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[YouTube作为蛛网膜下腔麻醉、硬膜外麻醉及腰麻-硬膜外联合麻醉信息来源]

[YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia].

作者信息

Tulgar Serkan, Selvi Onur, Serifsoy Talat Ercan, Senturk Ozgur, Ozer Zeliha

机构信息

Maltepe University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.

Maltepe University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.

出版信息

Rev Bras Anestesiol. 2017 Sep-Oct;67(5):493-499. doi: 10.1016/j.bjan.2016.08.007. Epub 2017 May 18.

Abstract

INTRODUCTION

Social media as YouTube have become a part of daily life and many studies evaluated health-related YouTube videos. Our aim was to evaluate videos available on YouTube for the conformity to textbook information and their sufficiency as a source for patient information.

MATERIAL AND METHOD

A search of the YouTube website was performed using the keywords "spinal anesthesia, epidural anesthesia, combined spinal epidural anesthesia". Firstly, 180 videos were evaluated and the characteristics of the video were noted, and the features of the video too were noted if the video was regarding neuraxial anesthesia. Questionnaire 1 (Q1) evaluating the video quality relating to neuraxial anesthesia was designed using a textbook as reference and questionnaire 2 (Q2) was designed for evaluating patient information.

RESULTS

After exclusions, 40 videos were included in the study. There was no difference in Q1 or Q2 scores when videos were grouped into 4 quarters according to their appearance order, time since upload or views to length rate (p>0.05). There was no statistical difference between Q1 or Q2 scores for spinal, epidural or combined videos (p>0.05). Videos prepared by a healthcare institute have a higher score in both Questionnaires 1 and 2 (10.87±4.28 vs. 5.84±2.90, p=0.044 and 3.89±5.43 vs. 1.19±3.35, p=0.01 respectively).

CONCLUSION

Videos prepared by institutes, societies, etc. were of higher educational value, but were still very lacking. Videos should be prepared in adherence to available and up-to-date guidelines taking into consideration appropriate step by step explanation of each procedure, patient safety and frequently asked questions.

摘要

引言

像YouTube这样的社交媒体已成为日常生活的一部分,许多研究对与健康相关的YouTube视频进行了评估。我们的目的是评估YouTube上可获取的视频与教科书信息的符合程度以及它们作为患者信息来源的充分性。

材料与方法

使用关键词“脊髓麻醉、硬膜外麻醉、腰麻-硬膜外联合麻醉”在YouTube网站上进行搜索。首先,评估了180个视频,记录了视频的特征,如果视频涉及椎管内麻醉,还记录了视频的特点。以教科书为参考设计了评估椎管内麻醉视频质量的问卷1(Q1),并设计了问卷2(Q2)用于评估患者信息。

结果

排除后,40个视频纳入研究。根据视频出现顺序、上传时间或观看时长比将视频分为4个季度时,Q1或Q2得分无差异(p>0.05)。脊髓麻醉、硬膜外麻醉或联合麻醉视频的Q1或Q2得分之间无统计学差异(p>0.05)。由医疗机构制作的视频在问卷1和问卷2中的得分均较高(分别为10.87±4.28对5.84±2.90,p=0.044;3.89±5.43对1.19±3.35,p=0.01)。

结论

由机构、协会等制作的视频具有较高的教育价值,但仍非常匮乏。应按照现有和最新指南制作视频,同时考虑对每个操作步骤进行适当的逐步解释、患者安全和常见问题解答。

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