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为生命末期的家庭提供饮食:葡萄牙一项针对面临死亡家庭的食物和饮食实践角色的民族志研究。

Feeding the family at the end-of-life: An ethnographic study on the role of food and eating practices for families facing death in Portugal.

机构信息

Instituto de Ciências Sociais, Universidade de Lisboa, Lisboa, Portugal.

出版信息

Health Soc Care Community. 2021 Nov;29(6):e232-e239. doi: 10.1111/hsc.13345. Epub 2021 Mar 11.

Abstract

Little has been said about the disruptive impact that the inability to eat and to participate in mealtimes has for patients with a life-threatening illness and their families. The aim of the current study is to overcome this gap and shed light on how food and eating practices are experienced by families at the end-of-life. An ethnographic research was developed in two Portuguese palliative care units: participant observation was conducted during 10 months and in-depth interviews were carried out with 10 patients with a life-threatening illness, 20 family members and 20 palliative care professionals. Food is not only a matter of nutrition in a biological sense, but also an act of giving care to patients with a life-threatening illness. The findings suggest that food and eating practices affect the processes of relationality and of doing family at the end-of-life in Portugal. Attention is particularly paid to gender differences. The study supports recent sociological research which understands the dying process as a relational experience and intends to develop sociological knowledge on the materialities of care.

摘要

关于危及生命的疾病患者及其家属无法进食和参与进餐时间对他们造成的破坏性影响,人们几乎没有谈及。本研究旨在弥补这一空白,并阐明在生命末期,家庭是如何体验食物和饮食行为的。在葡萄牙的两个姑息治疗病房开展了一项民族志研究:在 10 个月的时间里进行了参与式观察,并对 10 名患有危及生命疾病的患者、20 名家庭成员和 20 名姑息治疗专业人员进行了深入访谈。食物不仅是生物学意义上的营养问题,也是对患有危及生命疾病的患者的一种关怀行为。研究结果表明,在葡萄牙,食物和饮食行为会影响临终关怀过程中的关系和家庭行为。特别关注了性别差异。本研究支持了最近的社会学研究,即把死亡过程理解为一种关系体验,并旨在发展关于关怀物质性的社会学知识。

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