Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.
Am J Addict. 2021 Nov;30(6):585-592. doi: 10.1111/ajad.13216. Epub 2021 Sep 16.
BACKGROUND AND OBJECTIVES: The prevalence of problematic Internet use (PIU) in the post-COVID-19 pandemic era is not known. This cross-sectional study aimed to determine the prevalence of PIU among baccalaureate nursing students (hereafter: nursing students) in the post-COVID-19 era. METHODS: A total of 1070 nursing students were consecutively invited to participate in this study from the nursing schools of five universities. PIU and quality of life (QOL) were assessed using the Internet Addiction Test (IAT) and the World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF), respectively. t Tests, χ , tests, and Kruskal-Wallis tests were used to compare basic demographic and clinical characteristics between participants with and without PIU. Binary logistic regression analysis was used to examine independent correlates. RESULTS: The prevalence of PIU was 23.3% (95% confidence interval [CI]: 20.7%-25.8%). Multiple logistic regression analysis revealed that second- (p = .024) and third-year (p = .012) students were more likely to suffer from PIU compared with first year students. Students with more severe depressive (p = .014) and anxiety symptoms (p = .011) were independently and significantly associated with more severe PIU. After controlling for covariates, nursing students with PIU had a lower overall QOL score (p = .002). CONCLUSION AND SCIENTIFIC SIGNIFICANCE: Problematic Internet use (PIU) was common among nursing students in the post-COVID-19 era. Considering the negative impact of PIU on QOL and academic performance, regular screening should be conducted and effective interventions implemented for nursing students with PIU. This was the first study on the prevalence of PIU among nursing students in the post-COVID-19 era. The findings of this study could help health professionals and education authorities to understand the patterns of PIU and its influence on QOL among nursing students and to allocate health resources and develop effective measures to reduce the risk of PIU in this population.
背景与目的：新冠疫情后时代，网络成瘾的流行情况尚不清楚。本横断面研究旨在确定新冠疫情后时代本科护理学生（下文简称：护理学生）网络成瘾的流行情况。
方法：从五所大学的护理学校连续邀请了 1070 名护理学生参加这项研究。使用网络成瘾测试（IAT）和世界卫生组织生活质量量表简表（WHOQOL-BREF）分别评估网络成瘾和生活质量。使用 t 检验、卡方检验和 Kruskal-Wallis 检验比较有和无网络成瘾的参与者之间的基本人口统计学和临床特征。采用二元逻辑回归分析检验独立相关因素。
结果：网络成瘾的流行率为 23.3%（95%置信区间[CI]：20.7%-25.8%）。多因素逻辑回归分析显示，与一年级学生相比，二（p=0.024）和三年级（p=0.012）学生更易患网络成瘾。抑郁症状更严重（p=0.014）和焦虑症状更严重（p=0.011）的学生与更严重的网络成瘾显著相关。在控制了协变量后，有网络成瘾的护理学生的整体生活质量评分较低（p=0.002）。
结论和科学意义：新冠疫情后时代，护理学生中网络成瘾较为常见。考虑到网络成瘾对生活质量和学业成绩的负面影响，应定期对有网络成瘾的护理学生进行筛查并实施有效干预。这是新冠疫情后时代护理学生网络成瘾流行情况的首次研究。本研究结果可以帮助卫生专业人员和教育当局了解护理学生网络成瘾的模式及其对生活质量的影响，并为该人群分配卫生资源和制定有效措施，以降低网络成瘾风险。
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