新住民罹患思覺失調症的家庭與社會因素

Family Dynamics and Social Factors for New Residents with Schizophrenia

研究目的：針對罹患思覺失調症的新住民家庭生活與社會資源進行探索性的研究。瞭解新住民思覺失調之形成原因與其家庭動力關係，以及社會及醫療支持網絡對於罹患思覺失調症新住民之協助處遇情形。研究方法：正式訪談前先進行北、中、南、東共四場的焦點團體，邀請新住民服務機構的專業人員與談，旨在進行相關研究議題的確認，以及轉介訪談對象的協調與討論。之後，再依立意取樣方式選取12名訪談者。由於疾病的特殊性，訪談前先施以簡式健康量表檢測，藉以確認訪談者的精神情緒狀態。每位個案得到完整資訊平均為進行5-9次的訪談。研究結果：（一）各種學習與家庭適應問題引發疾病；（二）新住民長期遭受家暴易導致罹病；（三）罹患思覺失調症的新住民近半數以離婚收場；（四）疾病與身份雙重歧視影響復原力。研究建議：（一）建立社會正向觀點；（二）加強心理衛生在職教育；（三）相關法規的修正。

Purpose: To conduct exploratory research on the living conditions and resource needs ofnewcomers with schizophrenia. To explore schizophrenia development of new residents and theirfamily dynamics to understand social and medical support network requirements to assist newresidents with schizophrenia.Methods: Before formal interviews, focus group interviews were conducted withprofessionals from new resident service agencies from the north, center, south, and east to discussrelevant research topics and to coordinate interviewees. Thereafter, 12 interviewees were selectedusing the sampling method. Due to disease peculiarity, a brief health scale test was given beforethe interviews to confirm the emotional state of the interviewer. Complete information wasobtained for each patient through an average of five to nine interviews.Results: (1) Various learning problems and family regulations lead to the disease. (2)Loopholes in the law increase domestic violence. (3) Nearly half of the new residents withschizophrenia were divorced. (4) The double discrimination relating to illness and identity affectsresilience.Recommendations: (1) Establish a positive social perspective. (2) Strengthen mental healththrough on-the-job education. (3) Amend relevant laws and regulations.