Browse > Article
http://dx.doi.org/10.7475/kjan.2014.26.4.434

Factors Influencing Adherence to Vestibular Rehabilitation Exercise Program in Patients with Dizziness  

Lee, Hyun Jung (Dankook University Medical Center)
Choi-Kwon, Smi (College of Nursing.Research Institute of Nursing Science, Seoul National University)
Publication Information
Korean Journal of Adult Nursing / v.26, no.4, 2014 , pp. 434-443 More about this Journal
Abstract
Purpose: This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness. Methods: The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured. Results: The result of this study showed poor adherence to VREP. The mean adherence score to VREP was $2.11{\pm}1.05$ (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP. Conclusion: Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.
Keywords
Dizziness; Adherence; Rehabilitation; Self-efficacy;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim, S. H. (1987). A study on range of motion exercise compliance of impaired physical mobility patient . Unpublished master's thesis, Ewha Womans University, Seoul.
2 Walsh, B., Yardley, L., Donovan-Hall, M., & Smith, H. (2007). Implementation of nurse-delivered vestibular rehabilitation in primary care: A qualitative study of nurses' views on involvement in an innovative service. Journal of Clinical Nursing, 16(6), 1072-1081.   DOI   ScienceOn
3 Yuen, H. K., Wang, E., Holthaus, K., Vogtle, L. K., Sword, D., Breland, H. L., et al. (2013). Self-reported versus objectively assessed exercise adherence. The American Journal of Occupatinal Therapy, 67(4), 484-489. http://dx.doi.org/10.5014/ajot.2013.007575   DOI
4 Kang, J. S., Kang, H. S., Yun, E. K., & Choi, H. R. (2012). Factors influencing health behavior compliance of patients with metabolic syndrome. Korean Journal of Adult Nursing, 24(2), 191-199.   과학기술학회마을   DOI   ScienceOn
5 Kao, C. L., Chen, L. K., Chern, C. M., Hsu, L. C., Chen, C. C., & Hwang, S. J. (2010). Rehabilitation outcome in home-based versus supervised exercise programs for chronically dizzy patients. Archives of Gerontology and Geriatrics, 51(3), 264-267. http://dx.doi.org/10.1016/j.archger.2009.11.014   DOI   ScienceOn
6 Kim, H. W. (2007). The relationship between the therapeutic exercise practice, health beliefs and self-efficacy in patients with restricted shoulder range of motion. Unpublished master's thesis, Yonsei University, Seoul.
7 Lee, D. J., Rhee, C. K., & Suh, M. W. (2011). Rehabilitation of vestibular hypofunction. Research in Vestibular Science, 10, 32-37.
8 Michael, B., & Hannelore, N. (2011). Epidemiological evidence for a link between vertigo and migraine. Journal of Vestibular Research, 21(6), 299-304.
9 Rhee, C. K. (2010). Vestibular rehabilitation. Korean Academy of Audiology, 6, 1-9.
10 Rosenstock, I. (1991). The health belief model: Explaining health behavior through expectancies. In Glanz, K., Lewis, F., & Rimer, B. (ed.). Health behavior and health education. San Francisco: Jossey-Bass.
11 Sung, K. B. (2002). Understanding of dizziness. Research in Vestibular Science, 1(2), 157-164.
12 Toupet, M., Ferrary, E., & Grayeli, A. B. (2011). Visual analog scale to assess vertigo and dizziness after repositioning maneuvers for benign paroxysmal positional vertigo. Journal of Vestibular Research, 21(4), 235-241. http://dx.doi.org/10.3233/VES-2011-0420   DOI
13 Godemann, F., Siefert, K., Hantschke-Bruggemann, M., Neu, P., Seidl, R., & Strohle, A. (2005). What accounts for vertigo one year after neuritis vestibularis-anxiety or a dysfunctional vestibular organ? Journal of Psychiatric Research, 39(5), 529-534. http://dx.doi.org/10.1016/j.jpsychires.2004.12.006   DOI   ScienceOn
14 Hamid, M. A. (1992). Vestibular Rehabilitation. Advances in Otolaryngol-Head and Neck Surgery, 6, 27-36.
15 Forkan, R., Pumper, B., Smyth, N., Wirkkala, H., Ciol, M. A., & Shumway-Cook, A. (2006). Exercise adherence following physical therapy intervention in older adults with impaired balance. Physical Therapy, 86(3), 401-410.
16 Giray, M., Kirazli, Y., Karapolat, H., Celebisoy, N., Bilgen, C., & Kirazli, T. (2009). Short-term effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: A randomized controlled study. Archives Physical Medicine and Rehabilitation, 90(8), 1325-1331. http://dx.doi.org/10.1016/j.apmr.2009.01.032   DOI   ScienceOn
17 Health Insurance Review & Assessment Service. (2013). Cause of dizziness. Retrieved April 30, 2013 from the Health Insurance Review & Assessment Service Web site: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1317301_13390.html
18 Herdman, S. J. (1998). Role of vestibular adaptation in vestibular rehabilitation. Otolaryngology-Head Neck Surgery, 119(1), 49-54.   DOI   ScienceOn
19 Hillier, S. L., & McDonnell, M. (2011). Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Clinical Otolaryngology, 36(3), 248-249. http://dx.doi.org/10.1111/j.1749-4486.2011.02309.x   DOI   ScienceOn
20 Jo, H. S., Kim, C. B., Lee, H. W., & Jeong, H. J. (2004). A Metaanalysis of health related behavior study based on health belief model in Korean. The Korean Journal of Health Psychology, 9(1), 69-84.
21 Chung, W. H., Lee, H. S., & Park, K. H. (2006). Medical treatment of meniere's disease. Research in Vestibular Science, 5(1), 164-172.
22 Balci, B. D., Akdal, G., Yaka, E., & Angin, S. (2013a). Vestibular rehabilitation in acute central vestibulopathy: A randomized controlled trial. Journal of Vestibular Research, 23(4), 259-267. http://dx.doi.org/10.3233/VES-130491   DOI
23 Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. http://dx.doi.org/10.1037/0033-295X.84.2.191   DOI   ScienceOn