系统化护理干预模式在青少年网络成瘾患者中的应用效果

Application effect of systematic nursing intervention mode on teenager patients with internet addiction ;disorder

目的：探讨系统化护理干预模式对网络成瘾（ IAD）患者亲密度及适应性、网瘾戒除程度以及心理状况的影响。方法按照随机数表的方法将IAD患者随机分为对照组（ n＝50）和干预组（ n＝50），对照组采用常规护理治疗措施进行干预，干预组在对照组基础上采用系统化护理干预模式进行干预，包括感悟式教育、开设护理点评课堂、系统健康教育、定期随访等，评估IAD患者干预前及干预3个月后亲密度及适应性、网瘾戒除程度以及心理状况的变化。结果干预后，干预组家庭理想亲密度由（67.54±4.58）分升至（74.63±3.20）分、现实亲密度由（53.14±4.29）分升至（76.29±3.93）分、理想适应性由（46.43±7.98）分升至（57.50±6.05）分、现实适应性由（44.90±5.78）分升至（50.78±5.43）分，网瘾戒除程度由（83.37±3.46）分降至（56.01±5.02）分，心理健康状况各项指标较治疗前也显著改善（P〈0.05），而对照组各项指标较治疗前并无明显改善（ P〈0.05）。结论系统化护理干预模式能明显改善IAD患者的生理、心理状况，提高网瘾戒除率。

Objective To investigate the influence of systematic nursing intervention on family cohesion, adaptability, internet addiction rehabilitation degree and psychological status of patients with internet addiction disorder （ IAD ） . Methods IAD patients were randomly divided into control group （ n=50 ） and experimental group （ n=50） according to random number table. Patients in the control group were intervened by conventional nursing treatment. On the base of that, patients in the experimental group were intervened by systematic nursing intervention mode, such as inspirational education, comment classroom of nursing, systematic health education, regular follow-up, etc. Changes in family cohesion, adaptability, internet addiction rehabilitation degree and psychological status of the IAD patients were evaluated before and three months after the intervention.Results After the intervention, of patients in the experimental group, scores of ideal family cohesion improved from （ 67. 54 ± 4. 58 ） points to （ 74. 63 ± 3. 20 ） points; scores of actual family cohesion improved from （53.14±4.29） to （76.29±3.93）; scores of ideal adaptability improved from （46.43±7.98） to （57.50±6.05）;scores of actual adaptability improved from （44.90±5.78） to （50.78±5.43）;scores of internet addiction rehabilitation degree declined from （83.37±3.46） to （56.01±5.02）;various indexes of psychological health status had all improved significantly than before the treatment （ P〈0. 05 ） . Indexes of patients in the control group showed no significant improvement （P〉0.05）.Conclusions Systematic nursing intervention mode can obviously improve physiological and psychological conditions of IAD patients, and increase the rate of internet addiction rehabilitation.