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
ARTICLE HIGHLIGHTS
Research background

Vestibular dysfunction (VH) can have a significant impact on a person's quality of life, as it can result in dizziness, imbalance, nausea, and fatigue. In addition, vestibular hypofunction can lead to a decrease in activity levels and an increase in anxiety and depression symptoms. As such, it is important for healthcare professionals to recognize the signs and symptoms of vestibular hypofunction and to provide appropriate treatment and support to patients who are experiencing these symptoms.

Research motivation

VH is a common concomitant of advanced peri-court disease and may be due to trauma, poisoning, infection, genetic and neurodegenerative changes, but the cause is unknown in about 50%. In recent years, with the increase of various unfavorable factors and the aging of the population, the incidence of vestibular vertigo has been increasing. The advantage of information-motivation-behavioral skills (IMB) model is that it integrates self-efficacy theory, draws on the understanding of motivation from rational behavior theory, integrates various factors that affect behavior, and has higher feasibility. Therefore, there is an urgent need to study the effects of health education based on the IMB model on the degree of vertigo, disability, anxiety and depression in patients with unilateral VH.

Research objectives

In order to explore the effect of health education based on the IMB model on vertigo, disability, anxiety, and depression in patients with unilateral VH, a study was conducted.

Research methods

Patients with lateral VH from January 2019 to December 2021 were selected as the retrospective study objects and divided into control group (n = 40) and observation group (n = 40) according to nursing methods. The control group received usual care and health education guidance, and the observation group received health education and guidance based on the IMB model. Changes in self-efficacy, anxiety and depression were compared between the two groups.

Research results

Before nursing, there was no significant difference in General Self-Efficacy Scale, Hospital Anxiety and Depression Scale, anxiety and depression; they were higher/lower than those before nursing and lower than the control group, the difference was statistically significant. After nursing, the Dizziness Handicap Inventory (DHI) and DHI-P, DHI-E and DHI-F scores decreased in both groups; the nursing group was lower than the control group, and the difference was statistically significant.

Research conclusions

IMB model-based health education can effectively improve patients 'quality of life, improve the self-efficacy of patients with unilateral vestibular function, enhance their self-confidence, restore their normal work and life as soon as possible, reduce patients' anxiety and depression, and effectively improve the psychological state of patients.

Research perspectives

The treatment of VH remains challenging, and future research should depend on the type and severity of symptoms experienced by patients, which may involve vestibular rehabilitation therapy, medication, or surgical intervention.