Department of Internal Medicine, Division of Nephrology, Konya Numune State Hospital, 42690, Konya, Turkey.
Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):625-30. doi: 10.1016/j.genhosppsych.2013.05.001. Epub 2013 Aug 13.
There are very few studies in the literature investigating the Internet use in hemodialysis (HD) patients. However, no study examined the relationship between Internet and social media use and quality of life, depression, cognitive function and sleep problems in HD patients.
The study is cross-sectional in design. All patients underwent history taking; physical examination; laboratory analysis and quality of life (by a short form of the Medical Outcomes Study), depression (by the Beck Depression Inventory), cognitive function (by the Standardized Mini Mental State Examination) and sleep problems (by the Pittsburgh Sleep Quality Index) evaluation.
In total, 134 HD patients (male/female: 73/61, age: 53.0 ± 13.4 years) were included. Patients with mail, Facebook and Twitter accounts were younger, were less depressive, had better quality of life, had higher cognitive function and were more educated compared to patients who did not have these accounts. Patients with Internet-based research about their disease were less depressive, had better quality of life and sleep quality, had higher cognitive function and were more educated compared to patients who did not have Internet-based research.
Internet and social media use was closely related with quality of life, depression, cognitive function and education in HD patients. Studies are needed on whether Internet use under the supervision of health care professionals will improve clinical outcomes, adherence, quality of life, depression and decision making in HD patients.
文献中很少有研究调查血液透析(HD)患者的互联网使用情况。然而,尚无研究探讨互联网和社交媒体的使用与 HD 患者的生活质量、抑郁、认知功能和睡眠问题之间的关系。
本研究为横断面设计。所有患者均接受病史询问、体格检查、实验室分析以及生活质量(采用医疗结局研究的简短形式)、抑郁(采用贝克抑郁量表)、认知功能(采用标准化简易精神状态检查)和睡眠问题(采用匹兹堡睡眠质量指数)评估。
共纳入 134 例 HD 患者(男/女:73/61,年龄:53.0±13.4 岁)。拥有邮件、Facebook 和 Twitter 账户的患者更年轻、抑郁程度更低、生活质量更好、认知功能更高、受教育程度更高。与没有这些账户的患者相比,进行过基于互联网的疾病研究的患者抑郁程度更低、生活质量和睡眠质量更好、认知功能更高、受教育程度更高。
互联网和社交媒体的使用与 HD 患者的生活质量、抑郁、认知功能和教育密切相关。需要研究在医疗保健专业人员的监督下使用互联网是否会改善 HD 患者的临床结局、依从性、生活质量、抑郁和决策能力。