当代医学院校大学生手机成瘾流行现状、心理健康状况及影响因素

Research on the prevalence,mental health and influencing factors of mobile phone addiction among medical college students in the post-epidemic era

目的:探究当代医学院校大学生手机成瘾流行现状、心理健康状况及影响因素。方法:采用整群分层抽样方式抽取2021年9-10月某医学院1454名本科学生为研究对象,使用一般情况调查、手机成瘾性指数量表、大学生自我控制量表(SCS)修订版、中国大学生心理健康筛查量表及行为量表进行现场问卷调查,并采用多元线性回归、单因素及多因素Logistic回归模型进行统计分析。结果:44.70%大学生(成瘾组650名)MPAI评分≥51分,55.30%(正常组804名)MPAI评分<51分;两组在SCS评分冲动控制维度及总分比较差异显著(P<0.05);成瘾组心理健康状态1~3级风险累计比例为70.15%显著高于正常组的49.50%(P<0.05);男性(OR=5.581,95%CI=2.286~13.626)、单身(OR=37.326,95%CI=14.919~93.387)、低年级(OR=547.447,95%CI=154.188~1943.718)、久坐(OR=4416.312,95%CI=1202.242~16222.874)均是影响医学院校学生手机成瘾的独立危险因素;SCS(OR=0.559,95%CI=0.477~0.656)、经常运动(OR=0.029,95%CI=0.017~0.049)、作息规律(OR=0.044,95%CI=0.021~0.090)、正面信息(OR=0.234,95%CI=0.100~0.546)均为保护因素。结论:当前医学院校大学生手机成瘾与心理健康及自我控制能力密切相关。可通过加强体育运动,积极获取正面信息,提高自我控制能力,促进降低手机成瘾性及心理健康风险等级。

Objective:To explore the current situation, mental health and influencing factors of mobile phone addiction among medical college students in the post-epidemic era.Methods:A cluster stratified sampling method was used to sample 1454 undergraduate students of Nanchang Medical College from September to October 2021 as the research objects, using the general survey, mobile phone addiction index scale, revised version of the college student self-control scale(SCS),The mental health screening scale for Chinese college students and the self-made new coronavirus pneumonia epidemic awareness and behavior scale were conducted on-site questionnaire surveys, and multiple linear regression, single factor and multivariate logistic regression models were used for statistical analysis.Results:44.70% of college students(650 in the addiction group)had an MPAI score of ≥51,and 55.30%(804 in the normal group)had an MPAI score of<51;The SCS score between the two groups was significantly different in the dimensions of impulse control and the total score(P<0.05);The cumulative ratio of mental health status 1~3 risk in the addiction group was 70.15%,which was significantly higher than 49.50% in the normal group(P<0.05);Male(OR=5.581,95%CI=2.286~13.626),single(OR=37.326,95%CI=14.919~93.387),lower grades(OR=547.447,95%CI=154.188~1943.718),Sedentary(OR=4416.312,95%CI=1202.242~16222.874)were independent risk factors affecting mobile phone addiction among medical school students;SCS(OR=0.559,95%CI=0.477~0.656),regular exercise(OR=0.029,95%CI=0.017~0.049),regularity of work and rest(OR=0.044,95%CI=0.021~0.090),positive information(OR=0.234,95%CI=0.100~0.546)were all protective factors.Conclusion:The current mobile phone addiction of medical college students is closely related to their mental health and self-control ability.By strengthening physical activity, positive information can be actively obtained, self-control ability can be improved, and mobile phone addiction and mental health risk levels can be reduced.