School of Nursing, National Yang Ming University, Taipei, Taiwan ; Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan.
Neuropsychiatr Dis Treat. 2013;9:477-84. doi: 10.2147/NDT.S42426. Epub 2013 Apr 8.
The current study aims to investigate the effects of primary caregiver participation in vestibular rehabilitation (VR) on improving the measures of neglect, activities of daily living (ADL), balance, and falls of unilateral neglect (UN) patients.
This study is a single-blind randomized controlled trial. Both experimental (n = 24) and control groups (n = 24) received conventional rehabilitation. The experimental group undertook VR for a month. During the first and second weeks, a registered nurse trained the experimental group in VR. The primary caregivers in the experimental group supervised and guided their patients in VR during the third and fourth weeks. The outcome measures were neglect, ADL, balance, and falls.
The two groups of UN patients showed a significant improvement in neglect, ADL, and balance over time. Based on the generalized estimating equations model, an interaction was observed between groups and times. Significant interactions were observed between the VR group at days 14 and 28 in the areas of neglect, ADL, and balance. No significant difference was observed between the two groups in the number of falls.
Neglect, ADL, and balance among UN patients with right hemispheric stroke can be improved through the participation of primary caregivers in VR. Trained informal caregivers were recommended to provide VR guidance and supervision to patients who suffer from UN.
本研究旨在探讨主要照顾者参与前庭康复（VR）对改善单侧忽略（UN）患者忽视、日常生活活动（ADL）、平衡和跌倒测量的影响。
这是一项单盲随机对照试验。实验组（n=24）和对照组（n=24）均接受常规康复。实验组进行为期一个月的 VR。在第一和第二周，注册护士对实验组进行 VR 培训。在第三和第四周，实验组的主要照顾者监督并指导他们的患者进行 VR。评估结果包括忽视、ADL、平衡和跌倒。
两组 UN 患者的忽视、ADL 和平衡随时间显著改善。基于广义估计方程模型，观察到组间和时间间存在交互作用。在忽视、ADL 和平衡方面，VR 组在第 14 天和第 28 天观察到显著的交互作用。两组在跌倒次数上无显著差异。
通过主要照顾者参与 VR，右半球卒中后 UN 患者的忽视、ADL 和平衡可以得到改善。建议对 UN 患者进行 VR 指导和监督。
