Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2024; 12(5): 903-912
Published online Feb 16, 2024. doi: 10.12998/wjcc.v12.i5.903
Effect of health education based on information-motivation-behavioral skills model on patients with unilateral vestibular dysfunction
Qiong Shi, Ruo-Jun Wu, Jiang Liu
Qiong Shi, Jiang Liu, Department of Neurology, Wuahan Fourth Hospital, Wuhan 430000, Hubei Province, China
Ruo-Jun Wu, Department of Critical Care Medicine, Wuhan No. 1 Hospital, Wuhan 430033, Hubei Province, China
Co-first authors: Qiong Shi and Ruo-Jun Wu.
Author contributions: Shi Q and Wu RJ designed the research; Liu J, Shi Q and Wu RJ contributed new reagents/analytic tools; Liu J, Shi Q and Wu RJ analyzed the data; Shi Q and Wu RJ wrote the paper. All authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Shi Q and Wu RJ contributed equally to this work as co-first authors equally to this work. The reasons for naming Shi Q and Wu RJ as co-first authors are threefold. First, the research was a collaborative effort, and co-first authorship accurately reflects the distribution of responsibilities and burdens. This ensures effective communication and post-submission management, enhancing the paper's quality and reliability. Second, the team encompassed diverse expertise and skills, and co-first authorship reflects this diversity. This promotes a comprehensive and in-depth examination, enriching readers' understanding. Third, Shi Q and Wu RJ contributed equally throughout the research process. Their co-first authorship acknowledges and respects this equal contribution, recognizing the teamwork spirit. In summary, naming Shi Q and Wu RJ as co-first authors accurately reflects the team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jiang Liu, Nurse, Department of Neurology, Wuahan Fourth Hospital, No. 473 Hanzheng Street, Wuhan 430000, Hubei Province, China. shiqiong202307@163.com
Received: October 26, 2023
Peer-review started: October 26, 2023
First decision: November 8, 2023
Revised: December 5, 2023
Accepted: January 19, 2024
Article in press: January 19, 2024
Published online: February 16, 2024
Processing time: 97 Days and 3.7 Hours
Abstract
BACKGROUND

Vestibular dysfunction (VH) is a common concomitant symptom of late peripheral vestibular lesions, which can be trauma, poisoning, infection, heredity, and neurodegeneration, but about 50% of the causes are unknown. The study uses the information-motivation-behavioral skills (IMB) model for health education, effectively improve the quality of life, increase their self-confidence, reduce anxiety and depression, and effectively improve the psychological state of patients.

AIM

To explore the effect of health education based on the IMB model on the degree of vertigo, disability, anxiety and depression in patients with unilateral vestibular hypofunction.

METHODS

The clinical data of 80 patients with unilateral vestibular hypofunction from January 2019 to December 2021 were selected as the retrospective research objects, and they were divided into the control group and the observation group with 40 cases in each group according to different nursing methods. Among them, the control group was given routine nursing health education and guidance, and the observation group was given health education and guidance based on the IMB model. The changes in self-efficacy, anxiety and depression, and quality of life of patients with unilateral VH were compared between the two groups.

RESULTS

There was no significant difference in General Self-Efficacy Scale (GSES) scale scores between the two groups of patients before nursing (P > 0.05), which was comparable; after nursing, the GSES scale scores of the two groups were higher than those before nursing. The nursing group was higher than the control group, and the difference was statistically significant (P < 0.05). There was no significant difference in the scores of Hospital Anxiety and Depression Scale (HADS) and anxiety and depression subscales between the two groups before nursing (P > 0.05). After nursing, the HADS score, anxiety, and depression subscale scores of the two groups of patients were lower than those before nursing, and the nursing group was lower than the control group, and the difference was statistically significant (P < 0.05). After nursing, the Dizziness Handicap Inventory (DHI) scale and DHI-P, DHI-E and DHI-F scores in the two groups were decreased, and the scores in the nursing group were lower than those in the control group, and the difference was statistically significant (P < 0.05).

CONCLUSION

Health education based on the IMB model can effectively improve patients' quality of life, increase self-efficacy of patients with unilateral vestibular hypofunction, enhance patients' confidence, enable patients to resume normal work and life as soon as possible, reduce patients' anxiety and depression, and effectively improve patients' psychological status.

Keywords: Information-motivation-behavioral skills model; Health education; Vestibular function; Quality of life; Self-efficacy

Core Tip: Vestibular dysfunction (VH) is a common concomitant symptom in the late stage of various external vestibular diseases, and the etiology is unknown in about 50% of cases. In this paper, 80 patients with unilateral VH were selected as retrospective research objects. We found that health education based on information-motivation-behavioral skills model can effectively improve the quality of life of patients, improve the self-efficacy of patients with unilateral VH, enhance their self-confidence, enable them to return to normal work and life as soon as possible, and reduce their anxiety and depression. Effectively improve the psychological state of patients.