measure. A cutoff of 4 is used to identify patients with severe fatigue. The fatigue severity score is the mean rating on a scale of 1 to 7 for 11 items measuring fatigue symptoms and impact.
The document discusses the Fatigue Assessment Instrument (FAI), which measures fatigue across medical conditions. It has four subscales that assess fatigue severity, specificity, consequences, and responsiveness to rest. The FAI severity score is used as an outcome measure. A cutoff of 4 is used to identify patients with severe fatigue. The fatigue severity score is the mean rating on a scale of 1 to 7 for 11 items measuring fatigue symptoms and impact.
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PIRA NUREKA
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PROGRAM STUDI DIPLOMA III KEPERAWATAN
SEKOLAH TINGGI ILMU KESEHATAN SUKABUMI KOTA SUKABUMI 2021 Fatigue Assessment Instrument (FAI): the FAI was developed in order to assess fatigue across a range of medical conditions and has been validated in different diagnoses. It has four sub-scores: severity, specificity, consequences of fatigue and responsiveness to rest/sleep. The FAI severity score was selected as our outcome measure. It has indeed been shown to be reliable in distinguishing patients from controls; 81.3% of all the medical patients (Lyme disease, chronic fatigue syndrome, systemic lupus erythematosus, multiple sclerosis, affective disorders) scoring 4 or above and 89.2% of healthy subjects scoring less than 414. In a previous study21, severity scores were > 4 in nearly one third of non-disabling stroke patients. Thus, we retained a cut-off of 4 in selecting a patient with a severe fatigue syndrome. A clinician-neurologist (JMA) carried out the standard general neurological assessment, including NIHSS and any history of sleep apnea. Patients with sleep disorders verified by formal sleep assessment were excluded.The fatigue severity score of the Fatigue Assessment Instrument (FAI): The fatigue severity score is the mean of 11 items among the 29 constituting the FAI, quoted between 1 and 7 by the patient, 1 representing a total disagreement and 7 representing a total agreement with the written statements. (A sample of questions is shown in the table below) :
Exercise brings on my fatigue
I am easily fatigued Fatigue interferes with my physical functioning Fatigue causes frequent problems for me My fatigue prevents sustained physical functioning Fatigue interferes with carrying out certain duties and responsibilities Fatigue is my most disabling symptom Fatigue is among my 3 most disabling symptoms Fatigue interferes with my work, family, or sociallife Fatigue makes other symptoms worse Fatigue that I now experience is different in quality or severity than the fatigue I experienced before I developed this condition.
Instrumen Penilaian Kelelahan (FAI): FAI dikembangkan untuk menilai kelelahan di
berbagai kondisi medis dan telah divalidasi dalam berbagai diagnosis. Ini memiliki empat sub-skor: keparahan, spesifisitas, konsekuensi kelelahan dan daya tanggap untuk istirahat / tidur. Skor keparahan FAI dipilih sebagai ukuran hasil kami. Memang terbukti andal dalam membedakan pasien dari kontrol; 81,3% dari semua pasien medis (penyakit Lyme, sindrom kelelahan kronis, lupus eritematosus sistemik, multiple sclerosis, gangguan afektif) dengan skor 4 atau lebih dan 89,2% subjek sehat dengan skor kurang dari 414. Dalam penelitian sebelumnya21, skor keparahan> 4 di hampir sepertiga dari pasien stroke yang tidak melumpuhkan. Dengan demikian, kami mempertahankan batas 4 dalam memilih pasien dengan sindrom kelelahan parah. Seorang klinisi-neurologis (JMA) melakukan penilaian neurologis umum standar, termasuk NIHSS dan riwayat apnea tidur. Pasien dengan gangguan tidur yang diverifikasi dengan penilaian tidur formal dikeluarkan. Skor keparahan kelelahan Instrumen Penilaian Kelelahan (FAI): Skor keparahan kelelahan adalah rata-rata dari 11 item di antara 29 yang membentuk FAI, dikutip antara 1 dan 7 oleh pasien , 1 mewakili ketidaksepakatan total dan 7 mewakili kesepakatan total dengan pernyataan tertulis. (Contoh pertanyaan ditunjukkan pada tabel di bawah :
Olah raga membuat saya kelelahan
Saya mudah lelah Kelelahan mengganggu fungsi fisik saya Kelelahan sering menyebabkan masalah bagi saya Kelelahan saya menghalangi fungsi fisik yang berkelanjutan Kelelahan mengganggu pelaksanaan tugas dan tanggung jawab tertentu Kelelahan adalah gejala saya yang paling melumpuhkan Kelelahan adalah salah satu dari 3 gejala saya yang paling melumpuhkan Kelelahan mengganggu pekerjaan, keluarga, atau kehidupan sosial saya Kelelahan membuat gejala lain menjadi lebih buruk Kelelahan yang saya alami sekarang berbeda dalam kualitas atau beratnya dengan rasa lelah yang saya alami dialami sebelum saya mengembangkan kondisi ini.
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