本文選題：網(wǎng)絡(luò)成癮 + 醫(yī)學(xué)生　； 參考：《山東大學(xué)》2014年碩士論文

【摘要】：研究背景：互聯(lián)網(wǎng)的普及,給大學(xué)生的學(xué)習(xí)生活帶來了極大的便利,但與此同時(shí)也給大學(xué)生帶來了網(wǎng)絡(luò)成癮,網(wǎng)絡(luò)成癮是目前大學(xué)生群體中比較突出的現(xiàn)象,在我國大學(xué)生網(wǎng)絡(luò)成癮的發(fā)生率約為9.8%-13%。醫(yī)學(xué)生作為大學(xué)生中的特殊群體,在專業(yè)學(xué)習(xí)上較其他學(xué)科嚴(yán)謹(jǐn),理論知識(shí)點(diǎn)多、實(shí)踐性較強(qiáng)、任務(wù)重、時(shí)間長、容易引發(fā)網(wǎng)絡(luò)成癮,從而引起學(xué)生家長焦慮和不安,也引起各醫(yī)學(xué)院校的高度重視。在信息時(shí)代背景下,如果我們不能采取有效的干預(yù)措施降低醫(yī)學(xué)生的網(wǎng)絡(luò)成癮發(fā)生率,就會(huì)影響到醫(yī)學(xué)生的心身健康以致影響醫(yī)學(xué)人才的培養(yǎng),因此,有必要對(duì)醫(yī)學(xué)生網(wǎng)絡(luò)成癮行為干預(yù)效果進(jìn)行研究,探索醫(yī)學(xué)生網(wǎng)絡(luò)成癮的干預(yù)模式。 研究目的：運(yùn)用認(rèn)知行為療法,以此為理論依據(jù),設(shè)計(jì)可操作性的實(shí)踐方案,干預(yù)網(wǎng)絡(luò)成癮醫(yī)學(xué)生,評(píng)價(jià)認(rèn)知行為療法對(duì)網(wǎng)絡(luò)成癮醫(yī)學(xué)生戒除網(wǎng)癮和促進(jìn)心理健康水平的效果。 研究方法：運(yùn)用文獻(xiàn)分析法歸納醫(yī)學(xué)生網(wǎng)絡(luò)成癮的相關(guān)因素；結(jié)合醫(yī)學(xué)生的特點(diǎn)制作問卷調(diào)查表,對(duì)某醫(yī)學(xué)院院校1925名不同年級(jí)大學(xué)生進(jìn)行調(diào)查,了解其網(wǎng)絡(luò)成癮現(xiàn)狀,并運(yùn)用《網(wǎng)絡(luò)成癮調(diào)查問卷》、Young的網(wǎng)絡(luò)成癮診斷和陳淑惠編制的《中文網(wǎng)絡(luò)成癮量表》作為測(cè)量工具進(jìn)行調(diào)查測(cè)量,結(jié)果顯示：輕度成癮173名,占8.99%,中度成癮67名,占3.48%。隨機(jī)選取輕、中度各60名網(wǎng)絡(luò)成癮醫(yī)學(xué)生作為研究對(duì)象,實(shí)驗(yàn)組(干預(yù)組)60名(輕、中度各30名),對(duì)照組60名(輕、中度各30名)。實(shí)驗(yàn)組(干預(yù)組)實(shí)行志愿者活動(dòng)、社會(huì)實(shí)踐活動(dòng)、擔(dān)任輔導(dǎo)員助理、網(wǎng)絡(luò)主題討論活動(dòng)、趣味性活動(dòng)、合唱比賽、2小時(shí)慢跑等方案進(jìn)行認(rèn)知行為干預(yù)訓(xùn)練,四個(gè)療程,每個(gè)療程10周,為期2個(gè)學(xué)期；對(duì)照組不實(shí)施任何干預(yù)措施,作一般的教育和引導(dǎo)。每個(gè)療程結(jié)束后,再次運(yùn)用SCL-90癥狀自評(píng)量表進(jìn)行測(cè)量,評(píng)估其干預(yù)前后的心理健康狀況。采用x2和t檢驗(yàn)比較兩組各項(xiàng)指標(biāo)變化情況,差異有統(tǒng)計(jì)學(xué)意義。 主要結(jié)果： 1、實(shí)驗(yàn)組(干預(yù)組)干預(yù)有效率為85.00%,對(duì)照組有效率為13.33%,x2檢驗(yàn)顯示,實(shí)驗(yàn)組(干預(yù)組)干預(yù)有效率高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義。干預(yù)前兩組情況比較,用t檢驗(yàn),結(jié)果顯示兩組各項(xiàng)指標(biāo)差異均無統(tǒng)計(jì)學(xué)意義。 2、醫(yī)學(xué)生網(wǎng)絡(luò)成癮癥狀總分前后比較,差異有統(tǒng)計(jì)學(xué)意義；實(shí)驗(yàn)組(干預(yù)組)輕度、中度網(wǎng)絡(luò)成癮醫(yī)學(xué)生的癥狀干預(yù)前后比較,差異有統(tǒng)計(jì)學(xué)意義,且輕度差異性較中度差異性顯著。 3、醫(yī)學(xué)生心理健康狀況干預(yù)前后比較,實(shí)驗(yàn)組(干預(yù)組)在心理總分、強(qiáng)迫、精神病性、人際關(guān)系等方面評(píng)分均較干預(yù)前和對(duì)照組明顯改善,實(shí)驗(yàn)組(干預(yù)組)干預(yù)前后比較,輕度網(wǎng)絡(luò)成癮醫(yī)學(xué)生的心理健康水平較中度顯著,對(duì)照組干預(yù)前后幾乎無變化。 4、醫(yī)學(xué)生上網(wǎng)時(shí)間及應(yīng)對(duì)方式干預(yù)前后比較,每次上網(wǎng)時(shí)間4h以上者,實(shí)驗(yàn)組(干預(yù)組)少于對(duì)照組；在消極應(yīng)對(duì)方式得分方面,實(shí)驗(yàn)組(干預(yù)組)明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義：在積極應(yīng)對(duì)方式得分方面,實(shí)驗(yàn)組(干預(yù)組)顯著高于對(duì)照組。 結(jié)論與建議：運(yùn)用認(rèn)知行為療法對(duì)網(wǎng)絡(luò)成癮醫(yī)學(xué)生戒除網(wǎng)癮和促進(jìn)心理健康具有積極作用,改善患者的網(wǎng)絡(luò)成癮癥狀和應(yīng)對(duì)方式,在干預(yù)中,對(duì)輕度患者的干預(yù)效果優(yōu)于中度患者。
[Abstract]:Research background: the popularity of the Internet has brought great convenience to college students' learning and life, but at the same time it also brings Internet addiction to college students. Internet addiction is a prominent phenomenon among college students. The incidence of Internet addiction is about 9.8%-13%. medical students as a special group of college students in China. It is more rigorous in professional learning than in other subjects, more theoretical knowledge, more practical, heavy task and long time, which can easily lead to Internet addiction, which causes anxiety and unease of students' parents. It also causes high attention of medical colleges and universities. In the context of information age, if we can not take effective intervention measures to reduce the network of medical students The incidence of addiction will affect the physical and mental health of medical students so as to affect the training of medical talents. Therefore, it is necessary to study the effect of Internet addiction intervention on medical students and explore the intervention mode of Internet Addiction of medical students.
