School of Health Studies, University of Bradford, Richmond Road, Bradford BD7 1DP, UK.
Health Place. 2012 Nov;18(6):1396-403. doi: 10.1016/j.healthplace.2012.07.004. Epub 2012 Aug 11.
We report patients, family members and health professionals' experiences of Chronic Obstructive Pulmonary Disease (COPD) in Barnsley, northern England. A widespread belief that having "bad lungs" is part of normal ageing shapes everyday experience in this former mining town. People with COPD, and their families, link its cause to the areas industrial past and are sceptical of a medical orthodoxy that attributes cause to smoking. They doubt doctors' objectivity. Encouraging uptake of care, promoting smoking cessation, and developing care planning would be enhanced by engaging with the significance of place in the social narrative of health evident in this town.
我们报告了英格兰北部巴恩斯利的慢性阻塞性肺疾病（COPD）患者、家属和卫生专业人员的经历。在这个曾经的矿业城镇，人们普遍认为“肺部不好”是正常衰老的一部分，这一观念影响了他们的日常生活。COPD 患者及其家属将其病因与该地区的工业历史联系起来，并对将病因归因于吸烟的医学正统观念持怀疑态度。他们怀疑医生的客观性。通过参与这个城镇健康社会叙事中显而易见的地方意义，可以更好地鼓励接受护理、促进戒烟和制定护理计划。
