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YouTube 上造口术相关患者教育视频的定性分析。

A Qualitative Analysis of Ostomy-Related Patient Education Videos on YouTube.

机构信息

At Medipol University in Istanbul, Turkey, Pelin Basim, MD, is Faculty, Department of General Surgery; and Derya Argun, MD, is Faculty, Department of Internal Medicine. The authors have disclosed no financial relationships related to this article. Submitted October 9, 2020; accepted in revised form December 7, 2020.

出版信息

Adv Skin Wound Care. 2021 Jun 1;34(6):314-320. doi: 10.1097/01.ASW.0000744340.11915.93.

Abstract

OBJECTIVE

To analyze the content, reliability, and quality of the most viewed YouTube videos targeting patients with ostomies intending to learn about ostomy care (OC).

METHODS

Using the keywords "stoma care," "colostomy care," and "ileostomy care," researchers assessed the publicly visible English-language ostomy patient education videos available on YouTube. A total of 84 videos were independently analyzed by two physicians experienced in OC. Data on video characteristics, source, content, reliability, and quality were collected and recorded for each video separately.

RESULTS

Of the 84 videos analyzed, 49 were classified as useful (58.33%) and 35 as misleading (41.66%). There were statistically significant differences between the groups in terms of the time elapsed since upload (P < .017), reliability (P < .001), comprehensiveness (P < .001), Global Quality Scale scores (P < .001), source (P < .001), and lecturer types (P < .011). The reliability, comprehensiveness, and Global Quality Scale scores were statistically higher for videos uploaded by universities, professional healthcare communities, and nonprofit physicians (P < .001). However, the popularity of the OC videos posted on YouTube was not related to their reliability, comprehensiveness, or quality.

CONCLUSIONS

The open-access nature of the YouTube platform may impair patient education video quality and accuracy. YouTube may be an additional educational tool for OC, but clinicians need to be familiar with specific and reliable resources to guide and educate new patients with ostomies to achieve the best outcomes.

摘要

目的

分析针对有造口术患者的造口护理(OC)学习目的的最受欢迎的 YouTube 视频的内容、可靠性和质量。

方法

研究人员使用“造口护理”、“结肠造口护理”和“回肠造口护理”等关键词,评估了 YouTube 上公开的英语造口病患者教育视频。两位有 OC 经验的医生分别独立分析了总共 84 个视频。为每个视频分别收集和记录了视频特征、来源、内容、可靠性和质量的数据。

结果

在所分析的 84 个视频中,有 49 个被归类为有用(58.33%),35 个被归类为误导(41.66%)。在上传后时间(P <.017)、可靠性(P <.001)、全面性(P <.001)、全球质量评分(P <.001)、来源(P <.001)和讲师类型(P <.011)方面,两组之间存在统计学差异。上传视频来自大学、专业医疗保健社区和非营利医生的视频在可靠性、全面性和全球质量评分方面具有统计学意义更高(P <.001)。然而,YouTube 上 OC 视频的受欢迎程度与其可靠性、全面性或质量无关。

结论

YouTube 平台的开放获取性质可能会损害患者教育视频的质量和准确性。YouTube 可能是 OC 的另一个教育工具,但临床医生需要熟悉特定和可靠的资源,以指导和教育新的造口患者,以获得最佳结果。

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