Frazier C R
Medical Illness Counseling Center, Chevy Chase, MD, USA.
SCI Nurs. 1999 Jun;16(2):48-53, 56.
Today's spinal-cord-injured (SCI) person is discharged from the inpatient clinical setting very early in his or her recovery process. Faced with the tremendous challenges of relearning the skills of daily living and psychologically adjusting to a catastrophic injury, the newly injured person is thrust into an overwhelming environment. As early as 1994, when inpatient stays were longer, concern was expressed about the impact of early discharge on the health and well-being of persons with SCI (Ditunno & Formal, 1994). For over 10 years, the Medical Illness Counseling Center (MICC) has offered a community-based, nurse-directed program of Computerized Functional Electrical Stimulation (CFES) for persons with SCI. The program is founded on the belief that when multi-system deterioration associated with paralysis is avoided and a behavioral approach is used, the person with SCI will have a renewed sense of well-being that enables him or her to overcome the challenges of daily living. Over time, the need for expansion of the program became apparent; it evolved into a comprehensive package of medical, nursing, and psychological care. This article describes the essential elements that comprised a successful program design, the benefits of participation in CFES, and the significance of this technology in a nurse-managed setting.
如今，脊髓损伤（SCI）患者在康复过程的早期就从住院临床环境中出院了。面对重新学习日常生活技能以及在心理上适应灾难性损伤的巨大挑战，刚受伤的患者被置于一个难以应对的环境中。早在1994年，当时住院时间更长，人们就对早期出院对脊髓损伤患者健康和福祉的影响表示担忧（迪图诺和福尔马尔，1994年）。十多年来，疾病咨询中心（MICC）为脊髓损伤患者提供了一个基于社区、由护士指导的计算机化功能性电刺激（CFES）项目。该项目基于这样一种信念，即当避免与瘫痪相关的多系统恶化并采用行为方法时，脊髓损伤患者将重新获得幸福感，使他或她能够克服日常生活中的挑战。随着时间的推移，该项目扩大的必要性变得明显；它演变成了一个包含医疗、护理和心理护理的综合方案。本文描述了构成一个成功项目设计的基本要素、参与CFES的益处以及这项技术在护士管理环境中的重要性。
