J Korean Acad Nurs.  2016 Oct;46(5):710-719. 10.4040/jkan.2016.46.5.710.

Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction

• Lee HJ
• Choi-Kwon

• KMID: 2424643
• DOI: http://doi.org/10.4040/jkan.2016.46.5.710

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.

Keyword

Dizziness; Rehabilitation; Patient Adherence; Self Efficacy

MeSH Terms

Adult
Aged
Dizziness
Exercise
Female
Humans
Male
Middle Aged
Patient Compliance
*Program Evaluation
*Self Efficacy
Severity of Illness Index
Vestibular Diseases/pathology/*rehabilitation
Vestibular Function Tests

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