Effect of psychological and behavioral intervention on quality of life of Meniere's disease patients

Abstract

Objective To explore the effect of psychological and behavioral intervention on quality of life (QOL) of Meniere' s disease (MD) patients.Methods Eighty-four MD inpatients(as observational group) and 80 healthy subjects undergoing physical examination (as control group)were enrolled into this study.The observational group was divided into intervention group (n=42) and non intervention group (n=42) randomly.Patients in the intervention group were given psychological and behavioral intervention both in hospital and out of hospital besides general nursing care and health guidance while patients in non-intervention group were only given general nursing care and health guidance.The QOL of them when they were in hospital and 3 months after discharging from the hospital were measured with Chinese version 36-item Short Form Heath Survey(SF-36) and the English Chinese version Dizziness Handicap Inventory(DHI).The differences between observational group and control group were compared.Results The scores of SF-36 in the observational group (492.58±98.76) were lower than that in the control group ( 688.46±115.48 ).while the scores of DHI in the observational group (89.84±28.13) were higher than that in the control group ( 8.57±4.59 ).Both of them have significantly statistical differences ( t=11.69,25.52 ; P＜0.05 ).After 3 months of discharging from the hospital,the scores of SF-36 in the intervention group (681.58±109.43) were higher than that in the non-intervention group (621.47±98.74),while the scores of DHI in the intervention group (9.08±5.22) were lower than that in the non-intervention group( 17.42±8.17 ).Both of them have significantly statistical differences ( t=2.64,5.58 ;P＜0.05 ).Both the scores of SF-36 and DHI have no significantly statistical differences between the intervention group (681.58±109.43) and (9.08±5.22) and the control group (688.46±115.48) and (8.57±4.59),respectively.Conclusions MD significantly influent the sufferers' QOL while psychological and behavioral intervention can significantly improve the MD patients' QOL. Key words: Meniere's disease; Psychological and behavioral intervention; Quality of life