Sullivan J
Crit Care Nurs Clin North Am. 1990 Sep;2(3):407-14.
This article discusses individual and family responses to acute spinal cord injury from both research and clinical practice perspectives. Investigations concerning individuals' physical reactions, psychologic adjustment, and occurrence of depression are reviewed. Research studies on the demographics of and adjustment and role changes within families of patients with spinal cord injuries are critiqued. Suggestions and guidance emerging from these studies are discussed and applied to clinical practice. Clinical practice perspectives are further developed in a discussion of the needs and resources of these patients and their families. Grief, powerlessness, positive manipulation, and quality-of-life issues are also explored.
本文从研究和临床实践的角度探讨了个体及家庭对急性脊髓损伤的反应。回顾了有关个体身体反应、心理调适及抑郁发生情况的调查。对脊髓损伤患者家庭的人口统计学特征、调适情况及角色变化的研究进行了批判分析。讨论了这些研究中得出的建议和指导意见，并将其应用于临床实践。通过讨论这些患者及其家庭的需求和资源，进一步拓展了临床实践视角。同时也探讨了悲伤、无助感、积极应对及生活质量等问题。
