本文選題：健康信息搜索　切入點(diǎn)：健康焦慮　出處：《大連醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：描述門診患者網(wǎng)絡(luò)健康信息搜索行為的水平與特征，分析網(wǎng)絡(luò)健康信息與門診患者健康焦慮、軀體癥狀的關(guān)系，，評(píng)估網(wǎng)絡(luò)健康信息搜索對(duì)患者就醫(yī)行為的影響。 方法：1、對(duì)象：2012年2月至2012年3月間，對(duì)沈陽(yáng)市兩所三甲醫(yī)院的241例20-69歲門診患者進(jìn)行問(wèn)卷調(diào)查。 2、調(diào)查問(wèn)卷:采用自編問(wèn)卷調(diào)查患者一般情況、網(wǎng)絡(luò)健康信息搜索行為； 健康相關(guān)網(wǎng)絡(luò)使用問(wèn)卷（Health-Related Internet Use Questionnaire）調(diào)查在線健康信息搜索者水平；采用病人健康問(wèn)卷（Patient HealthQuestionnaore,PHQ-15）評(píng)估軀體癥狀嚴(yán)重程度、健康焦慮問(wèn)卷（Health AnxietyQuestionnaire,HAQ）評(píng)估患者健康焦慮水平；采用統(tǒng)計(jì)性描述和Pearson相關(guān)分析，繪制回歸曲線。 結(jié)果： 1、人口學(xué)特征：（1）241例有效樣本中，男性46.47%，女性53.53%；平均年齡為（45.92±12.86）歲，初中文化為主（50.20%），80.50%患慢性病。（2）網(wǎng)絡(luò)健康信息搜索：門診患者在工作和生活中使用網(wǎng)絡(luò)的比例為41.49%，網(wǎng)上搜索健康信息的比例為33.61%，二者均為男性高于女性，并隨年齡的增加、受教育程度的降低以及收入水平降低而降低。 2、網(wǎng)上搜索健康信息的特征：以為自己(95.06%)、親屬(67.90%)和朋友(18.52%)為主要目的；搜索引擎(91.36%)和瀏覽相關(guān)新聞和消息(23.46%)為主要搜索方式；癥狀信息(80.25%),描述他人相似經(jīng)歷的網(wǎng)頁(yè)或論壇(30.86%)和疾病診斷信息(30.86%)為主要搜索內(nèi)容；64.20%患者在醫(yī)生診斷前上網(wǎng)搜索相關(guān)信息，34.57%患者認(rèn)為搜索結(jié)果的順序代表患病可能性的排序，（30.86%）患者上網(wǎng)搜索健康信息后對(duì)疾病的焦慮增加,48.75%患者曾根據(jù)網(wǎng)上搜索的信息對(duì)自己的疾病做出過(guò)診斷。 3、門診患者的網(wǎng)絡(luò)健康信息搜索評(píng)分與其健康焦慮和軀體化癥狀水平呈顯著正相關(guān),對(duì)健康或疾病高度關(guān)心的門診患者上網(wǎng)搜索健康信息的頻度/強(qiáng)度更高，軀體癥狀更多。 結(jié)論： 1、門診患者中上網(wǎng)和利用網(wǎng)絡(luò)搜索健康信息的比例分別為41.49%和33.61%，網(wǎng)絡(luò)健康信息搜索已經(jīng)影響他們的就醫(yī)行為。 2、門診患者的網(wǎng)絡(luò)健康信息搜索行為與健康焦慮和軀體癥狀顯著相關(guān)。 3、網(wǎng)絡(luò)搜索對(duì)不同健康或焦慮狀況人群可能產(chǎn)生的影響可能存在巨大差異。
[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 鹵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.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R-05;R749.4

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