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患者在推特上如何描述他们的乳房X光检查经历?

What Do Patients Tweet About Their Mammography Experience?

作者信息

Rosenkrantz Andrew B, Labib Anthony, Pysarenko Kristine, Prabhu Vinay

机构信息

Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY 10016.

Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY 10016.

出版信息

Acad Radiol. 2016 Nov;23(11):1367-1371. doi: 10.1016/j.acra.2016.07.012. Epub 2016 Sep 19.

DOI:10.1016/j.acra.2016.07.012
PMID:27658329
Abstract

RATIONALE AND OBJECTIVE

The purpose of this study was to evaluate themes related to patients' experience in undergoing mammography, as expressed on Twitter.

METHODS

A total of 464 tweets from July to December 2015 containing the hashtag #mammogram and relating to a patient's experience in undergoing mammography were reviewed.

RESULTS

Of the tweets, 45.5% occurred before the mammogram compared to 49.6% that occurred afterward (remainder of tweets indeterminate). However, in patients undergoing their first mammogram, 32.8% occurred before the examination, whereas in those undergoing follow-up mammogram, 53.0% occurred before the examination. Identified themes included breast compression (24.4%), advising other patients to undergo screening (23.9%), recognition of the health importance of the examination (18.8%), the act of waiting (10.1%), relief regarding results (9.7%), reflection that the examination was not that bad (9.1%), generalized apprehension regarding the examination (8.2%), interactions with staff (8.0%), the gown (5.0%), examination costs or access (3.4%), offering or reaching out for online support from other patients (3.2%), perception of screening as a sign of aging (2.4%), and the waiting room or waiting room amenities (1.3%). Of the tweets, 31.9% contained humor, of which 56.1% related to compression. Themes that were more common in patients undergoing their first, rather than follow-up, mammogram included breast compression (16.4% vs 9.1%, respectively) and that the test was not that bad (26.2% vs 7.6%, respectively).

CONCLUSION

Online social media provides a platform for women to share their experiences and reactions in undergoing mammography, including humor, positive reflections, and encouragement of others to undergo the examination. Social media thus warrants further evaluation as a potential tool to help foster greater adherence to screening guidelines.

摘要

原理与目的

本研究旨在评估推特上所表达的与患者乳腺钼靶检查经历相关的主题。

方法

回顾了2015年7月至12月期间共464条包含#乳腺钼靶#标签且与患者乳腺钼靶检查经历相关的推文。

结果

在这些推文中,45.5%发生在乳腺钼靶检查之前,49.6%发生在检查之后(其余推文情况不确定)。然而,在进行首次乳腺钼靶检查的患者中,32.8%的推文发生在检查之前,而在进行后续乳腺钼靶检查的患者中,53.0%的推文发生在检查之前。确定的主题包括乳房压迫(24.4%)、建议其他患者进行筛查(23.9%)、认识到检查对健康的重要性(18.8%)、等待行为(10.1%)、对检查结果的宽慰(9.7%)、觉得检查并没有那么糟糕(9.1%)、对检查的普遍担忧(8.2%)、与工作人员的互动(8.0%)、检查服(5.0%)、检查费用或可及性(3.4%)、向其他患者提供或寻求在线支持(3.2%)、将筛查视为衰老标志的认知(2.4%)以及候诊室或候诊室设施(1.3%)。在推文中,31.9%包含幽默元素,其中56.1%与乳房压迫有关。在进行首次而非后续乳腺钼靶检查的患者中更常见的主题包括乳房压迫(分别为16.4%和9.1%)以及检查并没有那么糟糕(分别为26.2%和7.6%)。

结论

在线社交媒体为女性提供了一个分享她们乳腺钼靶检查经历和反应的平台,包括幽默、积极的思考以及鼓励他人进行检查。因此,社交媒体作为一种潜在工具,有助于提高对筛查指南的依从性,值得进一步评估。

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