Application Of King’s Theory Of Goal Attainment And Gaze Stability Exercise In Patients With Vestibular Neuritis

Objective To evaluate the effect of king’s theory of goal attainment combined with gaze stability exercise in patients with vestibular neuritis,and to explore the effect of the health education program on vestibular dysfunction,quality of life,anxiety,depression and vestibular function in patients with vestibular neuritis.To provide basis for rehabilitation nursing intervention of patients with vestibular neuritis.Methods The present study was a quasi-experimental study of 80 patients with vestibular neuritis from April 2022 to November 2022 in an grade Ⅲ Class Hospital Otolaryngology Clinic.According to the method of random number table,the group with the first 40 random numbers was classified as the control group,and the group with the last 40 random numbers was classified as the intervention group.The control group was given routine health education and training,and the intervention group was given king’s theory of goal attainment and gaze stability exercise.The effects of the two groups on the level of vestibular dysfunction,quality of life,anxiety and depression before intervention,one week and one month after intervention were evaluated with Dizziness Handicap In-ventory(DHI),Vestibular Disorders Activities of Daily Living Scale(VADL)and Hospital Anxiety and Depression Scale(HADS).SPSS 25.0 software was used to analyze the data.The statistical methods used included independent sample T-test,x2 test and repeated measures analysis of variance.Results In this study,80 patients with vestibular neuritis were enrolled in strict accordance with the inclusion criteria,40 cases in each group.Three cases were shed during the experiment,and 77 patients were finally completed.1.Baseline Data:the final data of this study were analyzed as intervention group 39 cases,control group 38 cases,a total of 77 patients with vestibular neuritis.Before intervention,the scores of General Information,DHI,VADL,HADS,VOR gain and CP were compared between the two groups,there was no statistical difference(P>0.05).2.Dizziness Handicap In-ventory(DHI):group effect,time effect and interaction effect of the total score of DHI all were statistically significant(P<0.001).The total DHI scores of the intervention group at the two time points of one week and one month of intervention were lower than those of the control group at the corresponding time(P<0.05).① DHI-P dimension:group effect,time effect,interaction of this dimension were statistically significant(P<0.001).The total DHI-P scores of the intervention group at the two time points of one week and one month of intervention were lower than those of the control group at the corresponding time,and the difference was statistically significant(P<0.05).② DHI-E dimension:group effect,time effect and interaction effect of this dimension had statistical significance(P<0.001).In a two-by-two comparison of the DHI-E scores of the two groups at the two times of one week and one month of intervention,the scores of the intervention group were lower than the scores of the control group at the corresponding time(P<0.05).③ DHI-F dimension:the time effect,group effect,interaction of this dimension had statistical significance(P<0.05).In a two-by-two comparison of the DHI-F scores of the two groups at one month of intervention,the scores of the intervention group were lower than the scores of the control group at the corresponding time(P<0.05).3.Vestibular Disorders Activities of Daily Living Scale(VADL):the time effect and interaction effect of VADL had statistical significance(P<0.001),but no group effect(P>0.05).The total VADL scores of the intervention group at the two time points of one week and one month of intervention were lower than those of the control group at the corresponding time(P<0.05).① basic functional dimension:The time and interaction effects for this dimension were statistically significant(P<0.05),but no group effect(P>0.05).The scores of both groups were lower in the intervention group than in the control group at one month of intervention(P<0.05).②walking dimension:The time effect,group effect,and interaction effect for this dimension were statistically significant(P<0.05).In a two-by-two comparison of the two groups’ scores on the walking dimension at the two times of one week and one month of intervention,the scores of the intervention group were lower than the scores of the control group at the corresponding time(P<0.05).③ assistant skill dimension:the time effect,group effec and interaction effect of this dimension had statistical significance(P<0.001).In a two-by-two comparison of the two groups’ scores on the assistive skills dimensions at the two time points of one week and one month of intervention,the scores of the intervention group were lower than the scores of the control group at the corresponding time(P<0.05).4.Hospital Anxiety and Depression Scale(HADS):the time effect and interaction effect of HADS had statistical significance(P<0.05),but no group effect(P>0.05).The total HADS score of the intervention group at one month of intervention was lower than that of the control group at the corresponding time,and the difference was statistically significant(P<0.001).① anxiety dimension:the time effect and interaction effect of this dimension had statistical significance(P<0.05),but there was no group effect(P>0.05).The scores of both groups were lower in the intervention group than in the control group at one month of intervention(P<0.05).②depression dimension:the time effect and interaction effect of this dimension had statistical significance(P<0.05),but no group effect(P>0.05).The scores of the intervention group at the two time points of one week and one month of intervention were lower than the scores of the control group,but the differences were not statistically significant(P>0.05).5.VOR gain:① The gain of horizontal semicircular canal:the time effect,group effect and interaction of horizontal semicircular canal gain were statistically significant(P<0.001).The intervention group had higher horizontal semicircular gain values at one month of intervention than the control group at the corresponding time,and the difference was statistically significant(P<0.05);② The gain of vertical semicircular canal:the time effect,group effect and interaction effect were statistically significant(P<0.05).The intervention group had higher vertical semicircular gain values at one month of intervention than the control group(P<0.05)6.CP value:the time effect,group effect and interaction of CP value were statistically significant(P<0.05).The CP values of the intervention group at the two time points of one week and one month of intervention were lower than those of the control group at the corresponding time(P<0.05).Conclusion1.The health education of king’s theory of goal attainment combined with gaze stability exercise can help to reduce the symptoms of vestibular dysfunction such as vertigo and dizziness in patients with vestibular neuritis and promote their recovery;2.King’s theory of goal attainment combined with gaze stability exercise can improve the quality of life of patients with vestibular neuritis and promote patients to return to normal working life;3.King’s theory of goal attainment combined with gaze stability exercise can reduce the anxiety and depression of patients with vestibular neuritis,and improve the psychological status of patients.4.King’s theory of goal attainment combined with gaze stability exercise can improve the vestibular function in patients with vestibular neuritis and promote their rehabilitation.