The purpose of this study is to use cognitive behavioral therapy (cognitive behavioral therapy) as a theoretical basis and to design practical practical programs to intervene in Internet addicted medical students and to evaluate the effect of cognitive behavioral therapy on Internet addiction and mental health.
Research methods: using the literature analysis method to sum up the related factors of Internet Addiction of medical students; to make a questionnaire on the characteristics of medical students, to investigate 1925 college students of different grades in a medical college, to understand the status of Internet addiction, and to use the Internet Addiction Survey, Young's Internet addiction diagnosis and Chen Shuhui compilation. The Chinese Internet Addiction Scale (Chinese Internet Addiction Scale) was measured as a measuring tool. The results showed that 173 mild addiction, 8.99%, 67 moderate addiction, 60 3.48%. addicted medical students were selected as subjects, 60 (light and moderate 30) in the experimental group and 60 in the control group (light, moderate and 30) in the control group. The intervention group) carried out volunteer activities, social practice activities, serving as assistant counselor, network theme discussion activities, interesting activities, chorus competitions, 2 hours jogging and other programs for cognitive behavior intervention training, four courses of 10 weeks each course, for a period of 2 terms, and not implementing any intervention measures to make general education and guidance on the group. After the end of the course of treatment, the SCL-90 symptom checklist was used again to measure the mental health status before and after the intervention, and the changes of the two groups were compared with the X2 and t tests. The difference was statistically significant.
Main results:
1, the experimental group (intervention group) intervention efficiency was 85%, the control group was 13.33%, x2 test showed that the experimental group (intervention group) intervention efficiency was higher than the control group, the difference was statistically significant. Before the intervention, the two groups were compared with the t test, the results showed that the differences of the two groups were not statistically significant.
2, there were significant differences in the total score of medical students' Internet addiction symptoms before and after the total score; the experimental group (intervention group) was mild, and the difference was statistically significant before and after the intervention of the moderate Internet addiction medical students, and the mild difference was more significant than the moderate difference.
3, the psychological health status of the medical students before and after intervention, the experimental group (intervention group) in the psychological total score, compulsion, psychosis, interpersonal relationship and other aspects were significantly improved than before the intervention and the control group. In the experimental group (intervention group) before and after intervention, the mental health level of the mild Internet addiction medical students was more significant than that of the control group before and after intervention. There is no change.
4, the Internet time and coping style of medical students were compared before and after intervention. The experimental group (intervention group) was less than the control group at a time of 4H. The experimental group (intervention group) was significantly lower than the control group. The difference was statistically significant: in the positive coping style, the experimental group (intervention group) was significantly higher than that of the control group. Look at the group.
Conclusions and suggestions: the use of cognitive behavioral therapy has a positive effect on the addiction and mental health of Internet addicts, and improves the symptoms and coping styles of the patients' Internet addiction. In the intervention, the intervention effect on mild patients is better than that of the moderate patients.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R749.99

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