Journal of Korean Academy of Nursing

Original Articles

Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction: Hyun Jung Lee, Smi Choi-Kwon; J Korean Acad Nurs 2016;46(5):710-719. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.710

Purpose

In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction.

Methods

This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program.

Results

After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001).

Conclusion

The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

Citations

Citations to this article as recorded by

Locus of Control and Dizziness: Mediation Effect of Self-Efficacy
Yemo Jeong, Won Hwa Jin, Eun-Jin Kwon, In-Sun Kwon, Han Young Yu, Seong-Hae Jeong
Research in Vestibular Science.2021; 20(4): 126. CrossRef
A Improved Case of Post Cerebral Infarction Dizziness and Gait Discomfort after Treated with Korean Medicine Treatment and Vestibular Rehabilitation Practice
Hongmin Chu, Hyeon-Seo Lim, Kwangho Kim, Young-Ung Lee, Kyungtae Park, Jongwon Jang, Ho-sun Ryu, Su-hak Kim, Cheol-hyun Kim, Sangkwan Lee, Kang-keyng Sung
Journal of Korean Medicine Rehabilitation.2020; 30(4): 179. CrossRef
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Korean Journal of Adult Nursing.2017; 29(2): 143. CrossRef

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Quality of Life and the Related Factors in Patients with Dizziness: Hyun Jung Lee, Smi Choi-Kwon; J Korean Acad Nurs 2009;39(5):751-758. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.751

Abstract PDF

Purpose

The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness.

Methods

The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured.

Results

The mean QOL score was 37.5 (±23.0). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL.

Conclusion

The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

Citations

Citations to this article as recorded by

Dizziness, psychological disorders and cognitive decline
Daniele BORSETTO, Virginia CORAZZI, Rupert OBHOLZER, Chiara BIANCHINI, Stefano PELUCCHI, Marco SOLMI, Dan JIANG, Nikul AMIN, Irumee PAI, Andrea CIORBA
Panminerva Medica.2023;[Epub] CrossRef
Interdisciplinary integration of nursing and psychiatry (INaP) improves dizziness‐related disability
Philip Gerretsen, Parita Shah, Anastasia Logotheti, Mohamed Attia, Thushanthi Balakumar, Shaleen Sulway, Paul Ranalli, Wanda A. Dillon, David D. Pothier, John A. Rutka
The Laryngoscope.2020; 130(7): 1800. CrossRef
Interdisciplinary integration of nursing and psychiatry (INaP) for the treatment of dizziness
Philip Gerretsen, Parita Shah, Anastasia Logotheti, Mohamed Attia, Thushanthi Balakumar, Shaleen Sulway, Paul Ranalli, Wanda A. Dillon, David D. Pothier, John A. Rutka
The Laryngoscope.2020; 130(7): 1792. CrossRef
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Russian Open Medical Journal.2020;[Epub] CrossRef
Fear of falling and associated factors among patients with peripheral vestibular hypofunction
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David D. Pothier, Parita Shah, Lena Quilty, Miracle Ozzoude, Wanda A. Dillon, John A. Rutka, Philip Gerretsen
JAMA Otolaryngology–Head & Neck Surgery.2018; 144(10): 906. CrossRef
POSTURAL-MOTOR CONTROL CHARACTERISTICS IN OLDER FEMALE FALLERS
A V Dyomin, T P Moroz, A V Gribanov, V I Torshin
Ekologiya cheloveka (Human Ecology).2016; 23(5): 30. CrossRef
Health-related Quality of Life in Korean Patients with Rheumatoid Arthritis: Association with Pain, Disease Activity, Disability in Activities of Daily Living and Depression
Dong Choon Uhm, Eun Sook Nam, Ho Yeon Lee, Eun Bong Lee, Young Im Yoon, Gong Ju Chai
Journal of Korean Academy of Nursing.2012; 42(3): 434. CrossRef

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