尼日利亚伊巴丹一家教学医院的医生利用互联网获取健康信息用于患者护理。
Use of the Internet for health information by physicians for patient care in a teaching hospital in Ibadan, Nigeria.
作者信息
Ajuwon Grace A
机构信息
Latunde Odeku Medical Library, College of Medicine, University of Ibadan, Nigeria.
出版信息
Biomed Digit Libr. 2006 Dec 12;3:12. doi: 10.1186/1742-5581-3-12.
BACKGROUND
The Internet is the world's largest network of information, communication and services. Although the Internet is widely used in medicine and has made significant impact in research, training and patient care, few studies had explored the extent to which Nigerian physicians use Internet resources for patient care. The objective of this study was to assess physicians' use of the Internet for health information for patient care.
METHOD
172 physicians at the University College hospital (UCH) Ibadan, Nigeria; completed a 31-item, anonymous, standardized questionnaire. The Epi-Info software was used for data analysis.
RESULTS
The mean age of the respondents was 31.95 years (SD 4.94). Virtually all (98%) the respondents had used the Internet; 76% accessed it from cyber cafes. E-mail was the most commonly used Internet service (64%). Ninety percent of the respondents reported they had obtained information from the Internet for patient care; of this number, 76.2% had searched a database. The database most recently searched was MEDLINE/PubMed in 99% of cases. Only 7% of the respondents had ever searched the Cochrane Library. More than half (58.1%) perceived they had no confidence to download full-text articles from online sources such as the Health Internetwork Access to Research Initiative (HINARI). Multiple barriers to increased use of the Internet were identified including poor availability of broadband (fast connection speed) Internet access, lack of information searching skills, cost of access and information overload.
CONCLUSION
Physicians' use of the Internet for health information for patient care was widespread but use of evidenced-based medicine resources such as Cochrane Library, Up-to-date and Clinical Evidence was minimal. Awareness and training in the use of EBM resources for patient care is needed. Introduction of EBM in the teaching curriculum will enhance the use of EBM resources by physicians for patient care.
背景
互联网是世界上最大的信息、通信和服务网络。尽管互联网在医学领域得到广泛应用，并在研究、培训和患者护理方面产生了重大影响，但很少有研究探讨尼日利亚医生在患者护理中使用互联网资源的程度。本研究的目的是评估医生在患者护理中使用互联网获取健康信息的情况。
方法
尼日利亚伊巴丹大学学院医院（UCH）的172名医生完成了一份31项的匿名标准化问卷。使用Epi-Info软件进行数据分析。
结果
受访者的平均年龄为31.95岁（标准差4.94）。几乎所有（98%）的受访者都使用过互联网；76%的人从网吧访问互联网。电子邮件是最常用的互联网服务（64%）。90%的受访者报告他们曾从互联网获取患者护理信息；其中，76.2%的人搜索过数据库。最近搜索的数据库在99%的情况下是MEDLINE/PubMed。只有7%的受访者曾搜索过Cochrane图书馆。超过一半（58.1%）的人认为他们没有信心从诸如健康互联网研究倡议（HINARI）等在线资源下载全文文章。确定了增加互联网使用的多个障碍，包括宽带（快速连接速度）互联网接入可用性差、缺乏信息搜索技能、接入成本和信息过载。
结论
医生在患者护理中使用互联网获取健康信息很普遍，但对循证医学资源如Cochrane图书馆、Up-to-date和临床证据的使用极少。需要开展关于在患者护理中使用循证医学资源的意识和培训。在教学课程中引入循证医学将提高医生在患者护理中对循证医学资源的使用。
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