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Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2022

29.04.2021 | Original Article

The Effect of Modified Epley Maneuver Implementation on the Anxiety and Comfort Levels of Patients with Posterior Canal Bening Paroxysmal Positional Vertigo: A Prospective Study

verfasst von: Murat Kar, İlknur Özkan, Seçil Taylan

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 3/2022

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Abstract

To evaluate the effects of the modified Epley maneuver during Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) on patients’ anxiety and comfort levels. The study, organized as a prospective, worked with 72 patients who were diagnosed with Posterior Canal BPPV through Dix-Hallpike maneuver. The data for the study was collected through Descriptive Characteristics Form, General Comfort Questionnaire Short Form, and Beck Anxiety Inventory. It was found that that 63.9% of the patients experienced average-level anxiety before the implementation of the Epley maneuver and received a total of 3.07 ± .37 (1–6) from the General Comfort Questionnaire. Before applying the modified Epley maneuver and I and IV When the score changes after the week were examined, it was determined that there was a statistically significant difference in all scale scores, as comfort levels increased, anxiety levels decreased. Anxiety was identified as the most important predictor of patients’ comfort level before and after the implementation of the modified Epley maneuver. In light of these findings, it can be said that modified Epley maneuver can safely be used to increase the comfort of patients with Posterior Canal BPPV. Considering that patients with BPPV can consult to emergency rooms, family clinics along with polyclinics, it is recommended to organize regular trainings on BPPV and the implementation of the Epley maneuver. It is believed that evaluation of BPPV patients for their anxiety and offer support when needed is important for the prognosis and patients’ comfort.
Literatur
1.
6.
7.
Zurück zum Zitat Kolcaba K, Tilton C, Drouin C (2006) Comfort theory: a unifying framework to enhance the practice environment. J Nur Adm 36(11):538–544CrossRef Kolcaba K, Tilton C, Drouin C (2006) Comfort theory: a unifying framework to enhance the practice environment. J Nur Adm 36(11):538–544CrossRef
11.
Zurück zum Zitat Celis-Aguilar EM, Medina-Cabrera CA, Torrontegui-Zazueta LA, Núñez-Millán BX, Castro-Bórquez KM, Obeso-Pereda A, García-Valle CG, Ochoa-Miranda CA (2021) Short-term effect of epley maneuver as treatment for subjective benign paroxysmal positional vertigo. Indian J Otolaryngol Head Neck Surg :1–5. https://doi.org/10.1007/s12070-020-02320-y Celis-Aguilar EM, Medina-Cabrera CA, Torrontegui-Zazueta LA, Núñez-Millán BX, Castro-Bórquez KM, Obeso-Pereda A, García-Valle CG, Ochoa-Miranda CA (2021) Short-term effect of epley maneuver as treatment for subjective benign paroxysmal positional vertigo. Indian J Otolaryngol Head Neck Surg :1–5. https://​doi.​org/​10.​1007/​s12070-020-02320-y
12.
Zurück zum Zitat Sachdeva K, Sao T (2020) The Clinical Response time of Epley maneuvers for treatment of BPPV: a hospital based study. Indian J Otolaryngol Head Neck Surg 72(4):503–507CrossRef Sachdeva K, Sao T (2020) The Clinical Response time of Epley maneuvers for treatment of BPPV: a hospital based study. Indian J Otolaryngol Head Neck Surg 72(4):503–507CrossRef
13.
Zurück zum Zitat Reinink H, Wegner I, Stegeman I, Grolman W (2014) Rapid systematic review of repeated application of the epley maneuver for treating posterior BPPV. Otolaryngol Head Neck Surg 151(3):399–406CrossRef Reinink H, Wegner I, Stegeman I, Grolman W (2014) Rapid systematic review of repeated application of the epley maneuver for treating posterior BPPV. Otolaryngol Head Neck Surg 151(3):399–406CrossRef
14.
Zurück zum Zitat van Duijn JG, Isfordink LM, Nij Bijvank JA, Stapper CW, van Vuren AJ, Wegner I, Kortekaas MF, Grolman W (2014) Rapid systematic review of the Epley maneuver for treating posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 150(6):925–932. https://doi.org/10.1177/0194599814527732CrossRef van Duijn JG, Isfordink LM, Nij Bijvank JA, Stapper CW, van Vuren AJ, Wegner I, Kortekaas MF, Grolman W (2014) Rapid systematic review of the Epley maneuver for treating posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 150(6):925–932. https://​doi.​org/​10.​1177/​0194599814527732​CrossRef
15.
