Rogers Simon N, Rozek Aleksandra, Aleyaasin Narges, Promod Prakash, Lowe Derek
Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, United Kingdom.
Br J Oral Maxillofac Surg. 2012 Apr;50(3):208-14. doi: 10.1016/j.bjoms.2011.03.264. Epub 2011 May 18.
In general, use of the internet by patients in their healthcare is increasing. However, its use specifically among those with head and neck cancer in the UK has not been reported. The aims of this study were to report access to the internet by survivors of head and neck cancer, to indicate where it fits within their information sources, how they have used it, and how they might use it in future. A question on its use has been included in annual surveys of patients since 2006. Patient-reported access to the internet increased from 32% in 2006 to 54% in 2010. There were considerable differences in access by age; currently (2010) 83% of those under 55 years, and 40% of those aged 65-84 years. Binary logistic regression modelling involving age at survey (p<0.001), age leaving education (p<0.001), and sex (p=0.01), gave all three as independent predictors of access. In the 2010 survey 49% (234/473) never used the internet, 10% (49/473) used it rarely, 15% (70/473) used it occasionally, and 25% (120/473) used it often. The main reasons for its use for head and neck cancer were to find information, learn about treatment, side effects, and medication, and obtain advice from members of multidisciplinary teams. The findings of this study show that the internet has an important role for patients in providing information and support about their cancer, although other sources are still very important. Data from the study will help inform those promoting e-health about the type of resource that is wanted by patients.
总体而言,患者在医疗保健中使用互联网的情况正在增加。然而,英国头颈部癌症患者对互联网的具体使用情况尚未见报道。本研究的目的是报告头颈部癌症幸存者使用互联网的情况,指出互联网在他们的信息来源中所处的位置、他们如何使用互联网以及未来可能如何使用互联网。自2006年以来,关于互联网使用的问题已纳入患者年度调查中。患者报告的互联网使用率从2006年的32%上升至2010年的54%。不同年龄段的使用率存在显著差异;目前(2010年),55岁以下人群中有83%使用互联网,65 - 84岁人群中有40%使用互联网。二元逻辑回归模型分析显示,调查时的年龄(p<0.001)、结束教育时的年龄(p<0.001)和性别(p = 0.01)均为互联网使用情况的独立预测因素。在2010年的调查中,49%(234/473)的患者从未使用过互联网,10%(49/473)很少使用,15%(70/473)偶尔使用,25%(120/473)经常使用。头颈部癌症患者使用互联网的主要原因是查找信息、了解治疗、副作用和药物情况,以及从多学科团队成员那里获取建议。本研究结果表明,互联网在为患者提供有关其癌症的信息和支持方面发挥着重要作用,尽管其他信息来源仍然非常重要。该研究数据将有助于为那些推广电子健康的人提供患者所需资源类型的信息。