系统健康教育对网络成瘾患者家庭亲密度及适应性的影响

The interventional study of family cohesion and adaptability by systemic health education in patients with internet addiction disorder

目的采用系统的健康教育对网络成瘾（IAD）患者进行干预性研究，评价系统的健康教育对网络成瘾患者的干预效果。方法收集120例网瘾患者作为研究对象，并按照住院单双号随机分为观察组和对照组各60例。在常规治疗护理的基础上，观察组给予系统的健康教育干预，对照组给予一般的健康教育，对干预效果进行评价。结果观察组健康教育干预前后的网瘾自测评分、家庭亲密度得分、理想适应性得分及现实适应性得分比较差异均有统计学意义；干预后，观察组网瘾评分、家庭亲密度得分、理想适应性得分及现实适应性得分与同期对照组评分比较差异亦有统计学意义；网瘾自测评分为86～90分时，进行系统健康教育对IAD有保护作用；家庭亲密度得分越高，对IAD进行系统健康教育的效果越好；理想适应性得分〉46分时，对IAD患者进行系统健康教育的效果是对照组的2倍；现实适应性得分〉46分时，对IAD患者进行系统健康教育的效果比对照组好。结论系统的健康教育对网络成瘾的戒治有积极的作用，能很好地提高患者家庭的亲密度和适应性，改善亲子关系。

Objective A intervention study was conducted with systemic health education in pa- tients with internet addiction disorder （lAD）, and evaluate the intervention effect of systemic health educa- tion. Methods 120 patients with lAD were collected, and then divided into the observation group and the control group with 60 cases in each group. On the base of conventional treatment, the observation group was given systemic health education, and the control group was given general health education. The differ- ences between the two groups were analyzed. Results The self-evaluated addiction scores, family cohesion scores, ideal adaptability scores, reality adaptability scores in the observation group before the intervention were significantly different from those after the intervention. The addiction scores, family cohesion scores, ideal adapt- ability scores, reality adaptability scores in the observation group were significantly different from those of the control group after the intervention. The scores of addiction ranged between 86-90, systemic health education had protection effect on lAD, the higher family cohesion scores, the better effect of lAD with systemic health education. When the ideal adaptability scores 〉46, the observation group has approximately two times the posi-tive effect of the control group. When the reality adaptability scores 〉46, the effect of systemic health education in the observation group was better than the control group. Conclusions Systemic health education has a positive effect on treatment of lAD, and it can improve family cohesion and family adaptability, so that the parent-kid relationship will improve.