网络健康信息与门诊患者健康焦虑关系研究

发布时间：2018-03-21 10:14

本文选题：健康信息搜索　切入点：健康焦虑　出处：《大连医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：描述门诊患者网络健康信息搜索行为的水平与特征，分析网络健康信息与门诊患者健康焦虑、躯体症状的关系，，评估网络健康信息搜索对患者就医行为的影响。方法：1、对象：2012年2月至2012年3月间，对沈阳市两所三甲医院的241例20-69岁门诊患者进行问卷调查。 2、调查问卷:采用自编问卷调查患者一般情况、网络健康信息搜索行为；健康相关网络使用问卷（Health-Related Internet Use Questionnaire）调查在线健康信息搜索者水平；采用病人健康问卷（Patient HealthQuestionnaore,PHQ-15）评估躯体症状严重程度、健康焦虑问卷（Health AnxietyQuestionnaire,HAQ）评估患者健康焦虑水平；采用统计性描述和Pearson相关分析，绘制回归曲线。结果： 1、人口学特征：（1）241例有效样本中，男性46.47%，女性53.53%；平均年龄为（45.92±12.86）岁，初中文化为主（50.20%），80.50%患慢性病。（2）网络健康信息搜索：门诊患者在工作和生活中使用网络的比例为41.49%，网上搜索健康信息的比例为33.61%，二者均为男性高于女性，并随年龄的增加、受教育程度的降低以及收入水平降低而降低。 2、网上搜索健康信息的特征：以为自己(95.06%)、亲属(67.90%)和朋友(18.52%)为主要目的；搜索引擎(91.36%)和浏览相关新闻和消息(23.46%)为主要搜索方式；症状信息(80.25%),描述他人相似经历的网页或论坛(30.86%)和疾病诊断信息(30.86%)为主要搜索内容；64.20%患者在医生诊断前上网搜索相关信息，34.57%患者认为搜索结果的顺序代表患病可能性的排序，（30.86%）患者上网搜索健康信息后对疾病的焦虑增加,48.75%患者曾根据网上搜索的信息对自己的疾病做出过诊断。 3、门诊患者的网络健康信息搜索评分与其健康焦虑和躯体化症状水平呈显著正相关,对健康或疾病高度关心的门诊患者上网搜索健康信息的频度/强度更高，躯体症状更多。结论： 1、门诊患者中上网和利用网络搜索健康信息的比例分别为41.49%和33.61%，网络健康信息搜索已经影响他们的就医行为。 2、门诊患者的网络健康信息搜索行为与健康焦虑和躯体症状显著相关。 3、网络搜索对不同健康或焦虑状况人群可能产生的影响可能存在巨大差异。
[Abstract]:Objective: to describe the level and characteristics of internet health information search in outpatients, analyze the relationship between network health information and health anxiety and somatic symptoms of outpatients, and evaluate the influence of internet health information search on patients seeking medical treatment. Methods: from February 2012 to March 2012, 241 outpatients aged 20 to 69 in two third Class A hospitals in Shenyang were investigated with questionnaires. 2. Questionnaire: the self-designed questionnaire was used to investigate the general situation of the patients, and the behavior of searching for the health information on the Internet; Health-Related Internet Use questionnaire (PHQ-15) was used to assess the severity of somatic symptoms, and Health anxiety questionnaire (Health anxiety questionnaire) was used to assess the health anxiety level of patients. The regression curve was drawn by statistical description and Pearson correlation analysis. Results:. 1. Demographic characteristics of 241 effective samples, male 46.47, female 53.53, mean age 45.92 卤12.86, 80.50% of the patients suffering from chronic diseases, 80.50% of them suffer from chronic diseases.) the proportion of outpatients using the network in their work and life is 41.49, and the proportion of searching for health information online is 33.61%. Both of them are higher in males than females and increase with age. Lower level of education and lower income. (2) the characteristics of searching for health information on the Internet: the main purpose of searching for health information is to think oneself 95.06g, relatives 67.90) and friends 18.52); search engine 91.36) and browse related news and news 23.46) are the main search methods; Symptom information 80.25A web page or forum describing similar experiences of others (30.86) and disease diagnosis information (30.86) are the main contents of the search. 64.20% of patients search the relevant information online before the doctor's diagnosis. 34.57% of the patients think that the order of search results represents the possibility of illness. After searching for health information, 48.75% of the patients had diagnosed their disease according to the information searched on the Internet. 3. The health information search scores of outpatients were positively correlated with their health anxiety and somatization symptoms. The outpatients who were highly concerned about health or diseases had higher frequency / intensity of searching for health information and more somatic symptoms. Conclusion:. 1. The proportion of outpatients who went online and searched for health information was 41.49% and 33.61 respectively, and the search for health information on the Internet had affected their behavior of seeking medical treatment. 2. The health information search behavior of outpatients was significantly correlated with health anxiety and somatic symptoms. 3. There may be great differences in the possible effects of web search on different health or anxiety groups.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R-05;R749.4

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