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Abstract：
Smartphone distraction (SD) is closely related to depression, and the prevalence of SD among nursing students is gradually increasing. However, the potential mechanism of the effect of SD on nursing students\' depression is unclear. A total of 574 nursing students were assessed using Smartphone Distraction Scale, Ruminative Response Scale, Hikikomori Questionnaire, and Patient Health Questionnaire-9. The results indicated that SD among nursing students had an impact on depression through four pathways: (1) SD was positively associated with depression (β = 0.353, P < 0.001); (2) Rumination (β = 0.199, 95% CI: 0.081 to 0.162) and social withdrawal (β = 0.061, 95% CI: 0.034 to 0.091) mediated the effects of SD on depression, respectively; and (3) Rumination and social withdrawal played a chain mediating role in the effect of SD on nursing students\' depression (β = 0.027, 95% CI: 0.015 to 0.042). The negative impact of SD on nursing students\' mental health should not be taken lightly. Schools and hospitals should guide nursing students to use smartphones correctly, including providing mental health education and professional psychological counselling; families could play a supervisory role and communicate regularly to understand the psychological state and learning of nursing students. These measures can help nursing students cope with stress and reduce the risk of depression.
摘要：
智能手机分心（SD）与抑郁症密切相关，护理专业学生SD患病率逐渐上升。然而,SD对护生抑郁影响的潜在机制尚不清楚。使用智能手机分心量表对574名护生进行了评估，反思反应量表，Hikikomori问卷，和患者健康问卷-9。结果表明，护理专业学生的SD通过四个途径对抑郁产生影响：（1）SD与抑郁呈正相关（β=0.353，P<0.001）；（2）沉思（β=0.199，95％CI：0.081至0.162）和社交退缩（β=0.061，95％CI：0.034至0.091）介导了SD对抑郁的影响。（3）沉思和社交退缩在SD对护生抑郁的影响中起着连锁中介作用（β=0.027，95％CI：0.015至0.042）。SD对护生心理健康的负面影响不容忽视。学校和医院要引导护生正确使用智能手机,包括提供心理健康教育和专业心理咨询；家庭可以发挥监督作用，定期沟通，了解护生的心理状态和学习情况。这些措施可以帮助护生应对压力，降低抑郁风险。
