家庭干预模式对网瘾患者家属心理健康及应对方式的影响

Influence of family intervention on mental health and coping style of family members of patients with IAD

目的:探讨家庭干预模式对网络成瘾患者家属心理健康和应对方式的影响。方法:将120名网络成瘾患者家属按住院单双号分为观察组和对照组各60名,对照组给予患者常规陪护,观察组在患者住院期间全程陪护并同步参与治疗护理全过程;比较干预前和实施干预20周时,两组症状自评量表(SCL-90)和简易应对方式问卷(SCSQ)评分。结果:观察组干预后的人际关系敏感、偏执因子与干预前比较差异有统计学意义(P<0.05),躯体化、抑郁、焦虑、敌意及总均分与干预前比较差异有显著统计学意义(P<0.01),而对照组各因子均无显著性变化;观察组干预后积极应对因子分高于对照组,而消极应对因子分低于对照组,差异均有显著统计学意义(P<0.01)。结论:实施家庭干预对网络成瘾患者家属有积极的影响,可以有效改善患者家属的心理健康水平和应对方式。

Objective：To discuss the influence of family intervention on mental health and coping style of family members of patients with internet addiction disorder （IAD）. Methods： 120 family members of patients with IAD were randomly divided into the observation group and the control group （60 cases in each group）. The family members in the control group only accompanied the patients during hos- pitalization;the family members in the observation group participated in the whole process of nursing care and the treatment during hospi- talization. The scores of SCL - 90 and SCSQ were compared between the two groups before the intervention and after the intervention for 20 weeks. Results：There were statistically significant differences in the comparison of interpersonal sensitivity and paranoid factors after the intervention with those before the intervention in the observation group （ P 〈 0.05 ） ; the differences of the scores of somatization, depres- sion,anxiety and hostility and the total average score were statistically significant after the intervention compared with those before the in- tervention （ P 〈 0.01 ） ; the scores of positive coping factors were higher and the scores of negative coping factors were lower in the observa- tion group than the control group （ P 〈 0. 01 ）. Conclusion：Implementation of family intervention has a positive effect on patients with IAD and the intervention can effectively improve the mental health level and coping style of patients family members.