Gajjar Avi A, Salem Mohamed M, Hou Neo Y, Davis Ryan Michael, Le Anthony Huy Dinh, Jankowitz Brian T, Burkhardt Jan Karl
Department of Neurosurgery, Hospital of the University of Pennsylvania, Penn Medicine, Philadelphia, PA, USA.
Interv Neuroradiol. 2023 Apr 12:15910199231167914. doi: 10.1177/15910199231167914.
Social media serves as a way for patients to post about their condition online, as well as for healthcare providers to disseminate information. Intrinsic bias exists exist when patients are given surveys by physicians or healthcare providers. We aim to investigate patient-centered social media posts regarding cerebral aneurysms on Instagram, Twitter, and TikTok.
Posts that included "brain aneurysm", "#brainaneurysm", "#brainaneurysmsurvivor", and "#aneurysmsurvivor" were queried on Instagram, Twitter, and TikTok. Any posts unrelated to the patient experience were excluded. Five hundred and fourteen Instagram posts, fourty tweets, and five hundred seventy three TikTok posts about the patient experience were identified. Posts were coded for the relevant themes related to their experience with the disease.
Most posts made online were by women (892, 82.1%). Patients made the post most of the time (776, 67.5%), while other individuals posted less often (420, 36.5%). The most common themes on Instagram were survival (475, 87.3%), spreading positivity (385, 70.77%), and recovery/rehabilitation (329, 60.5%). TikTok users most often referred to survival (573, 97.1%), raising awareness (464. 78.6%), and spreading positivity (414, 70.2%). Patients were more likely to discuss pre-operative pain (p = 0.0382), postoperative pain (p < 0.0001), invisible illness (p = 0.0130), humor (p = 0.0028), recovery (p < 0.0001), angiograms (p < 0.0001), and resiliency (p < 0.0001) when compared to other individuals posting about a patients' experience.
Patients often focus on different aspects of their care than do other individuals. This may be useful for physicians discussing treatment plans and prognoses with the patient and their families.
社交媒体是患者在线发布自身病情的一种方式,也是医疗服务提供者传播信息的途径。当患者接受医生或医疗服务提供者的调查时,存在内在偏差。我们旨在调查Instagram、Twitter和TikTok上以患者为中心的关于脑动脉瘤的社交媒体帖子。
在Instagram、Twitter和TikTok上查询包含“脑动脉瘤”“#脑动脉瘤”“#脑动脉瘤幸存者”和“#动脉瘤幸存者”的帖子。排除任何与患者经历无关的帖子。确定了514条关于患者经历的Instagram帖子、40条推文和573条TikTok帖子。对帖子进行编码,以确定与他们疾病经历相关的主题。
网上发布的大多数帖子是女性发布的(892条,82.1%)。大多数时候是患者自己发布帖子(776条,67.5%),而其他个人发布的频率较低(420条,36.5%)。Instagram上最常见的主题是生存(475条,87.3%)、传播正能量(385条,70.77%)和康复/恢复(329条,60.5%)。TikTok用户最常提到的是生存(573条,97.1%)、提高认识(464条,78.6%)和传播正能量(414条,70.2%)。与其他发布患者经历的个人相比,患者更有可能讨论术前疼痛(p = 0.0382)、术后疼痛(p < 0.0001)、隐形疾病(p = 0.0130)、幽默(p = 0.0028)、恢复(p < 0.0001)、血管造影(p < 0.0001)和恢复力(p < 0.0001)。
患者通常关注的护理方面与其他个人不同。这可能有助于医生与患者及其家属讨论治疗计划和预后。