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通过解释性现象学分析揭示菲律宾戒毒康复者在职业参与和正义方面的生活体验。

Uncovering the lived experiences of Filipino drug recoverees towards occupational participation and justice through an interpretative phenomenological analysis.

机构信息

Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo, Japan.

Department of Occupational Therapy, Angeles University Foundation, Angeles City, Philippines.

出版信息

Scand J Occup Ther. 2021 Aug;28(6):457-470. doi: 10.1080/11038128.2019.1642380. Epub 2019 Jul 19.

Abstract

BACKGROUND

The drug using crisis entails participation and justice issues making it a pressing health and social concern in the Philippines today.

AIM

This study explored the lived experiences of Filipinos recovering from drug addiction and sought to understand the occupational justice determinants of drug addiction to better develop substance addiction rehabilitation programs in the Philippines.

METHOD

Using a qualitative approach, we conducted in-depth interviews guided by the Occupational Justice Health Questionnaire to 24 participants. Data were analyzed using interpretative phenomenological analysis.

RESULTS

We found four emerging themes: living with drugs, living around rules, living for the future, and living amidst the war on drugs. Each theme represented a "period of participation" exposing occupational injustices that activated the first enablement skill "raise consciousness of occupational injustice" from the Participatory Occupational Justice Framework.

CONCLUSION AND SIGNIFICANCE

Understanding the participants' lived experiences raised consciousness of the injustices that exist before and during rehabilitation which uncovered pointers to improve local substance addiction rehabilitation programs: use of occupation-based social participation interventions, limitation of occupational therapy services due to lack of human resources reinforcing interprofessional collaboration, a participatory approach is essential in discussing and addressing injustices, and deliberate use of political activities of daily living.

摘要

背景

毒品问题涉及参与和正义问题,因此成为当今菲律宾紧迫的健康和社会关注问题。

目的

本研究探讨了菲律宾戒毒者的生活经历,并试图了解吸毒成瘾的职业正义决定因素,以便在菲律宾更好地制定物质成瘾康复计划。

方法

采用定性方法,我们对 24 名参与者进行了深入访谈,访谈内容由职业正义健康问卷指导。使用解释现象学分析对数据进行了分析。

结果

我们发现了四个新出现的主题:与毒品共存、在规则周围生活、为未来而活、以及在毒品战争中生活。每个主题都代表了一个“参与期”,揭示了职业不公正现象,激活了参与式职业正义框架中的第一个赋能技能“提高对职业不公正的认识”。

结论和意义

了解参与者的生活经历提高了对康复前和康复期间存在的不公正现象的认识,为改善当地物质成瘾康复计划提供了线索:使用基于职业的社会参与干预措施;由于人力资源短缺,限制职业治疗服务,加强跨专业合作;在讨论和解决不公正问题时,参与式方法至关重要;以及审慎利用日常生活的政治活动。

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