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A comprehensive nurse-led intervention for patients with peripheral vestibular disorders: the feasibility and benefits
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
2015 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Dizziness and balance problems are common symptoms at all ages, the symptoms are more common in women than in men and increases with age. Several studies clearly demonstrate that peripheral vestibular disorders symptoms may lead to the patients reporting functional consequences of a physical, mental and social character. The overall aim of this thesis was to investigate the efficacy and feasibility of an intervention for patients with peripheral vestibular disorders that contains patient education in groups in combination with individual support. The study is a randomized controlled trial (RCT). Thirty-six patients participated in the study: the intervention group (n = 18), who received the intervention and standard care, and patients in a control group (n = 18), who received standard care. The intervention includes a patient education program and individualized nursing support during a six-month period. Outcomes were collected by self-assessment questionnaires about dizziness-related symptoms, well-being, sense of coherence, and self-care measured at baseline before randomization and at six and nine months later. All patients were also instructed to complete a diary where they recorded symptoms that arose during an episode of dizziness. The main results show that the patients who received the intervention rated statistically significant fewer vertigo-related symptoms and a higher sense of coherence than the control group at the ninemonth follow-up. The intervention was feasible and seems to support the patients to manage symptoms. The effects were small and must be considered in relation to the efforts of the intervention. Confirmative studies are warranted.

Place, publisher, year, edition, pages
Örebro: Örebro University , 2015. , 44 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 62
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-49627OAI: oai:DiVA.org:oru-49627DiVA: diva2:916715
Presentation
2015-10-09, Prismahuset, P 206, Örebro universitet, Fakultetsgatan 1, Örebro, 13:00 (Swedish)
Supervisors
Available from: 2016-08-08 Created: 2016-04-04 Last updated: 2016-08-23Bibliographically approved
List of papers
1. Feasibility and effects of a nursing intervention for patients with peripheral vestibular disorders
Open this publication in new window or tab >>Feasibility and effects of a nursing intervention for patients with peripheral vestibular disorders
(English)Manuscript (preprint) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-51599 (URN)
Available from: 2016-08-08 Created: 2016-08-08 Last updated: 2016-08-08Bibliographically approved
2. Symptoms experienced by patients with peripheral vestibular disorders: evaluation of the Vertigo Symptom Scale for clinical application
Open this publication in new window or tab >>Symptoms experienced by patients with peripheral vestibular disorders: evaluation of the Vertigo Symptom Scale for clinical application
2007 (English)In: Clinical Otolaryngology, ISSN 1749-4478, E-ISSN 1365-2273, Vol. 32, no 6, 440-446 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe symptoms during an episode of dizziness in a sample of patients suffering from peripheral vestibular disorders and to compare them with the items in the Vertigo Symptom Scale.

Design: A descriptive study from a sample of patients with peripheral vestibular disorders.

Setting: Patients visiting a department of audiology at a university hospital.

Participants: Twenty patients with peripheral vestibular disorders. The inclusion criteria were that the patient had had at least three spontaneous attacks of vertigo and/or was constantly unsteady during the last 3 months for at least 75% of the time when awake.

Main outcome measure: Patients were instructed to complete a diary where they recorded symptoms that arose during an episode of dizziness. These symptoms were compared with the content of the Vertigo Symptom Scale.

Results: The most frequent symptoms as mentioned by the patients in their diaries were a feeling that things are spinning or moving around, nausea, feeling unsteady/about to lose one's balance, fatigue, headache, a feeling as if the ground you walk on is distant and ear-related such as tinnitus and a feeling of pressure in the ear. Pain in the heart or chest region, a heavy feeling in the arms or legs, pain in the lower part of the back and excessive sweating were not mentioned at all or by very few patients. Analysis showed that some of the symptoms included in the Vertigo Symptom Scale occurred less during an episode of dizziness than others in this sample of patients with peripheral vestibular disorders.

Conclusion: It was found that the Vertigo Symptom Scale is an adequate base but may need to be developed for use in patients diagnosed with peripheral vestibular symptoms to be able to evaluate care and treatment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2007
National Category
Otorhinolaryngology
Identifiers
urn:nbn:se:oru:diva-51596 (URN)000251414800004 ()18076429 (PubMedID)2-s2.0-36849088281 (ScopusID)
Available from: 2016-08-08 Created: 2016-08-08 Last updated: 2016-08-08Bibliographically approved

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Faag, Carina
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