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在肾病患者中应对 COVID-19 信息疫情:获取和信任健康信息来源与焦虑和抑郁的关联。

Navigating the COVID-19 infodemic in those living with kidney disease: access and trust in health information sources and the association with anxiety and depression.

机构信息

Department of Health Sciences, University of Leicester, Leicester, UK.

NIHR Applied Research Collaboration (ARC) - East Midlands, Leicester Diabetes Centre, Leicester, UK.

出版信息

Curr Med Res Opin. 2022 Jan;38(1):35-42. doi: 10.1080/03007995.2021.1984221. Epub 2021 Oct 15.

DOI:10.1080/03007995.2021.1984221
PMID:34551667
Abstract

OBJECTIVE

During COVID-19, access to trustworthy news and information is vital to help people understand the crisis. The consumption of COVID-19-related information is likely an important factor associated with the increased anxiety and psychological distress that has been observed. We aimed to understand how people living with a kidney condition access information about COVID-19 and how this impacts their anxiety, stress and depression.

METHODS

Participants living with chronic kidney disease (CKD) were recruited from 12 sites across England, UK. Respondents were asked to review how often they accessed and trusted 11 sources of potential COVID-19 information. The Depression, Anxiety and Stress Scale-21 Items was used to measure depression, anxiety and stress. The 14-item Short Health Anxiety Inventory measured health anxiety.

RESULTS

A total of 236 participants were included (age 62.8 [11.3] years, male [56%], transplant recipients [51%], non-dialysis [49%]). The most frequently accessed source of health information was television/radio news, followed by official government press releases and medical institution press releases. The most trusted source was via consultation with healthcare staff. Higher anxiety, stress and depression were associated with less access and trust in official government press releases. Education status had a large influence on information trust and access.

CONCLUSIONS

Traditional forms of media remain a popular source of health information in those living with kidney conditions. Interactions with healthcare professionals were the most trusted source of health information. Our results provide evidence for problematical associations of COVID-19 related information exposure with psychological strain and could serve as an orientation for recommendations.

摘要

目的

在 COVID-19 期间,获取可靠的新闻和信息对于帮助人们了解这场危机至关重要。与 COVID-19 相关的信息的消费很可能是与观察到的焦虑和心理困扰增加有关的一个重要因素。我们旨在了解患有肾脏疾病的人如何获取有关 COVID-19 的信息,以及这如何影响他们的焦虑、压力和抑郁。

方法

参与者从英国英格兰的 12 个地点招募了患有慢性肾脏病(CKD)的患者。要求受访者评估他们经常访问和信任的 11 种潜在 COVID-19 信息来源的频率。使用 21 项抑郁、焦虑和压力量表评估抑郁、焦虑和压力。使用 14 项短健康焦虑量表测量健康焦虑。

结果

共纳入 236 名参与者(年龄 62.8 [11.3]岁,男性[56%],移植受者[51%],非透析[49%])。最常访问的健康信息来源是电视/广播新闻,其次是官方政府新闻稿和医疗机构新闻稿。最受信任的来源是咨询医疗保健人员。焦虑、压力和抑郁程度较高与较少访问和信任官方政府新闻稿有关。教育程度对信息信任和获取有很大影响。

结论

传统媒体仍然是患有肾脏疾病的人获取健康信息的热门来源。与医疗保健专业人员的互动是最受信任的健康信息来源。我们的研究结果为 COVID-19 相关信息暴露与心理压力之间存在问题性关联提供了证据,并可为建议提供参考。

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