The Views of People With Spinal Cord Injury About the Use of Functional Electrical Stimulation
The Views of People With Spinal Cord Injury About the Use of Functional Electrical Stimulation
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DOI：
10.1111/j.1525-1594.2011.01211.x
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发表时间：
2011-03-01
影响因子：
2.4
通讯作者：
Rushton, David
中科院分区：
文献类型：
--
作者：
Donovan-Hall, Maggie K.;Burridge, Jane;Rushton, David
功能电刺激（FES）是一种专业技术，可应用于脊柱康复的几个领域。本研究的目的是探讨脊髓损伤（SCI）患者、专门从事SCI的医疗保健专业人员和FES研究人员对FES的当前和未来使用的看法。定性设计使用八个焦点小组，持续90至120分钟，在整个英国进行。采用有目的的抽样，以确保年龄、脊髓损伤程度、损伤严重程度和使用FES经验的多样性。专题分析确定了五个关键主题。使用FES的决定涉及到FES的筛选和适用性，确保患者之间的平等，以及在康复的正确阶段提供FES。使用FES的积极方面与“身体改善”和“做一些积极的事情”的主题有关。使用体外循环系统的障碍涉及缺乏资源，例如设备和工作人员培训，以及认为某些体外循环系统设备不可靠。本研究强调了在FES设备设计中理解用户需求的重要性；改进校外校外活动资源的提供、处方和分配，以及需要考虑与校外活动启动和使用有关的社会心理问题。
Functional electrical stimulation (FES) is a specialist technique that can be applied in several areas of spinal rehabilitation. The aim of the study was to explore views of people with spinal cord injuries (SCI), health care professionals specializing in SCI, and researchers in FES about the current and future use of FES. A qualitative design using eight focus groups lasting 90 to 120 min was carried out throughout the UK. Purposive sampling was used to ensure diversity in age, level of SCI, severity of injury, and experience using FES. Thematic analysis identified five key themes. Decisions to use FES related to concerns over the screening and suitability of FES, ensuring parity between patients, and offering FES at the right stage of rehabilitation. Positive aspects of using FES related to themes regarding "physical improvements" and "doing something active." Barriers to using FES concerned a lack of resources, such as equipment and staff training, and the view that some FES devices were unreliable. This research highlights the importance of understanding the user's needs in the design of FES devices; improving provision, prescription and allocation of FES resources, and the need to consider psychosocial issues related to the initiation and use of FES.