Hanna Gabriel, Batko Brian D, Potter James, Ippolito Joseph, Edobor-Osula Folorunsho
Department of Orthopaedic Surgery, New Jersey Medical School, Newark, USA.
J Child Orthop. 2021 Feb 1;15(1):81-88. doi: 10.1302/1863-2548.15.200176.
Clubfoot is the most common congenital foot deformity in children. Caregivers often seek medical information on the internet. The aim of the study was to characterize how social media is used by caregivers to access medical information.
A search was performed on Facebook, Twitter and YouTube platforms. Information was quantitatively assessed. Comments were qualitatively assessed, and the Kruskal-Wallis test was used to study thematic comment distribution.
In total, 58 Facebook groups and pages, 109 YouTube accounts and ten Twitter accounts related to clubfoot were discovered from 2007 to 2019. Facebook groups and pages had a collective 56 123 members and 80 544 total likes, respectively. YouTube had a collective 3 280 454 views, with 54 969 total comments throughout the accounts. Comment themes most commonly included sharing information and advice (38.7%), appreciation and success stories (12.8%), emotional support (12.7%) and social media as a second opinion (11.9%). Facebook groups contained a significantly higher number of comments related to 'social media as a second opinion' compared with Facebook pages (p = 0.001), Twitter (p = 0.016) and YouTube (p < 0.0001) while YouTube contained a significantly lower number of comments related to 'sharing information' compared with Facebook groups, pages and Twitter (p < 0.0001).
Social media continues to be a growing tool for information sharing and the findings of this study highlight the importance placed by caregivers on the advice of their peers. The online presence of caregivers may represent an opportunity for orthopaedic surgeons to communicate with patients and help them make informed decisions.
IV.
马蹄内翻足是儿童中最常见的先天性足部畸形。护理人员经常在互联网上寻求医疗信息。本研究的目的是描述护理人员如何利用社交媒体获取医疗信息。
在脸书、推特和优兔平台上进行搜索。对信息进行定量评估。对评论进行定性评估，并使用克鲁斯卡尔 - 沃利斯检验来研究主题评论分布。
在2007年至2019年期间，共发现58个与马蹄内翻足相关的脸书群组和页面、109个优兔账户以及10个推特账户。脸书群组和页面分别有56123名成员和80544个总赞数。优兔的视频总观看量为3280454次，各账户的评论总数为54969条。评论主题最常见的包括分享信息和建议（38.7%）、感谢和成功故事（12.8%）、情感支持（12.7%）以及将社交媒体作为第二种意见（11.9%）。与脸书页面（p = 0.001）、推特（p = 0.016）和优兔（p < 0.0001）相比，脸书群组中与“将社交媒体作为第二种意见”相关的评论数量显著更多，而与脸书群组、页面和推特相比，优兔中与“分享信息”相关的评论数量显著更少（p < 0.0001）。
社交媒体仍然是一个不断发展的信息共享工具，本研究结果突出了护理人员对同伴建议的重视。护理人员在网络上的存在可能为骨科医生与患者沟通并帮助他们做出明智决策提供了一个机会。
四级
