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首页> 外文学位 >Home is where the heart is: Women's experiences of homemaking and self care after aortocoronary bypass surgery.
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Home is where the heart is: Women's experiences of homemaking and self care after aortocoronary bypass surgery.

机译：家是心脏所在：女性在主动脉冠状动脉搭桥手术后的做家和自我护理的经验。

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摘要

Several authors argue that women's everyday lives are structured in ways that limit their access to the resources which create and sustain health (see for example, Annandale & Hunt, 2000; Clarke & Olesen, 1999). How do these features of women's lives interact with the relations of health care in the diagnosis and ongoing management of particular health problems such as heart disease? The purpose of this institutional ethnography (Smith, 1987, 1999) was to examine the social relations reflected in women's experiences after aortocoronary bypass surgery (ACBS). Eighteen women were interviewed twice after ACBS: once after they had been home from hospital for four weeks, and once after four months. Eleven health professionals participated in the study as informants.;Four distinct periods in the women's encounters with heart disease and treatment were prominent in their narratives: diagnosis, hospitalization for surgery, the first month after surgery and four months after surgery. Each point was suffused with social and bodily displacements or relocations. Diagnosis marked entry into the social category, 'women with heart disease' and assumption of moral responsibility for self care. Hospitalization removed the women from familiar social contexts and embedded them within social relations which effected a sense of bodily dispossession. Homecoming was an occasion of relocation within a division of responsibility which was poorly designed to meet their needs, and in which they were still responsible for the needs of others. In the months following homecoming the women struggled to situate themselves at the intersection of two often conflicting discourses: the discourse of homemaking and the discourse of self care.;I conclude that a new approach to cardiovascular health education is required. This approach would of necessity place the learner in the position of expert participant and informant (Anderson, 1998; Tang & Anderson, 1999). I further argue that the contractionist discursive foundations of home care policy evade the problem of finding care, homemaking assistance and financial support for the family caregiver when she is ill herself (McKeever, 1996).
机译：几位作者认为，妇女的日常生活结构限制了她们获得创造和维持健康的资源的途径（例如，参见Annandale＆Hunt，2000； Clarke＆Olesen，1999）。妇女生活中的这些特征如何在诊断和持续管理特定健康问题（例如心脏病）中与医疗保健关系互动？这种制度上的人种志研究（Smith，1987，1999）的目的是研究女性在主动脉冠状动脉搭桥手术（ACBS）后的经历中所反映的社会关系。在接受ACBS之后，有18名妇女接受了两次访谈：一次是在医院住院四个星期之后，一次是四个月之后。十一名卫生专业人员以线人身份参加了该研究。妇女在叙述中经历了四个不同的时期：叙述，诊断，手术住院，手术后第一个月和手术后四个月。每个地方都充满了社会和身体上的流离失所或重新安置。诊断标志着进入了社会类别，即“患有心脏病的妇女”，并承担了自我保健的道义责任。住院使妇女脱离了熟悉的社会环境，并使她们融入社会关系中，从而产生了身体上的剥夺感。归乡是在职责分工中重新安置的机会，该职责分工设计得很差，无法满足他们的需求，而他们仍然要为他人的需求负责。归国后的几个月中，妇女努力将自己置于两个经常相互冲突的话语的交集上：家庭作业话语和自我保健话语。；我得出结论，需要一种新的心血管健康教育方法。这种方法必然会使学习者处于专家参与者和线人的位置（Anderson，1998； Tang＆Anderson，1999）。我进一步认为，家庭照顾政策的收缩论者论断基础回避了在家庭照顾者生病时为其提供照顾，家政服务和经济支持的问题（McKeever，1996）。

著录项

  • 作者

    Angus, Janet Elizabeth.;

  • 作者单位

    University of Toronto (Canada).;

  • 授予单位 University of Toronto (Canada).;
  • 学科 Nursing.;Womens studies.
  • 学位 Ph.D.
  • 年度 2001
  • 页码 507 p.
  • 总页数 507
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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