Xu Xiequn, Hong Tao, Li Binglu, Liu Wei
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China,
Patient. 2015 Apr;8(2):179-85. doi: 10.1007/s40271-014-0072-1.
It is a growing trend that patients seek health information on the internet to self-educate and self-diagnose, which impacts their health decisions.
The aim of the study was to investigate how Chinese patients undergoing elective laparoscopic cholecystectomy (LC) sought information about their disease and treatment, how they preferred the information to be presented, and how it influenced them.
A descriptive, cross-sectional-designed questionnaire was employed to obtain information from 248 Chinese patients undergoing elective LC in Peking Union Medical College Hospital.
A total of 223 patients (89.9 %) sought health information from the internet. Patients searching the internet for information about LC were younger than those who did not. It varied with employment status, educational level, and household average income. Among patients searching the internet for LC information, 35.4 % felt more worried and 37.2 % felt more assured; 15.2 % went to visit other doctors and 8.5 % considered changing their treatment because of internet use.
A significant proportion of patients used the internet to obtain information about their disease. Age, employment status, educational level, and household average monthly income had an effect on internet usage for LC information. The use of the internet could cause mixed emotional outcomes among patients. Physicians should guide Chinese patients to professional websites of high quality and take time to discuss the information with patients during their visits and consultations.
患者在互联网上寻求健康信息以进行自我教育和自我诊断的趋势日益增长，这会影响他们的健康决策。
本研究旨在调查接受择期腹腔镜胆囊切除术（LC）的中国患者如何获取有关其疾病和治疗的信息，他们希望以何种方式呈现这些信息，以及这些信息如何影响他们。
采用描述性横断面设计的问卷，从北京协和医院248例接受择期LC的中国患者中获取信息。
共有223例患者（89.9%）从互联网上获取健康信息。在网上搜索LC信息的患者比未搜索的患者更年轻。这因就业状况、教育程度和家庭平均收入而异。在通过互联网搜索LC信息的患者中，35.4%感到更加担忧，37.2%感到更放心；15.2%的患者去看了其他医生，8.5%的患者因使用互联网而考虑改变治疗方案。
相当一部分患者利用互联网获取有关其疾病的信息。年龄、就业状况、教育程度和家庭平均月收入会影响患者对LC信息的互联网使用情况。互联网的使用可能会给患者带来复杂的情绪结果。医生应引导中国患者访问高质量的专业网站，并在就诊和咨询期间花时间与患者讨论这些信息。
