Välimäki Maritta, Kuosmanen Lauri, Hätönen Heli, Koivunen Marita, Pitkänen Anneli, Athanasopoulou Christina, Anttila Minna
Department of Nursing Science, Faculty of Medicine, University of Turku, Finland.
Development Unit, Turku University Hospital, Turku, Finland.
Neuropsychiatr Dis Treat. 2017 Apr 27;13:1201-1209. doi: 10.2147/NDT.S130818. eCollection 2017.
Information and communication technologies have been developed for a variety of health care applications and user groups in the field of health care. This study examined the connectivity to computers and the Internet among patients with schizophrenia spectrum disorders (SSDs).
A cross-sectional survey design was used to study 311 adults with SSDs from the inpatient units of two psychiatric hospitals in Finland. The data collection lasted for 20 months and was done through patients' medical records and a self-reported, structured questionnaire. Data analysis included descriptive statistics.
In total, 297 patients were included in this study (response rate =96%). More than half of them (n=156; 55%) had a computer and less than half of them (n=127; 44%) had the Internet at home. Of those who generally had access to computers and the Internet, more than one-fourth (n=85; 29%) used computers daily, and >30% (n=96; 33%) never accessed the Internet. In total, approximately one-fourth of them (n=134; 25%) learned to use computers, and less than one-third of them (n=143; 31%) were known to use the Internet by themselves. Older people (aged 45-65 years) and those with less years of education (primary school) tended not to use the computers and the Internet at all (<0.001), and younger people and those with higher education were associated with more active use.
Patients had quite good access to use computers and the Internet, and they mainly used the Internet to seek information. Social, occupational, and psychological functioning (which were evaluated with Global Assessment of Functioning) were not associated with access to and frequency of computer and the Internet use. The results support the use of computers and the Internet as part of clinical work in mental health care.
信息与通信技术已被开发用于医疗保健领域的各种应用和用户群体。本研究调查了精神分裂症谱系障碍（SSD）患者使用计算机和互联网的情况。
采用横断面调查设计，对芬兰两家精神病医院住院部的311名成年SSD患者进行研究。数据收集持续了20个月，通过患者病历和一份自我报告的结构化问卷进行。数据分析包括描述性统计。
本研究共纳入297名患者（应答率=96%）。其中一半以上（n=156；55%）家中有计算机，不到一半（n=127；44%）家中有互联网。在那些通常能够使用计算机和互联网的患者中，超过四分之一（n=85；29%）每天使用计算机，超过30%（n=96；33%）从未使用过互联网。总体而言，约四分之一（n=134；25%）的患者学会了使用计算机，不到三分之一（n=143；31%）的患者已知会自己使用互联网。年龄较大（45 - 65岁）和受教育年限较少（小学）的患者往往根本不使用计算机和互联网（<0.001），而年轻人和受过高等教育的患者使用更为频繁。
患者使用计算机和互联网的机会相当不错，他们主要利用互联网获取信息。社会、职业和心理功能（通过功能总体评定进行评估）与使用计算机和互联网的机会及频率无关。研究结果支持将计算机和互联网作为精神卫生保健临床工作的一部分加以应用。
