Edwards P A
SCI Nurs. 1996 Sep;13(3):69-73.
A study by Warms (1987) sought to determine both the health care actually received by individuals following a spinal cord injury and the services they desired but did not obtain. The findings suggest that the general health promotion needs of these individuals are the same as for the general population and, though disability related topics are discussed with health care providers, information on health promotion is not received. The leading two services desired by the respondents but not obtained were planning an exercise program (43%) and referral to a fitness center (26%). A plan for health promotion through fitness was designed for individuals with physical disabilities to assist in meeting the identified needs. The program provides several benefits which include: improved function, a positive impact on lifestyle, and a decrease in the risk of complications. The plan includes a general health appraisal and fitness assessment as well as an exercise and fitness prescription with adapted physical activity and sports participation as integral parts. Evaluation methodology is incorporated to demonstrate that health promotion activities positively effect function and lifestyle and decrease severity of complications.
沃姆斯（1987年）的一项研究旨在确定脊髓损伤患者实际接受的医疗保健服务以及他们期望但未获得的服务。研究结果表明，这些患者的总体健康促进需求与普通人群相同，尽管他们与医疗保健提供者讨论了与残疾相关的话题，但并未获得健康促进方面的信息。受访者期望但未获得的前两项服务是制定锻炼计划（43%）和转介到健身中心（26%）。针对身体残疾者设计了一项通过健身促进健康的计划，以帮助满足已确定的需求。该计划有多项益处，包括：功能改善、对生活方式产生积极影响以及降低并发症风险。该计划包括全面的健康评估和体能评估，以及一份包含适应性身体活动和体育参与的运动与健身处方。纳入了评估方法以证明健康促进活动对功能和生活方式产生积极影响，并降低并发症的严重程度。
