Koenig Scott, Nadarajah Vidushan, Smuda Michael P, Meredith Sean, Packer Jonathan D, Henn R Frank
Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.
Orthop J Sports Med. 2018 Sep 20;6(9):2325967118796469. doi: 10.1177/2325967118796469. eCollection 2018 Sep.
Current research is sparse regarding how patients with orthopaedic injuries perceive and use internet-based information resources.
The majority of patients use the internet to research their orthopaedic condition and are receptive to guidance from their provider.
Cross-sectional study.
A total of 213 patients attending a sports medicine clinic on the East Coast of the United States were asked to complete a questionnaire regarding their use of internet-based information. Data from 185 patients were available for analysis. Bivariate and multivariate statistical analyses were used to determine the significance of identified associations.
Overall, 54% of patients used the internet to find information about their orthopaedic condition prior to their consultation. A higher percentage of internet users were women ( = .01), were white ( = .03), and had internet access at home ( = .02). Multivariable analysis found home internet access to be the only significant independent factor predictive of patients using internet-based information sources ( < .01). The majority of patients (61%) were neutral toward orthopaedic information found online, and only 32% of patients trusted the orthopaedic information they found online. The majority of patients (83%) reported they would be receptive to providers' guidance on which internet resources to use.
Only half of patients use the internet to research their orthopaedic condition. Most patients were either neutral toward or did not trust the internet-based information that they found and may forgo internet sources altogether. To help patients avoid misleading information, sports medicine providers should understand how patients are using the internet and guide patients in selecting high-quality, peer-reviewed sources of information. Doing so allows physicians to proactively educate their patients even after the clinic visit.
目前关于骨科损伤患者如何看待和使用基于互联网的信息资源的研究较少。
大多数患者使用互联网来研究他们的骨科病情,并接受医生的指导。
横断面研究。
共邀请了213名在美国东海岸一家运动医学诊所就诊的患者填写一份关于他们使用基于互联网信息的问卷。185名患者的数据可供分析。采用双变量和多变量统计分析来确定所确定关联的显著性。
总体而言,54%的患者在就诊前使用互联网查找有关其骨科病情的信息。互联网用户中女性比例更高(P = 0.01),白人比例更高(P = 0.03),且家中可上网的比例更高(P = 0.02)。多变量分析发现,家中可上网是预测患者使用基于互联网信息来源的唯一显著独立因素(P < 0.01)。大多数患者(61%)对网上找到的骨科信息持中立态度,只有32%的患者信任他们在网上找到的骨科信息。大多数患者(83%)表示他们愿意接受医生关于使用哪些互联网资源的指导。
只有一半的患者使用互联网来研究他们的骨科病情。大多数患者对他们找到的基于互联网的信息持中立态度或不信任,甚至可能完全放弃互联网资源。为帮助患者避免误导性信息,运动医学医生应了解患者如何使用互联网,并指导患者选择高质量、经过同行评审的信息来源。这样做可以使医生即使在门诊就诊后也能积极主动地对患者进行教育。