J Korean Acad Nurs.  2009 Oct;39(5):751-758. 10.4040/jkan.2009.39.5.751.

Quality of Life and the Related Factors in Patients with Dizziness

• Lee HJ
• Choi-Kwon

• KMID: 820252
• DOI: http://doi.org/10.4040/jkan.2009.39.5.751

Abstract

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.

Keyword

Quality of life; Dizziness; Anxiety; Uncertainty

MeSH Terms

Activities of Daily Living
Adult
Aged
Anxiety
Depression
Dizziness/*psychology
Female
Humans
Male
Middle Aged
*Quality of Life
Questionnaires
Uncertainty

Reference

1. Brandt T. Vertigo. Its multisensory syndromes. 1999. 2nd ed.Berlin: Springer.

2. Chae SW. Dizziness in geriatrics. Journal of Korean Balance Society. 2008. 7:120–126.

3. Choi-Kwon S, Chung C, Kim H, Lee S, Yoon S, Kho H, et al. Factors affecting the quality of life in patients with epilepsy in Seoul, South Korea. Acta Neurologica Scandinavica. 2003. 108:428–434.

4. Choi-Kwon S, Kwon SU, Ahn JS, Kim JS. Different perspectives of stroke education between patients and medical personnel. Korean Journal of Stroke. 2002. 4(2):78–87.

5. Cohen HS, Kimball KT, Adams AS. Application of the vestibular disorders activities of daily living scale. Laryngoscope. 2000. 110:1204–1209.

6. Duracinsky M, Mosnier I, Bouccara D, Sterker O, Chassany O. Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients' quality of life. Value Health. 2007. 10:273–284.

7. Enloe LJ, Shields RK. Evaluation of health-related quality of life individuals with vestibular disease using disease-specific and general outcome measures. Physical Theraphy. 1997. 77:890–903.

8. Han GC, Lee EJ, Lee JH, Park SN, Jeon EJ, Lee H, et al. The study of standardization for a Korean adaptation of self-report measures of dizziness. Journal of Korean Balance Society. 2004. 3:307–325.

9. Hsu LC, Hu HH, Wong WJ, Wang SJ, Luk YO, Chem CM. Quality of life in elderly patients with dizziness: Analysis of the Short-Form Health Survey in 197 patients. Acta Oto-Laryngologica. 2005. 125:55–59.

10. Jacob RG, Furman JM. Psychiatric consequences of vestibular dysfunction. Current Opinion of Neurology. 2001. 14:41–46.

11. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Archives of Otolaryngology Head and Neck Surgery. 1990. 116:424–427.

12. Lee JY, Choi Smi. Quality of life in gynecological cancer patients during chemotherapy. Korean Journal of Women Health Nursing. 2007. 13:290–298.

13. Lee KK. Psychogenic vertigo. Journal of Korean Balance Society. 2006. 5:185–193.

14. Mira E. Improving the quality of life in patients with vestibular disorders: The role of medical treatments and physical rehabilitation. International Journal of Clinical Practice. 2008. 62:109–114.

15. Mishel MH. Uncertainty in illness. Journal of Nursing Scholarship. 1988. 20:225–232.

16. Oh HS, Kim DS. An exploratory study on the concept of uncertainty. Journal of Korean Academy of Adult Nursing. 1999. 11:831–844.

17. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of Korean Neuropsychiatric Association. 1999. 38:289–296.

18. Park YM. A structural model for quality of life in breast cancer patients. 2005. Seoul: Kyunghee University;Unpublished doctoral dissertation.

19. Perez N, Martin E, Gracia-Tapia R. Dizziness: Relating the severity of vertigo to the degree of handicap by measuring vestibular impairment. Otolayngology Head and Neck Surgery. 2003. 128:372–381.

20. Poon DM, Chow LC, Au DK, Hui Y, Leung MC. Translation of the dizziness handicap inventory into Chinese, validation of it, and evaluation of the quality of life of patients with chronic dizziness. The Annals of Otology, Rhinology & Laryngology. 2004. 113:1006–1011.

21. Rhee CK. Dizziness. 2007. Seoul: Dankook University Press.

22. Schnitzler CE. The relationships between dizziness and anxiety, depression, perceived well being, and functional independence in a geriatric inpatient rehabilitation setting. 2000. Calgary, Canada: University of Calgary;Unpublished master's thesis.

23. Vereek L, Truijen S, Wuyts FL, Van de Heyning PH. The dizziness handicap inventory and it's relationship with functional balance performance. Otology and Neurotology. 2006. 28:87–93.

24. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: A review of diagnosis and treatment. The Journal of Orthopaedic and Sports Physical Therapy. 2000. 30:755–766.

25. Yardley L, Masson E., Verschuur C, Haacke N, Luxon L. Symptoms, anxiety and handicap in dizzy patients: Development of the vertigo symptom scale. Journal of Psychosomatic Research. 1992. 36:731–741.

26. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatric Scandinavia. 1983. 67:361–370.