Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction.
10.4040/jkan.2016.46.5.710
- Author:
Hyun Jung LEE
1
;
Smi CHOI-KWON
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery·Vestibular Function Test Lab, Dankook University Medical Center, Cheonan, Korea.
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Dizziness;
Rehabilitation;
Patient Adherence;
Self Efficacy
- MeSH:
Compensation and Redress;
Dizziness;
Humans;
Outcome Assessment (Health Care);
Patient Compliance;
Recurrence;
Rehabilitation*;
Self Efficacy
- From:Journal of Korean Academy of Nursing
2016;46(5):710-719
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
