病耻感心理护理干预促进网络成瘾患者康复

Psychological nursing interventions targeted stigma improves rehabilitation of patients with internet addiction disorder

目的观察病耻感心理护理干预对网络成瘾患者康复的效果。方法将60例存在病耻感的网络成瘾患者随机分为观察组和对照组各30例,对照组参加军训、学习、娱乐、劳动卫生等治疗活动;观察组在此基础上同时给予12周的病耻感心理护理干预,具体内容包括寻因治疗、心理分析、认知领悟疗法、能力训练行为矫正、亲情培养、社会适应能力的培养和成立"家长同盟管理委员会"等方法,以减轻患者的病耻感。结果两组抑郁自评量表(SDS)、焦虑自评量表(SAS)、社交回避及苦恼量表(SAD)、症状自评量表(SCL-90)因子评分(除偏执、精神病性外)比较,差异有统计学意义(均P<0.05)。结论病耻感可造成网络成瘾患者的负性情绪和心理障碍。实施针对病耻感心理护理干预对网络成瘾患者心境障碍和社交障碍具有良好的治疗效果。

Objective To investigate the influence of psychological nursing interventions targeted stigma on the rehabilitation of patients with internet addiction disorder.Methods A total of 60 patients with internet addiction disorder and stigma were randomized into two groups of 30.The control group were given routine treatment including participating in military training,study,entertainment,work and hygiene;the observation group were additionally given a 12-week psychological nursing intervention to reduce their stigma,including such measures as looking for the cause,analyzing psychology,giving cognitive comprehension therapy,providing capability training,establishing family love,cultivating social adaptive ability and constructing parents management commission,etc.Results The scores of SDS,SAS,SAD,and SCL-90 except the factors of paranoid ideation and psychoticism showed significant differences between the two groups（P0.05 for all）.Conclusion Stigma has great impact on negative emotions and mental disorders of patients with internet addiction disorder.Psychological nursing interventions targeted stigma can reduce mental and social disorders of patients with internet addiction disorder.