Laboratorio del Sueño del Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina.
Universidad Espíritu Santo, Samborondón, Ecuador; Respiralab, Respiralab Research Group, Guayaquil, Ecuador.
Int J Med Inform. 2022 Jun;162:104760. doi: 10.1016/j.ijmedinf.2022.104760. Epub 2022 Apr 4.
BACKGROUND: Obstructive sleep apnea (OSA) is a condition characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. An accessible method to facilitate self-management education is through information and communication technologies (ICTs). PURPOSE: To assess the frequency of and preferences for ICT use in patients with sleep apnea. METHODS: A multicenter, multinational, observational cross-sectional survey study was conducted between 2018 and 2019 in sleep units in different countries of Latin America, including patients of both genders older than 18 years with a diagnosis of sleep apnea. Participants were asked to complete 20 questions in a self-administered survey about the frequency of use of ICTs and their preferences for receiving disease-related information. RESULTS: A total of 435 patients participated in the study, with a mean age of 59.1 ± 14.0; 62.5% (n = 272) were males. Most patients had access to cellphones (92.4%, n = 402), smartphone (83.0%, n = 361) and an internet connection (82.3%, n = 358). One-to-one ICTs were regarded as the most frequently used ICT type, as 75.4% (n = 328) of participants reported using them daily (χ2(4) = 848.207, p =.000). With respect to categories of interest, one-to-one ICTs were also the best rated ICT type to receive (59.1%, n = 257; χ2(2) = 137.710, p =.000) and ask physicians (57.0%, n = 248; χ2(2) = 129.145, p =.000) information about OSA. Finally, older adults and those with lower educational levels were found to be less likely to use and be interested in ICTs. CONCLUSION: Most patients have access to different ICTs and often use them to seek and receive medical information. The preferred ICTs include those in the one-to-one category (WhatsApp, email) and the one-to-many category (web browsers) for general health and OSA-related information.
背景：阻塞性睡眠呼吸暂停（OSA）是一种以上气道反复发生部分或完全阻塞为特征的疾病，这种阻塞发生在睡眠期间。一种方便的自我管理教育方法是利用信息和通信技术（ICT）。
目的：评估睡眠呼吸暂停患者使用信息和通信技术的频率和偏好。
方法：这是一项在 2018 年至 2019 年期间在拉丁美洲不同国家的睡眠单位进行的多中心、多国、观察性横断面调查研究，包括来自不同国家的 18 岁以上的男性和女性睡眠呼吸暂停患者。参与者被要求在自我管理调查中完成 20 个问题，内容涉及他们使用信息和通信技术的频率及其对接收疾病相关信息的偏好。
结果：共有 435 名患者参与了这项研究，平均年龄为 59.1±14.0 岁；62.5%（n=272）为男性。大多数患者都有手机（92.4%，n=402）、智能手机（83.0%，n=361）和互联网连接（82.3%，n=358）。一对一信息和通信技术被认为是使用最频繁的信息和通信技术类型，因为 75.4%（n=328）的参与者每天都使用这些技术（χ2（4）=848.207，p=.000）。在感兴趣的类别方面，一对一信息和通信技术也是最受好评的接收（59.1%，n=257；χ2（2）=137.710，p=.000）和向医生询问 OSA 信息的信息和通信技术类型（57.0%，n=248；χ2（2）=129.145，p=.000）。最后，研究发现年龄较大和教育程度较低的成年人不太可能使用和对信息和通信技术感兴趣。
结论：大多数患者都可以使用不同的信息和通信技术，并且经常使用这些技术来寻找和接收医疗信息。首选的信息和通信技术包括一对一类别（WhatsApp、电子邮件）和一对多类别（网络浏览器），用于一般健康和 OSA 相关信息。
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World Allergy Organ J. 2020-10-30
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