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利用人工智能驱动的聊天机器人获取围手术期健康信息:一项针对骨科患者及其家属的描述性定性研究

Utilisation of AI-driven chatbots for perioperative health information seeking: a descriptive qualitative study of orthopaedic patients and family members.

作者信息

Chen Tao, Li Qiang, Zhao Deng, Zhang Wenjing, Chen Yong, Yang Jindong, Pu Chun, Fu Qiang

机构信息

Department of Anesthesiology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, People's Republic of China

Department of Anesthesiology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, People's Republic of China.

出版信息

BMJ Open. 2025 Sep 4;15(9):e099824. doi: 10.1136/bmjopen-2025-099824.

Abstract

OBJECTIVE

This study aimed to explore orthopaedic patients' and families' experiences with artificial intelligence (AI)-driven chatbots for perioperative health information, focusing on usability, effectiveness and perceptions.

DESIGN

A descriptive qualitative design was employed.

SETTING

This study was conducted at a regional care centre for orthopaedics.

PARTICIPANTS

We recruited 13 participants (patients undergoing orthopaedic surgeries and family members) through purposive sampling. Face-to-face semistructured interviews were conducted to capture participants' experiences and insights. Data collection was concluded when data saturation was achieved. All interviews were audio recorded and transcribed verbatim within 24 hours. Transcripts were verified and analysed using the Colaizzi's data analysis method.

RESULTS

Four themes emerged from interviews, including: (1) preference of AI chatbots over search engines; (2) improved accessibility and quality of information; (3) preference of AI over human interactions and (4) importance of effective prompting.

CONCLUSIONS

AI-driven chatbots offer a promising adjunct to perioperative patient education by delivering immediate, tailored guidance that overcomes the limitations of conventional search engines and busy clinical settings. Study participants valued chatbots' efficient, context-sensitive retrieval, professional-level advice and non-judgmental interactions, which fostered trust and reduced anxiety. Effective prompting emerged as a key user skill, directly shaping response relevance and accuracy. Chatbot-generated health information should be regularly reviewed for accuracy. Structured tutorials may be offered for user capacity building.

摘要

目的

本研究旨在探讨骨科患者及其家属使用人工智能(AI)驱动的聊天机器人获取围手术期健康信息的体验,重点关注可用性、有效性和认知。

设计

采用描述性定性设计。

地点

本研究在一家地区骨科护理中心进行。

参与者

我们通过目的抽样招募了13名参与者(接受骨科手术的患者及其家属)。进行了面对面的半结构化访谈,以了解参与者的体验和见解。当达到数据饱和时结束数据收集。所有访谈均进行了录音,并在24小时内逐字转录。使用科拉齐(Colaizzi)的数据分析方法对转录本进行验证和分析。

结果

访谈中出现了四个主题,包括:(1)相较于搜索引擎,更喜欢AI聊天机器人;(2)信息的可及性和质量得到改善;(3)相较于人际互动,更喜欢AI;(4)有效提示的重要性。

结论

AI驱动的聊天机器人通过提供即时、量身定制的指导,克服了传统搜索引擎和繁忙临床环境的局限性,为围手术期患者教育提供了一个有前景的辅助手段。研究参与者重视聊天机器人高效、上下文敏感的检索、专业水平的建议和无评判性的互动,这些促进了信任并减轻了焦虑。有效提示成为一项关键的用户技能,直接影响回答的相关性和准确性。应定期审查聊天机器人生成的健康信息的准确性。可以提供结构化教程以进行用户能力建设。

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