高中生网络成瘾的社区健康教育

Community intervention of health education to internet addiction in high school students

目的:采取知信行健康教育模式,对北京市高中生网络成瘾进行社区干预研究,评价对网络成瘾的知识、态度和行为的干预效果。方法:采用分层整群抽样方法,选取4877名高中生,随机分为干预组(n=2538)和非干预组(n=2139)。采用观看视频讲座、发放知识手册和张贴宣传画方式进行干预,自编网络成瘾知信行(Knowledge,Attitude and Practice,KAP)问卷和网络使用自评量表(the Self-ratingInternet Using Scale,SIUS)评估效果。结果:(1)干预后干预组的SIUS分明显低于非干预组,而KAP分明显高于非干预组(均P<0.01);(2)干预组干预前后的SIUS分和KAP分差值均大于非干预组(均P<0.001);(3)干预组在干预后对网络成瘾知识的回答正确率比干预前普遍提高,不正确的网络成瘾相关态度和行为的出现率普遍降低,而非干预组均无明显变化。结论:针对高中生这一网络成瘾的高危人群中进行健康教育干预,能有效提高中学生对网络成瘾的认识和了解,促进其对网络的正确使用。

Objective： Using health education model, a community intervention study to internet addiction was carried in high school students in Beijing to evaluate the effect on knowledge, attitude and practice of internet addiction. Method： Using stratify cluster sampling, 4877 high schools students were randomly divided into intervention group and control group. The self-made questionnaire of Knowledge Attitude and Practice for Intemet Addiction （KAPI） and Self-report Internet Using Scale （SIUS） were used to evaluate the effect of mental health education af- ter intervention. Result： （1） The mean scores of SIUS of the intervention group were significantly lower than that of the non-intervention group. The mean scores of KAPI in the intervention group were significantly higher than that in the control group （P 〈0.01）. （2） The differences of the SIUS and KAPI scores between pre-and post-intervan-lion were higher in the intervention group than in the control group （ Ps 〈0. 001）. （3） There was an increase of the knowledge and a decrease of incorrect attitude and behavior of internet addiction in the intervention group, while not in the control group. Conclusion： For the high risk population of intemet addiction, health education intervention could improve awareness of internet addiction and promote proper internet use in high school students.