Author Affiliation: Walden University, College of Nursing, Minneapolis, Minnesota.
Comput Inform Nurs. 2020 Jul 24;39(2):89-96. doi: 10.1097/CIN.0000000000000660.
Social media use related to chronic disease has become pervasive, yet little research has been done to examine how social media is currently used by healthcare consumers or how to best use various social media platforms to improve health outcomes. The purpose of this study was to gain an understanding of Instagram use for image sharing related to #rheumatoidarthritis. A visual ethnography approach using content analysis was completed. Images for analysis (n = 106) were randomly selected, using the Instagram public search feature, during seven distinct periods. Content analysis, conducted by two coders, was used to identify categories and provide a sentiment analysis of the images. Approximately 75% of the images were determined to be positive by both coders. Social interaction and self-expression were the most frequently identified categories, suggesting that individuals use Instagram primarily for sharing awareness, sharing encouragement, and self-expression regarding rheumatoid arthritis. This finding is consistent with the use of Instagram for social networking and self-promotion. This study reveals new insights about how Instagram serves as a social, personal, and health-related information sharing platform particularly for those who may be socially isolated due to rheumatoid arthritis.
社交媒体在慢性病中的应用已经非常普遍，但很少有研究探讨医疗消费者如何使用社交媒体，以及如何最好地利用各种社交媒体平台来改善健康结果。本研究旨在了解 Instagram 在与 #类风湿关节炎 相关的图像分享方面的使用情况。采用内容分析法进行了视觉民族志研究。在七个不同的时间段内，使用 Instagram 的公共搜索功能随机选择了用于分析的图像（n=106）。由两名编目人员进行内容分析，以确定类别并对图像进行情感分析。两名编目人员均确定约 75%的图像为正面。社交互动和自我表达是最常被识别的类别，这表明个人主要使用 Instagram 来分享对类风湿关节炎的认识、分享鼓励和自我表达。这一发现与 Instagram 用于社交网络和自我推广的用途一致。这项研究揭示了有关 Instagram 如何作为一个社交、个人和与健康相关的信息共享平台的新见解，特别是对于那些可能因类风湿关节炎而感到社交孤立的人。
