关键词: 外周前庭功能低下, 前庭康复, COM-B 模型, 质性研究, 护士

Abstract: Objective: To analyze the barriers to the application of best evidence for vestibular rehabilitation training in patients with peripheral vestibular hypofunction from the perspective of otolaryngology nurses, and to provide a reference for developing clinical countermeasures. Methods: A semi-structured interview guide was developed based on the COM-B (Capability, Opportunity, Motivation, Behavior) model. Otolaryngology ward nurses from a tertiary grade A hospital in Wuhan were selected to participate in focus group semi-structured interviews. The interview data were transcribed and summarized using Colaizzi's seven-step analysis method. Results: A total of 3 themes and 6 sub-themes regarding barriers to the application of best evidence for vestibular rehabilitation training among otolaryngology nurses were extracted, including capability factors (insufficient mastery of vestibular rehabilitation knowledge and skills, lack of trust in the evidence and low evidence-based nursing competence), motivation factors (low confidence in participating in vestibular rehabilitation practice and poor self-efficacy, lack of autonomous decision-making ability and poor professional identity), and opportunity factors (poor nurse-physician communication and imperfect multidisciplinary collaboration mechanisms, insufficient support at the systemic level). Conclusion: There are diverse barriers affecting the clinical application of best evidence for vestibular rehabilitation training in patients with peripheral vestibular hypofunction among otolaryngology nurses. It is recommended to actively implement targeted intervention measures based on the above barriers to promote the clinical translation of best evidence for vestibular rehabilitation.

Key words: Peripheral vestibular hypofunction, Vestibular rehabilitation, COM-B model, Qualitative study, Nurses