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炎症性肠病患者的社交媒体使用情况及偏好

Social Media Use and Preferences in Patients With Inflammatory Bowel Disease.

作者信息

Reich Jason, Guo Ling, Groshek Jacob, Weinberg Janice, Chen Wenli, Martin Christopher, Long Millie D, Farraye Francis A

机构信息

Boston Medical Center, Section of Gastroenterology, Boston, MA, USA.

Emerging Media, Boston University, Boston, MA, USA.

出版信息

Inflamm Bowel Dis. 2019 Feb 21;25(3):587-591. doi: 10.1093/ibd/izy280.

Abstract

INTRODUCTION

There has been growing interest in social media use in managing chronic illnesses. The aim of this study was to assess social media usage in a large sample of patients with inflammatory bowel disease (IBD).

METHODS

We performed a cross-sectional study within the Crohn's and Colitis Foundation's IBD Partners' internet-based cohort. We used bivariate analyses to compare patient characteristics by various factors associated with social media utilization. We used logistic regression models to determine factors independently associated with using social media to obtain IBD-related information.

RESULTS

A total of 1960 IBD patients were included. Most respondents reported spending between 30 and 60 minutes on social media sites per day. Thirty-two percent of respondents agreed that social media could be useful for disease management. Most respondents agreed that social media should be used to connect patients with IBD-related organizations and to obtain IBD-related information online. Fifty percent of respondents could not rate the quality of IBD information posted online. Concerns surrounding social media use included privacy/confidentiality and lack of trust of information posted. The most frequently used social media website was Facebook. Thirty-two percent of respondents used social media at least once in the last week to obtain or post IBD-related content. Factors independently associated with social media use for IBD included female gender (odds ratio [OR] 1.43; 95% CI,1.10-1.87), age (OR 0.99; 95% CI, 0.98-1.00), remission (OR 0.63; 95% CI, 0.50-0.79), and a diagnosis of Crohn's disease (CD) rather than ulcerative colitis (UC) (OR 0.74; 95% CI, 0.58-0.93).

CONCLUSIONS

Patients with IBD in this cohort expressed a substantial interest in using social media to aid in disease management. Use was higher in younger patients, females, and patients with active disease. Most patients were unsure of the quality of information posted online, which represents opportunities for clinicians to guide patients to appropriate resources.

摘要

引言

社交媒体在慢性病管理中的应用越来越受到关注。本研究的目的是评估大量炎症性肠病(IBD)患者对社交媒体的使用情况。

方法

我们在克罗恩病和结肠炎基金会的IBD伙伴基于互联网的队列中进行了一项横断面研究。我们使用双变量分析按与社交媒体使用相关的各种因素比较患者特征。我们使用逻辑回归模型确定与通过社交媒体获取IBD相关信息独立相关的因素。

结果

共纳入1960例IBD患者。大多数受访者报告每天在社交媒体网站上花费30至60分钟。32%的受访者认为社交媒体对疾病管理有用。大多数受访者认为应使用社交媒体将IBD患者与相关组织联系起来,并在线获取IBD相关信息。50%的受访者无法对在线发布的IBD信息质量进行评分。对社交媒体使用的担忧包括隐私/保密性以及对所发布信息缺乏信任。最常使用的社交媒体网站是Facebook。32%的受访者在过去一周至少使用一次社交媒体来获取或发布IBD相关内容。与IBD患者使用社交媒体独立相关的因素包括女性(优势比[OR]1.43;95%置信区间[CI],1.10 - 1.87)、年龄(OR 0.99;95% CI,0.98 - 1.00)、缓解期(OR 0.63;95% CI,0.50 - 0.79)以及诊断为克罗恩病(CD)而非溃疡性结肠炎(UC)(OR 0.74;95% CI,0.58 - 0.93)。

结论

该队列中的IBD患者对使用社交媒体辅助疾病管理表现出浓厚兴趣。年轻患者、女性和患有活动性疾病的患者使用频率更高。大多数患者不确定在线发布信息的质量,这为临床医生引导患者获取合适资源提供了机会。

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