Effectiveness of Vestibular Rehabilitation in Hemodialysis Patients With Dizziness

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Abstract

Purpose:

This study evaluated the effectiveness of vestibular rehabilitation (VR) for hemodialysis (HD) patients with chronic dizziness.

Design:

A single-blind, randomized controlled study was performed.

Methods:

Cluster-randomized sampling was used to select the experimental group from two outpatient dialysis clinics. A total of 26 patients participated in the study. Dizziness Handicap Inventory (DHI) and falls were used as outcome measures. Data were collected at baseline (T1), 3 months (T2), and 6 months (T3).

Findings:

Two-way repeated-measures ANOVA of DHI revealed a statistically significant group and time interaction. Dizziness handicap outcome was significantly reduced over time in the experimental group (DHI total score, T1 = 35.29, T2 = 32.86, T3 = 27.86, p = .001).

Conclusions:

VR exercise instructed by nurses can be effective in alleviating handicap imposed by dizziness in dialysis patients.

Clinical Relevance:

Nurses are encouraged to learn VR as a simple exercise to improve well-being in dialysis patients with chronic dizziness.

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