行为认知疗法对医学生网络成瘾干预效果的评价研究

发布时间：2018-06-06 13:07

本文选题：网络成瘾 + 医学生　；参考：《山东大学》2014年硕士论文

【摘要】：研究背景：互联网的普及,给大学生的学习生活带来了极大的便利,但与此同时也给大学生带来了网络成瘾,网络成瘾是目前大学生群体中比较突出的现象,在我国大学生网络成瘾的发生率约为9.8%-13%。医学生作为大学生中的特殊群体,在专业学习上较其他学科严谨,理论知识点多、实践性较强、任务重、时间长、容易引发网络成瘾,从而引起学生家长焦虑和不安,也引起各医学院校的高度重视。在信息时代背景下,如果我们不能采取有效的干预措施降低医学生的网络成瘾发生率,就会影响到医学生的心身健康以致影响医学人才的培养,因此,有必要对医学生网络成瘾行为干预效果进行研究,探索医学生网络成瘾的干预模式。研究目的：运用认知行为疗法,以此为理论依据,设计可操作性的实践方案,干预网络成瘾医学生,评价认知行为疗法对网络成瘾医学生戒除网瘾和促进心理健康水平的效果。研究方法：运用文献分析法归纳医学生网络成瘾的相关因素；结合医学生的特点制作问卷调查表,对某医学院院校1925名不同年级大学生进行调查,了解其网络成瘾现状,并运用《网络成瘾调查问卷》、Young的网络成瘾诊断和陈淑惠编制的《中文网络成瘾量表》作为测量工具进行调查测量,结果显示：轻度成瘾173名,占8.99%,中度成瘾67名,占3.48%。随机选取轻、中度各60名网络成瘾医学生作为研究对象,实验组(干预组)60名(轻、中度各30名),对照组60名(轻、中度各30名)。实验组(干预组)实行志愿者活动、社会实践活动、担任辅导员助理、网络主题讨论活动、趣味性活动、合唱比赛、2小时慢跑等方案进行认知行为干预训练,四个疗程,每个疗程10周,为期2个学期；对照组不实施任何干预措施,作一般的教育和引导。每个疗程结束后,再次运用SCL-90症状自评量表进行测量,评估其干预前后的心理健康状况。采用x2和t检验比较两组各项指标变化情况,差异有统计学意义。主要结果： 1、实验组(干预组)干预有效率为85.00%,对照组有效率为13.33%,x2检验显示,实验组(干预组)干预有效率高于对照组,差异有统计学意义。干预前两组情况比较,用t检验,结果显示两组各项指标差异均无统计学意义。 2、医学生网络成瘾症状总分前后比较,差异有统计学意义；实验组(干预组)轻度、中度网络成瘾医学生的症状干预前后比较,差异有统计学意义,且轻度差异性较中度差异性显著。 3、医学生心理健康状况干预前后比较,实验组(干预组)在心理总分、强迫、精神病性、人际关系等方面评分均较干预前和对照组明显改善,实验组(干预组)干预前后比较,轻度网络成瘾医学生的心理健康水平较中度显著,对照组干预前后几乎无变化。 4、医学生上网时间及应对方式干预前后比较,每次上网时间4h以上者,实验组(干预组)少于对照组；在消极应对方式得分方面,实验组(干预组)明显低于对照组,差异有统计学意义：在积极应对方式得分方面,实验组(干预组)显著高于对照组。结论与建议：运用认知行为疗法对网络成瘾医学生戒除网瘾和促进心理健康具有积极作用,改善患者的网络成瘾症状和应对方式,在干预中,对轻度患者的干预效果优于中度患者。
[Abstract]:Research background: the popularity of the Internet has brought great convenience to college students' learning and life, but at the same time it also brings Internet addiction to college students. Internet addiction is a prominent phenomenon among college students. The incidence of Internet addiction is about 9.8%-13%. medical students as a special group of college students in China. It is more rigorous in professional learning than in other subjects, more theoretical knowledge, more practical, heavy task and long time, which can easily lead to Internet addiction, which causes anxiety and unease of students' parents. It also causes high attention of medical colleges and universities. In the context of information age, if we can not take effective intervention measures to reduce the network of medical students The incidence of addiction will affect the physical and mental health of medical students so as to affect the training of medical talents. Therefore, it is necessary to study the effect of Internet addiction intervention on medical students and explore the intervention mode of Internet Addiction of medical students.
The purpose of this study is to use cognitive behavioral therapy (cognitive behavioral therapy) as a theoretical basis and to design practical practical programs to intervene in Internet addicted medical students and to evaluate the effect of cognitive behavioral therapy on Internet addiction and mental health.
Research methods: using the literature analysis method to sum up the related factors of Internet Addiction of medical students; to make a questionnaire on the characteristics of medical students, to investigate 1925 college students of different grades in a medical college, to understand the status of Internet addiction, and to use the Internet Addiction Survey, Young's Internet addiction diagnosis and Chen Shuhui compilation. The Chinese Internet Addiction Scale (Chinese Internet Addiction Scale) was measured as a measuring tool. The results showed that 173 mild addiction, 8.99%, 67 moderate addiction, 60 3.48%. addicted medical students were selected as subjects, 60 (light and moderate 30) in the experimental group and 60 in the control group (light, moderate and 30) in the control group. The intervention group) carried out volunteer activities, social practice activities, serving as assistant counselor, network theme discussion activities, interesting activities, chorus competitions, 2 hours jogging and other programs for cognitive behavior intervention training, four courses of 10 weeks each course, for a period of 2 terms, and not implementing any intervention measures to make general education and guidance on the group. After the end of the course of treatment, the SCL-90 symptom checklist was used again to measure the mental health status before and after the intervention, and the changes of the two groups were compared with the X2 and t tests. The difference was statistically significant.
Main results:
1, the experimental group (intervention group) intervention efficiency was 85%, the control group was 13.33%, x2 test showed that the experimental group (intervention group) intervention efficiency was higher than the control group, the difference was statistically significant. Before the intervention, the two groups were compared with the t test, the results showed that the differences of the two groups were not statistically significant.
2, there were significant differences in the total score of medical students' Internet addiction symptoms before and after the total score; the experimental group (intervention group) was mild, and the difference was statistically significant before and after the intervention of the moderate Internet addiction medical students, and the mild difference was more significant than the moderate difference.
3, the psychological health status of the medical students before and after intervention, the experimental group (intervention group) in the psychological total score, compulsion, psychosis, interpersonal relationship and other aspects were significantly improved than before the intervention and the control group. In the experimental group (intervention group) before and after intervention, the mental health level of the mild Internet addiction medical students was more significant than that of the control group before and after intervention. There is no change.
4, the Internet time and coping style of medical students were compared before and after intervention. The experimental group (intervention group) was less than the control group at a time of 4H. The experimental group (intervention group) was significantly lower than the control group. The difference was statistically significant: in the positive coping style, the experimental group (intervention group) was significantly higher than that of the control group. Look at the group.
Conclusions and suggestions: the use of cognitive behavioral therapy has a positive effect on the addiction and mental health of Internet addicts, and improves the symptoms and coping styles of the patients' Internet addiction. In the intervention, the intervention effect on mild patients is better than that of the moderate patients.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R749.99

【参考文献】