Kar Murat, Özkan İlknur, Taylan Seçil
Kumluca Public Hospital, Antalya, Turkey.
Kumluca Faculty of Health Sciences, İnternal Medicine Nursing Department, Akdeniz University, 07350 Kumluca, Antalya, Turkey.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3764-3772. doi: 10.1007/s12070-021-02547-3. Epub 2021 Apr 29.
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.
为评估改良式Epley手法治疗后半规管良性阵发性位置性眩晕（BPPV）对患者焦虑水平和舒适度的影响。该研究为前瞻性研究，纳入了72例经Dix-Hallpike试验诊断为后半规管BPPV的患者。研究数据通过描述性特征表、一般舒适度问卷简表和贝克焦虑量表收集。结果发现，63.9%的患者在实施Epley手法前焦虑水平处于中等程度，在一般舒适度问卷中的总得分为3.07±0.37（1 - 6分）。在应用改良式Epley手法前以及手法实施后第1周和第4周检查评分变化时，发现所有量表评分均有统计学意义上的显著差异，即随着舒适度提高，焦虑水平降低。焦虑被确定为改良式Epley手法实施前后患者舒适度的最重要预测因素。根据这些发现，可以说改良式Epley手法可安全用于提高后半规管BPPV患者的舒适度。鉴于BPPV患者可能会前往急诊室、家庭诊所及专科门诊就诊，建议定期组织关于BPPV及Epley手法实施的培训。相信对BPPV患者进行焦虑评估并在需要时提供支持对预后和患者舒适度很重要。
