医学生网络成瘾现状及影响因素分析
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河北省重点研发计划(21377711D);河北省创新能力提升计划(199776245D)


Analysis of the current situation and influencing factors of internet addiction among medical students
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    摘要:

    目的 调查医学生网络使用现状及网络成瘾的影响因素。方法 于2021年10月11日— 11 月 7 日选取河北医科大学 7 201 名大二至大四医学专业在校本科生为研究对象。采用自制一般情 况调查表收集一般资料,采用中文版网络成瘾量表(IAT)、匹兹堡睡眠指数量表(PSQI)、焦虑自评量 表(SAS)、抑郁自评量表(SDS)评估医学生的网络成瘾状况、睡眠质量、焦虑和抑郁情绪。将 IAT 评分 为 20~39 分的医学生纳入无网络成瘾组、40~69 分纳入疑似成瘾组、70~100 分纳入成瘾组。采用 多项 Logistic 回归分析医学生网络成瘾的影响因素。结果 共 24.8%(1 788/7 201)的医学生存在网络 使用问题(IAT ≥ 40 分),其中疑似成瘾者占 23.9%(1 721/7 201),成瘾者占 0.9%(67/7 201)。3 组医学生 的性别、性格、恋爱情况、家庭教养方式、校园霸凌经历、饮酒、日常体育锻炼、学习压力、人际关系 压力、睡眠质量、焦虑情绪、抑郁情绪比较,差异有统计学意义(P< 0.05)。多项 Logistic 回归分析显 示,焦虑情绪(OR=4.866,95%CI=2.067~3.779)、抑郁情绪(OR=6.038,95%CI=3.278~11.121)、人际关 系不良(OR=4.023,95%CI=1.259~3.733)、溺爱型家庭(OR=3.147,95%CI=1.150~8.606)、睡眠质量差 (OR=2.168,95%CI=1.259~3.733)、校园霸凌(OR=1.938,95%CI=1.059~3.548)、日常体育锻炼(OR=0.386, 95%CI=0.220~0.678)是网络成瘾的影响因素(P< 0.05)。结论 医学生网络使用问题不容忽视,焦虑 和抑郁情绪是其网络成瘾的主要危险因素。

    Abstract:

    Objective To investigate the current situation and related influencing factors of internet addiction among medical students. Methods From October 11 to November 7, 2021, a total of 7 201 undergraduate medical students from sophomores to seniors at Hebei Medical University were selected as the research subjects. A self-made general situation questionnaire was used to collect general information, and the Chinese version of the Internet Addiction Scale (IAT), Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to evaluate the internet addiction status, sleep quality, anxiety, and depressive mood of medical students. Medical students with IAT scores of 20-39 were included in the non-internet addiction group, 40-69 in the suspected addiction group, and 70- 100 in the addiction group. The influencing factors of internet addiction among medical students were analyzed by multiple Logistic regression analyses. Results A total of 24.8% (1 788/7 201) of medical students had internet usage issues (IAT ≥ 40 points), with suspected addicts accounting for 23.9% (1 721/7 201) and addicts accounting for 0.9% (67/7 201). There was a statistically significant difference in gender, personality, relationship, family upbringing style, campus bullying experience, alcohol consumption, daily physical exercise, learning pressure, interpersonal relationship pressure, sleep quality, anxiety, and depression among three groups of medical students (P<0.05). Multiple Logistic regression analysis showed that anxiety (OR=4.866, 95%CI=2.067-3.779), depression (OR=6.038, 95%CI=3.278-11.121), poor interpersonal relationship (OR=4.023, 95%CI=1.259-3.733), doting family (OR=3.147, 95%CI=1.150-8.606), poor sleep quality (OR=2.168, 95%CI=1.259-3.733), school bullying (OR=1.938, 95%CI=1.059-3.548), daily physical exercise (OR=0.386, 95%CI=0.220-0.678) were influencing factors of internet addiction (P< 0.05). Conclusions The issue of internet use among medical students cannot be ignored, and anxiety and depression are the main risk factors for their internet addiction.

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靳娜,卢文婷,宋美,赵天宇,郭世杰,黄凡凡,刘不凡,任若佳,杨丽,许月航,林泉,高媛媛,吴治峰,史广玉,王锃,刘大鹏,潘忠启,杜春超,王学义.医学生网络成瘾现状及影响因素分析[J].神经疾病与精神卫生,2023,23(9).
DOI :10.3969/j. issn.1009-6574.2023.09.003.

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  • 在线发布日期: 2023-10-24