Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Research, SingHealth Polyclinics, Singapore.
Fam Pract. 2023 Dec 22;40(5-6):796-804. doi: 10.1093/fampra/cmad034.
Online health information (OHI) has been shown to influence patients' health decisions and behaviours. OHI about statins has created confusion among healthcare professionals and the public. This study explored the views and experiences of patients with high cardiovascular risk on OHI-seeking about statins and how OHI influenced their decision.
This was a qualitative study using semi-structured in-depth interviews. An interpretive description approach with thematic analysis was used for data analysis.
An urban primary care clinic in Kuala Lumpur, Malaysia.
Patients aged 18 years and above who had high cardiovascular risk and sought OHI on statins were recruited.
A total of 20 participants were interviewed. The age of the participants ranged from 38 to 74 years. Twelve (60%) participants took statins for primary cardiovascular disease prevention. The duration of statin use ranged from 2 weeks to 30 years. Six themes emerged from the data analysis: (i) seeking OHI throughout the disease trajectory, (ii) active and passive approaches to seeking OHI, (iii) types of OHI, (iv) views about statin-related OHI, (v) influence of OHI on patients' health decisions, and (vi) patient-doctor communication about OHI.
This study highlights the changing information needs throughout patient journeys, suggesting the opportunity to provide needs-oriented OHI to patients. Unintentional passive exposure to OHI appears to have an influence on patients' adherence to statins. The quality of patient-doctor communication in relation to OHI-seeking behaviour remains a critical factor in patient decision-making.
在线健康信息（OHI）已被证明会影响患者的健康决策和行为。关于他汀类药物的 OHI 已经让医疗保健专业人员和公众感到困惑。本研究探讨了具有高心血管风险的患者对他汀类药物 OHI 搜索的看法和经验，以及 OHI 如何影响他们的决策。
这是一项使用半结构式深入访谈的定性研究。采用解释性描述方法和主题分析进行数据分析。
马来西亚吉隆坡的一个城市初级保健诊所。
招募了年龄在 18 岁及以上、具有高心血管风险并寻求 OHI 他汀类药物信息的患者。
共有 20 名参与者接受了采访。参与者的年龄范围从 38 岁到 74 岁。其中 12 名（60%）参与者因主要心血管疾病预防而服用他汀类药物。他汀类药物的使用时间从 2 周到 30 年不等。数据分析得出了六个主题：（i）在整个疾病过程中寻求 OHI，（ii）主动和被动寻求 OHI 的方法，（iii）OHI 的类型，（iv）对他汀类药物相关 OHI 的看法，（v）OHI 对患者健康决策的影响，以及（vi）患者与医生关于 OHI 的沟通。
本研究强调了患者在整个旅程中不断变化的信息需求，这表明有机会为患者提供面向需求的 OHI。无意的被动接触 OHI 似乎对患者服用他汀类药物的依从性产生了影响。与 OHI 搜索行为相关的医患沟通质量仍然是患者决策的关键因素。
