Johani Jaizeh Karimi, Hosseinzadeh Mina, Mahdavi Nader, Vahidi Maryam, Hakimi Sevil
M.Sc. Student of Nursing, Department of Community Health Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Community Health Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):175-182. doi: 10.4103/ijnmr.IJNMR_115_20. eCollection 2021 Mar-Apr.
Internet dependency has become one of the 21 century dilemmas affecting different aspects of married life such as sexual relationships. Considering the importance of family in the Iranian society, this study aimed to determine how internet dependency is related to sexual desires and satisfaction among married clients of healthcare centers.
This cross-sectional study was conducted on 326 married clients referred to healthcare centers in Tabriz City, Iran, between February and August 2019. Proportionate stratified random sampling was used based on the health complexes and the healthcare centers covered by them. One of the healthcare centers covered by each complex was selected randomly. The data collection tools included a demographic characteristics checklist, the Internet Addiction Test (IAT), the Index of Sexual Satisfaction (ISS), and the Hurlbert Index of Sexual Desire (HISD). The collected data were analyzed using the Pearson correlation coefficient test and multiple linear regression model.
The mean (SD) was 37.33 (15.37) for of internet dependency, 59.20 (17.27) for sexual desire, and 104.45 (22.81) for sexual satisfaction. There was a negative correlation between internet dependency and sexual satisfaction (r = -0.47, < 0.001). This correlation remained significant (B = -0.41, df = 9, < 0.001,) even when occupation (B = 3.66, = 0.01), satisfaction with married life (B = 15.34, < 0.001), and sexual desire (B = 0.60, < 0.001) were adjusted as potential confounding factors.
Internet dependency can cause a reduction in sexual desire and sexual satisfaction. Designing educational interventions in healthcare centers is recommended to manage the use of internet and to inform clients about the effects that internet dependency may have.
网络成瘾已成为影响婚姻生活各个方面（如性关系）的21世纪难题之一。鉴于家庭在伊朗社会中的重要性，本研究旨在确定网络成瘾与医疗中心已婚客户的性欲及性满意度之间的关系。
本横断面研究于2019年2月至8月在伊朗大不里士市转至医疗中心的326名已婚客户中进行。根据健康综合机构及其覆盖的医疗中心，采用按比例分层随机抽样。每个综合机构覆盖的医疗中心中随机选择一个。数据收集工具包括人口统计学特征清单、网络成瘾测试（IAT）、性满意度指数（ISS）和赫尔伯特性欲指数（HISD）。使用Pearson相关系数检验和多元线性回归模型对收集的数据进行分析。
网络成瘾的平均（标准差）为37.33（15.37），性欲为59.20（17.27），性满意度为104.45（22.81）。网络成瘾与性满意度之间存在负相关（r = -0.47，P < 0.001）。即使将职业（B = 3.66，P = 0.01）、婚姻生活满意度（B = 15.34，P < 0.001）和性欲（B = 0.60，P < 0.001）作为潜在混杂因素进行调整，这种相关性仍然显著（B = -0.41，自由度 = 9，P < 0.001）。
网络成瘾会导致性欲和性满意度降低。建议在医疗中心设计教育干预措施，以管理网络使用，并告知客户网络成瘾可能产生的影响。
