毒癮愛滋更生人復原力之研究─以高屏地區為例

A Study of Resilience of the out-prisoners who Living with HIV(+) and Drug abuse in Area of Kaohsiung and Pingtung.

郭家妤(Guo Jia-Yu)

指導教授 ： 張麗玉

國立屏東科技大學/人文暨社會科學院/社會工作系/碩士(2013年)

https://doi.org/10.6346/NPUST.2013.00204

摘要

本研究以毒癮愛滋更生人的觀點出發，其研究目的有三，一為探討毒癮愛滋更生人復原力之阻力；二為了解毒癮愛滋更生人之復原力保護性因子；三為探究毒癮愛滋更生人復原力與保護因子之內涵。
本研究採用質性研究的方法，以深度訪談的方式收集資料，採立意取樣方式，選擇出獄兩年以上未再犯，且有定期至感染科指定醫院追蹤者為研究參與者，於2012年開始接觸與了解毒癮愛滋更生人之生活狀況，於2013年3月開始取樣，並訪談六位毒癮愛滋更生人，透過主題分析的方法整體呈現毒癮愛滋更生人復原力之阻力、復原力之保護因子以及復原力與保護因子之內涵。
研究結果發現，毒癮愛滋更生人復原力之阻力，在個人面向包含了心癮的問題、對自我的負向標籤、身體健康問題、個人勞動條件不佳、工作經濟問題以及社會資源資訊的缺乏；在家庭面向包含了家人的關係疏離以及子女照顧問題；社會面向則是醫護人員表達過於直接、服藥便利性低、獄友更生人造成之愛滋曝光與社會歧視等問題。而其復原力之保護因子則涵蓋個人、家庭與社會三個層面，個人層面有個人特質、對愛滋的認知、社會適應能力以及自我認同；家庭層面包括家人對愛滋有正確的認知、家人的接納、家人的支持與關心、家庭變故、家庭照顧責任；社會層面則有成功的案例、友善的環境以及社會資源網絡的支持。在復原力與保護因子之內涵的部分，可發現復原力與保護因子的內涵是相輔相成的，且毒癮愛滋更生人之復原力會展現於認知、行為與心境三個層面。最後則對毒癮愛滋更生人、助人工作者、機構、政策與研究方面提出相關之建議。

關鍵字

毒癮愛滋更生人 ； 保護因子 ； 復原力

並列摘要

From a viewpoint of out-prisoners who live with HIV (+) and drug abuse, this study is aimed at three points: 1. investigate obstacle to resilience of people of this group; 2. know protective factors of resilience of these populations; 3. probe into connotations of such resilience and protective factors.
This study adopted qualitative research, collected data by means of in-depth interview, and used purposive sampling to select people “who don’t offend more than two years after out of prison and pay regular follow-up visit to hospital appointed by Infection Department” as research participants. The researcher began to contact out-prisoners with HIV(+) and drug abuse and know their living conditions in 2012. In March 2013, the sampling was initiated and six out-prisoners were interviewed. Through an approach of theme analysis, this study presented obstacles to resilience of out-prisoners who live with HIV (+) and drug abuse, protective factors of resilience, as well as connotations of resilience and protective factors.
Results show obstacles to resilience of out-prisoners who live with HIV (+) and drug abuse are as below: in terms of personal aspects, resistances include mental addiction, negative label of self, physical health problem, poor working conditions, job and economy problems, as well as insufficient social resources and information; obstacles in terms of family contain estranged relationships between family members and child care problems; social obstructions include medical professional’s over- straightforward expression, inconvenient medicine taking, inmate’s exposure, social discrimination, etc. Protective factors of resilience also cover three aspects: individual, family and society. Personal obstacles include individual feature, cognition of AIDS, social adaption ability and self-identity; family aspect includes family member’s correct AIDS perception, acceptance, support and care, domestic calamity, and family care responsibility. Social aspect contains successful case, friendly environment, and support from social resource network. With regard to connotations of resilience and protective factor, this study finds their meanings are complementary to each other, and resilience of out-prisoners with HIV (+) and drug abuse is presented by cognitive, behavioral and mental aspects. Finally, it proposes suggestions for out-prisoners with HIV (+) and drug abuse, assistants of out-prisoners, organizations, policies and researches.

並列關鍵字

out-prisoner with HIV (+) and drug abuse ； protective factor ； resilience

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