Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2016 Oct;46(5):710-719. Korean.
    Published online Oct 31, 2016.
    https://doi.org/10.4040/jkan.2016.46.5.710
    © 2016 Korean Society of Nursing Science
    Original Article

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

    Hyun Jung Lee,1 and Smi Choi-Kwon2
      • 1Department of Otorhinolaryngology-Head and Neck Surgery·Vestibular Function Test Lab, Dankook University Medical Center, Cheonan, Korea.
      • 2College of Nursing·The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
    • Address reprint requests to : Choi-Kwon, Smi. College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongro-Gu, Seoul 03080, Korea. Tel: +82-2-740-8830, Fax: +82-2-765-4103, Email: smi@snu.ac.kr
    Received May 10, 2016; Revised July 04, 2016; Accepted July 06, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    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.

    Keywords
    Dizziness; Rehabilitation; Patient Adherence; Self Efficacy

    Tables

    Table 1
    Description of Intervention & Outcome Measures

    Table 2
    Baseline Characteristics of the Participants (N=30)

    Table 3
    Comparison of Exercise Self-efficacy, Dizziness & Adherence to VR (N=30)

    Table 4
    Subjective, Objective Vestibular Function, Vestibular Compensation & Recurrence of Dizziness (N=30)

    Notes

    The manuscript is a condensed form of the first author's doctoral dissertation from Seoul National University.

    This work was supported by Health Fellowship Foundation 2015.

    CONFLICTS OF INTEREST:The authors declared no conflict of interest.

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