Living with a vestibular disorder during the Covid-19 pandemic: An online survey study.

IF 2.9 3区 医学 Q2 NEUROSCIENCES Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2022-01-01 DOI:10.3233/VES-210119
Laura Smith, Miriam Tresh, S S Surenthiran, David Wilkinson
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Abstract

Background: People with vestibular disorders experience symptoms which put them at risk of reduced wellbeing during the Covid-19 pandemic.

Objective: To assess the impact of the Covid-19 pandemic on vestibular symptoms, access to healthcare and daily activities amongst people living with a vestibular disorder.

Methods: An online survey was completed by 124 people in the UK with a vestibular disorder. The survey incorporated the Vertigo Symptom Scale-Short Form and questions regarding health status, healthcare received, daily activities and employment during Covid-19.

Results: The Covid-19 pandemic affected perceptions of wellbeing. 54.1% rated their health as worse now than before the pandemic. Vertigo, unsteadiness, dizziness, tinnitus, loss of concentration/memory, and headaches were the most exacerbated symptoms. Respondents reported changes to their daily activities including reduced social contact (83%) and exercise (54.3%). Some experienced healthcare delays or received a remote appointment. Remote care was perceived as convenient, but barriers included difficulty communicating, trouble concentrating and perceived unsuitability for initial appointments. Unintended benefits of the pandemic included less social pressure, avoiding busy environments, and engaging in self-care.

Conclusion: The effects of the Covid-19 pandemic are diverse. Clinical services should be mindful that Covid-19 can exacerbate vestibular and allied neuropsychiatric symptoms that require acute, multi-disciplinary intervention, but not lose sight of the potential benefit and cost saving associated with promoting self-management and delivering remote care, especially post-diagnosis.

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在Covid-19大流行期间患有前庭功能障碍:一项在线调查研究。
背景:在2019冠状病毒病大流行期间,前庭疾病患者出现的症状使他们面临健康状况下降的风险。目的:评估2019冠状病毒病大流行对前庭疾病患者前庭症状、获得医疗保健和日常活动的影响。方法:对124名英国前庭疾病患者进行在线调查。该调查包括眩晕症状量表-简短表格以及有关Covid-19期间的健康状况、接受的医疗保健、日常活动和就业的问题。结果:新冠肺炎大流行影响了人们的幸福感。54.1%的人认为他们现在的健康状况比大流行前更糟。眩晕、不稳定、头晕、耳鸣、注意力/记忆力下降和头痛是加重最严重的症状。受访者报告了他们日常活动的变化,包括减少社交接触(83%)和锻炼(54.3%)。一些人经历了医疗保健延误或接受了远程预约。远程护理被认为是方便的,但障碍包括沟通困难、注意力不集中和被认为不适合初次预约。大流行的意想不到的好处包括减少社会压力,避免繁忙的环境,并参与自我保健。结论:新冠肺炎疫情的影响是多方面的。临床服务应注意,Covid-19可能加剧前庭和相关神经精神症状,需要急性多学科干预,但不要忽视与促进自我管理和提供远程护理相关的潜在收益和成本节约,特别是诊断后。
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来源期刊
CiteScore
5.00
自引率
4.30%
发文量
66
审稿时长
>12 weeks
期刊介绍: Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following: Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways Balance disorders Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems Psychophysics of spatial orientation Space and motion sickness Vestibular rehabilitation Vestibular-related human performance in various environments
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