Kaufert J M, Locker D
Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
Soc Sci Med. 1990;30(8):867-77. doi: 10.1016/0277-9536(90)90214-d.
This paper examines the impact changing ventilation technology and the ideologies of rehabilitation medicine on the long term adaptations of people with post-polio respiratory disability. Multiple in-depth interviews with 10 respirator-dependent people indicates that cultural ideologies learned during rehabilitation continue to effect the adoption of technology and daily management of respiratory insufficiency. Adaptive strategies through which benefits of technology are maximized and the social costs minimized, have transformed rehabilitation ideologies and moderated the late, aging-related effects of poliomyelitis.
本文探讨了不断变化的通气技术以及康复医学理念对患有小儿麻痹后遗症呼吸障碍者长期适应情况的影响。对10名依赖呼吸机的患者进行的多次深度访谈表明，在康复过程中学到的文化理念继续影响着技术的采用和呼吸功能不全的日常管理。通过使技术效益最大化和社会成本最小化的适应性策略，已经改变了康复理念，并缓解了小儿麻痹症后期与年龄相关的影响。
