前庭康复网络干预项目对社区老年眩晕患者的效果:随机对照试验研究

发布时间：2018-05-08 10:04

本文选题：老年眩晕 + 干预项目　；参考：《中国全科医学》2017年20期

【摘要】：目的前庭康复是治疗前庭功能障碍所致眩晕的有效方法,但相关研究较少。本研究的目的是确定一个有效的前庭康复网络干预项目,为社区老年眩晕患者提供初级保健。方法本研究为单中心单盲随机对照试验,选取英国南部年龄50岁以上的社区老年眩晕患者,分为两组,一组采用前庭康复网络干预项目(干预组),一组采用常规初级护理(对照组)。干预组通过访问一个基于互联网的自动化的程序来教授前庭康复训练,并提出认知行为管理策略。基线、3个月时、6个月时采用眩晕症状量表简表(VSS-SF)检测眩晕及眩晕相关残疾情况。结果共纳入296例患者,其中女195例(66%),平均年龄67岁。250例(84%)患者3个月时完成VSS-SF检测,230例(78%)患者6个月时完成VSS-SF检测。与对照组比较,干预组3个月时与基线VSS-SF眩晕减轻,差异有统计学意义[差值2.75分,95%CI(1.39,4.12),P0.001]和干预组6个月时与基线VSS-SF眩晕减轻,差异有统计学意义[差值2.26分,95%CI(0.39,4.12),P=0.02]。与对照组比较,干预组3个月时与基线眩晕相关残疾减轻,差异有统计学意义[差值6.15分,95%CI(2.81,9.49),P0.001]和干预组6个月时与基线眩晕相关残疾减轻,差异有统计学意义[差值5.58分,95%CI(1.19,10.00),P=0.01]。结论前庭康复网络干预项目可以减轻社区老年眩晕患者眩晕及眩晕相关残疾,在社区环境中有广泛的应用前景。
[Abstract]:Objective vestibular rehabilitation is an effective method for the treatment of vertigo caused by vestibular dysfunction. The aim of this study was to identify an effective vestibular rehabilitation network intervention program to provide primary health care for elderly vertigo patients in the community. Methods the study was conducted in a single-center, single-blind randomized controlled trial. Elderly vertigo patients aged over 50 years old in southern England were selected and divided into two groups. One group was treated with vestibular rehabilitation network intervention (intervention group) and the other group with routine primary nursing (control group). The intervention group teaches vestibular rehabilitation by accessing an automated Internet-based program and proposes cognitive behavioral management strategies. At baseline, 3 months and 6 months, the vertigo and vertigo related disability were measured by VSS-SF. Results A total of 296 patients were included, among whom 195 were female. The average age was 67 years. 250 patients (84%) completed the VSS-SF examination at 3 months. 230 patients (78 patients) completed the VSS-SF detection at 6 months. Compared with the control group, the vertigo of the intervention group was alleviated from the baseline VSS-SF at 3 months, the difference was statistically significant [the difference was 2.75 minutes (2.75 minutes) and the intervention group was less than the baseline VSS-SF dizziness at 6 months (the difference was 2.26 minutes) and the difference between the two groups was statistically significant (2.26 minutes, 95CII 0.394.12P0.02). Compared with the control group, the disability associated with baseline vertigo was alleviated in the intervention group at 3 months, the difference was statistically significant [the difference was 6.15 minutes and 9.49% P 0.001] and that of the intervention group at 6 months was less than that of the baseline vertigo group. The difference was statistically significant [the difference was 5.58 minutes and 95% CI 1.1910.00 P < 0.01]. Conclusion the vestibular rehabilitation network intervention project can reduce vertigo and vertigo related disability in the elderly vertigo patients in community. It has a wide application prospect in community environment.
【分类号】：R741

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