Lumme-Sandt K, Hervonen A, Jylhä M
Tampere School of Public Health, University of Tampere, Finland.
Soc Sci Med. 2000 Jun;50(12):1843-50. doi: 10.1016/s0277-9536(99)00421-9.
The use of medical drugs is not founded on medical knowledge alone, but it is also dependent on lay logic and reasoning. This study set out to explore the views of the oldest-old on their medication. The data for the study came from narrative interviews with people aged 90 or over. Our aim was to look for different culturally shared interpretative repertoires used by the interviewees as they gave descriptions and accounts of their drug use and presented themselves as users of medical drugs. Three interpretative repertoires were identified. The moral repertoire stressed lay people's moral norms and presented them as morally acceptable and responsible users of drugs by explaining and minimizing. The patient repertoire was used by the respondents to show they had accepted the role of patient. The self-help repertoire was used by the respondents to emphasize that they had made their own choices in medical care despite the biomedical facts. These repertoires showed that not only the biomedical logic, but also other logics are valid in the everyday world where most medical drugs are used. A better understanding of cultural ideas of drug use would help to improve the care of older people.
药物的使用并非仅基于医学知识，还依赖于普通人的逻辑和推理。本研究旨在探究高龄老人对其用药的看法。该研究的数据来自对90岁及以上老人的叙事访谈。我们的目的是寻找受访者在描述和讲述其用药情况并将自己展现为药物使用者时所使用的不同文化共享的解释性方法。确定了三种解释性方法。道德方法强调普通人的道德规范，并通过解释和淡化来表明他们在道德上是可接受的且有责任感的药物使用者。受访者使用患者方法来表明他们接受了患者的角色。受访者使用自助方法来强调，尽管有生物医学事实，但他们在医疗护理中做出了自己的选择。这些方法表明，在大多数药物使用的日常世界中，不仅生物医学逻辑，其他逻辑也是有效的。更好地理解药物使用的文化观念将有助于改善对老年人的护理。
