碩士 / 中臺科技大學 / 護理系碩士班 / 103 / Objective: We conducted this study to investigate the associated factors and effect of the prevalence of head trauma patients with vestibular dysfunction (i.e., presenting dizziness, vertigo, tinnitus, nausea, vomiting, hearing impairment, visual impairment, neck pain, otorrhea or rhinorrhea) and unilateral neglect.
Methods: A prospective cohort study that included 34 mild head trauma patients was conducted in a medical center. The visual analog scale checklist was used to identify vestibular dysfunction symptoms. Rivermead behavioral inattention conventional subtest (BITC) was used to identify unilateral neglect. Modified Barthel Index (MBI) and return-to-work were used to investigate outcomes. All patients were evaluated four times, as follows: within 3 days, and at 7, 14, and 28 days after the injury.
Results: Prevalence within 3 days after injury was reported, and the symptoms were as follows: dizziness (69.7%), imbalance (56%), nausea (51.5%), neck pain (39.4%), vertigo (33.3%), vomiting (27.3%), tinnitus (21.2%), visual impairment (21.2%), hearing loss (18.2%), otorrhea (9.1%), and rhinorrhea (9.1%). Unilateral neglect may be 0%. Over time, the prevalence of all symptoms decreased. However, dizziness (30.8%), neck pain (19.2%), hearing loss (15.4%), vertigo (11.5%), and imbalance (5.3%) persisted until 28 days after the injury. Chi-square analysis results identified gender, age, occupation, history of hypertension or diabetes, diagnosis, and mechanism of injury as significantly associated factors of mild head trauma patients with vestibular dysfunction symptoms. Dizziness, nausea, and vomiting presented significant correlation. Vertigo and neck pain also showed significant correlation. A generalized estimating equation (GEE) model of linear analysis identified day 7, day 14, day 28, and imbalance as significant independent predictors of activities of daily living. A GEE model of ordinal analysis identified day 14, day 28, vertigo, and imbalance as significant independent predictors of return-to-work parameter.
Conclusion: Results showed the prevalence of head trauma patients with vestibular dysfunction and unilateral neglect and the relationship between vestibular dysfunction symptoms and associated factors and impact. Future research should include an extended tracking time to assess the recovery process of the patients and prognosis of the situation. The prevalence of mild head trauma patients with unilateral neglect was possibly at 0%. Future research should include a different location, and researchers should choose the severity of cases to establish the prevalence of unilateral neglect and to check the association of unilateral neglect and vestibular dysfunction with vestibular symptoms. In addition, future research may include the development of vestibular rehabilitation to treat vestibular dysfunction symptoms.
| Identifer | oai:union.ndltd.org:TW/103CTC00563020 |
| Date | January 2015 |
| Creators | Tsai, I-Ling, 蔡依伶 |
| Contributors | Dai, Chin-Ying, 戴金英 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 137 |
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