Zurück zum Zitat Gupta AK, Sharma KG, Sharma P (2019) Effect of Epley, semont maneuvers and brandt-daroff exercise on quality of life in patients with posterior semicircular canal benign paroxysmal positional vertigo (PSCBPPV). Indian J Otolaryngol Head Neck Surg 71(1):99–103. https://doi.org/10.1007/s12070-018-1322-7CrossRef Gupta AK, Sharma KG, Sharma P (2019) Effect of Epley, semont maneuvers and brandt-daroff exercise on quality of life in patients with posterior semicircular canal benign paroxysmal positional vertigo (PSCBPPV). Indian J Otolaryngol Head Neck Surg 71(1):99–103. https://​doi.​org/​10.​1007/​s12070-018-1322-7CrossRef
16.
17.
Zurück zum Zitat Richard W, Bruintjes TD, Oostenbrink P, van Leeuwen RB (2005) Efficacy of the Epley maneuver for posterior canal BPPV: a long-term, controlled study of 81 patients. Ear Nose Throat J 84(1):22–25CrossRef Richard W, Bruintjes TD, Oostenbrink P, van Leeuwen RB (2005) Efficacy of the Epley maneuver for posterior canal BPPV: a long-term, controlled study of 81 patients. Ear Nose Throat J 84(1):22–25CrossRef
18.
Zurück zum Zitat Saberi A, Nemati S, Sabnan S, Mollahoseini F, Kazemnejad E (2017) A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver a randomized comparative clinical trial. Eur Arch Otorhinolaryngol 274(8):2973–2979. https://doi.org/10.1007/s00405-016-4406-6CrossRef Saberi A, Nemati S, Sabnan S, Mollahoseini F, Kazemnejad E (2017) A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver a randomized comparative clinical trial. Eur Arch Otorhinolaryngol 274(8):2973–2979. https://​doi.​org/​10.​1007/​s00405-016-4406-6CrossRef
23.
Zurück zum Zitat Çitlik Saritaş S, Çevik S, Özden G (2018) Genel konfor ölçeği kisa formunun türkçe geçerlik ve güvenirlik çalişması. Diyabet Obezite ve Hipertansiyonda Hemşirelik Forumu Dergisi 10(2):17 Çitlik Saritaş S, Çevik S, Özden G (2018) Genel konfor ölçeği kisa formunun türkçe geçerlik ve güvenirlik çalişması. Diyabet Obezite ve Hipertansiyonda Hemşirelik Forumu Dergisi 10(2):17
24.
Zurück zum Zitat Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J consult clin Psychol 56(6):893CrossRef Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J consult clin Psychol 56(6):893CrossRef
25.
Zurück zum Zitat Ulusoy M, Sahin NH, Erkmen H (1998) The Beck anxiety inventory: psychometric properties. J Cogn Psychother 12(2):163–172 Ulusoy M, Sahin NH, Erkmen H (1998) The Beck anxiety inventory: psychometric properties. J Cogn Psychother 12(2):163–172
26.
Zurück zum Zitat Dağkıran M, Sürmelioğlu Ö, Ay Ö (2015) Benign paroksismal pozisyonel vertigoda tani ve tedavi yöntemleri. Arşiv Kaynak Tarama Dergisi 24(4):555–564CrossRef Dağkıran M, Sürmelioğlu Ö, Ay Ö (2015) Benign paroksismal pozisyonel vertigoda tani ve tedavi yöntemleri. Arşiv Kaynak Tarama Dergisi 24(4):555–564CrossRef
30.
Zurück zum Zitat Yuan Q, Yu L, Shi D, Ke X, Zhang H (2015) Anxiety and depression among patients with different types of vestibular peripheral vertigo. Medicine 94(5):e453CrossRef Yuan Q, Yu L, Shi D, Ke X, Zhang H (2015) Anxiety and depression among patients with different types of vestibular peripheral vertigo. Medicine 94(5):e453CrossRef
31.
Zurück zum Zitat Xu Z, Zhao P, Yang X, Liu X, Chen X, Zhang S, Wu Z (2015) The hearing and vestibular evoked myogenic potentials test in patients with primary benign paroxysmal positional vertigo. Lin chuang er bi yan hou tou jing wai ke za zhi= J Clinical Otorhinol Head Neck Surg 29(1):20–23 Xu Z, Zhao P, Yang X, Liu X, Chen X, Zhang S, Wu Z (2015) The hearing and vestibular evoked myogenic potentials test in patients with primary benign paroxysmal positional vertigo. Lin chuang er bi yan hou tou jing wai ke za zhi= J Clinical Otorhinol Head Neck Surg 29(1):20–23
33.
Zurück zum Zitat Kolcaba K (2015) Katherine Kolcaba’s comfort theory. In: Smith MC, Parker ME (eds) Nursing theories and nursing practice, Philadelphia: F.A. Davis, pp 381–392 Kolcaba K (2015) Katherine Kolcaba’s comfort theory. In: Smith MC, Parker ME (eds) Nursing theories and nursing practice, Philadelphia: F.A. Davis, pp 381–392
Metadaten
Titel
The Effect of Modified Epley Maneuver Implementation on the Anxiety and Comfort Levels of Patients with Posterior Canal Bening Paroxysmal Positional Vertigo: A Prospective Study
verfasst von
Murat Kar
İlknur Özkan
Seçil Taylan
Publikationsdatum
29.04.2021
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 3/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-021-02547-3

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