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一项针对肠易激综合征患者的使用标准化测量的比较:对胃肠病学家的信任和对互联网的依赖。

A comparison using standardized measures for patients with irritable bowel syndrome: Trust in the gastroenterologist and reliance on the internet.

机构信息

University of Medicine and Pharmacy «Gr. T. Popa» Iași, Iași, Romania.

University of Oradea, 1st Medical Clinic, Romania.

出版信息

Neurogastroenterol Motil. 2021 May;33(5):e13977. doi: 10.1111/nmo.13977. Epub 2020 Sep 1.

Abstract

BACKGROUND

Irritable bowel syndrome (IBS) patients' use of the Internet for health information interacts with the way they trust their gastroenterologist. No standardized measure has targeted IBS patients and gastroenterologists specifically, nor their use of the Internet. The aims of this paper were as follows: the development of a scale that measures an IBS patient's trust in their gastroenterologist, the development of a scale measuring an IBS patient's reliance on Internet health information, and testing the hypothesis that IBS patients, who use the Internet for IBS-related information, trust their gastroenterologist less than those who do not.

METHOD

A total of 82 patients (mean age 49, SD = 14.62) diagnosed with IBS completed two questionnaires: one about trust in their gastroenterologist and the other about the reliance on Internet health information regarding IBS. The two questionnaires were built using current literature as well as our previous qualitative research. The statistical computations were performed using the SPSS 20 program.

KEY RESULTS

Both questionnaires proved to be reliable in measuring gastroenterologist-IBS patient trust (alpha = 0.87) and Internet information reliance (alpha = 0.88), respectively. The IBS patients who did not look for information about IBS over the Internet had significantly higher trust in their gastroenterologist compared with those who did (U = 535.5; z = -2.26; P < 0.05).

CONCLUSIONS

We developed two ready-to-use scales to measure both the gastroenterologist-IBS patient's trust and the IBS patient's reliance on the Internet. Further studies will be able to explore the interaction among all variables in IBS patients' trust.

摘要

背景

肠易激综合征(IBS)患者使用互联网获取健康信息的方式与其对胃肠病学家的信任方式相互作用。目前还没有专门针对 IBS 患者和胃肠病学家的标准化测量方法,也没有针对他们使用互联网的测量方法。本文的目的如下:开发一种测量 IBS 患者对胃肠病学家信任程度的量表,开发一种测量 IBS 患者对互联网健康信息依赖程度的量表,并验证 IBS 患者是否会因为使用互联网获取与 IBS 相关的信息而对其胃肠病学家的信任程度降低的假设。

方法

共有 82 名(平均年龄 49 岁,标准差=14.62)被诊断为 IBS 的患者完成了两份问卷:一份是关于对他们的胃肠病学家的信任,另一份是关于对互联网上与 IBS 相关的健康信息的依赖。这两份问卷是使用当前文献以及我们之前的定性研究构建的。统计计算是使用 SPSS 20 程序进行的。

主要结果

这两份问卷在测量胃肠病学家-肠易激综合征患者信任(alpha=0.87)和互联网信息依赖(alpha=0.88)方面都被证明是可靠的。与没有在互联网上寻找 IBS 相关信息的患者相比,那些在互联网上寻找 IBS 相关信息的患者对他们的胃肠病学家的信任度显著较低(U=535.5;z=-2.26;P<0.05)。

结论

我们开发了两种现成的量表,分别用于测量胃肠病学家-肠易激综合征患者的信任和肠易激综合征患者对互联网的依赖。进一步的研究将能够探索肠易激综合征患者信任的所有变量之间的相互作用。

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