Holm L, Smidt S, Michaelsen K F
Forsknings-institut for Human Ernaering, Frederiksberg.
Ugeskr Laeger. 1998 Jul 20;160(30):4415-8.
Malnutrition of patients in hospitals is a subject that is fairly well described in the medical literature, but less attention has been paid to the social significance of food in hospitals. This article describes a study of the social and psychological impact of the introduction of a new meal delivery system in a children's cancer ward. A traditional centralized meal system was replaced by a staffed local kitchen. The evaluation involved questionnaires to the children, parents and staff members; qualitative, indepth, semi-structured interviews with subgroups; observations of meals. Children, staff and parents greatly preferred the new meal system, which changed the significance of food and meals in the hospital: from an arena of conflict and problems to one with a greatly enhanced social status. The article underlines that it is important to integrate socio-psychological and nutritional aspects of food and eating if malnutrition in hospitals is to be overcome.
医院中患者的营养不良问题在医学文献中已有相当详尽的描述，但食物在医院中的社会意义却较少受到关注。本文描述了一项关于在儿童癌症病房引入新送餐系统的社会和心理影响的研究。传统的集中供餐系统被配备工作人员的当地厨房所取代。评估包括向儿童、家长和工作人员发放问卷；对各子群体进行定性、深入、半结构化访谈；观察用餐情况。儿童、工作人员和家长都非常喜欢新的用餐系统，这改变了食物和用餐在医院中的意义：从一个冲突和问题的场所转变为一个社会地位大大提高的场所。文章强调，如果要克服医院中的营养不良问题，将食物和饮食的社会心理和营养方面结合起来是很重要的。
