舟骨骨折中文网页医学信息的质量评估  

Quality assessment of health information about scaphoid fracture on Chinese websites

作　　者：殷耀斌[1] 刘路 孙丽颖[1] 伊喆 陈山林[1] YIN Yao-bin;LIU Lu;SUN Li-ying;YI Zhe;CHEN Shan-lin(Department of Hand Surgery,Beijing Ji Shui Tan Hospital,Beijing,100035,China)

机构地区：[1]北京积水潭医院手外科,100035

出　　处：《中国骨与关节杂志》2022年第4期281-286,共6页Chinese Journal of Bone and Joint

摘　　要：目的评估应用目前国内搜索引擎搜索到关于舟骨骨折中文网页的医学信息的质量。方法应用目前国内最常用的5个搜索引擎(百度、搜狗、好搜、必应和神马),以关键词“舟骨骨折”进行搜索,获取排在最上方的120个网页。去除不相关、重复以及需要付费的网页,对88个网页的医学信息质量进行评估。依据网页性质将网页分为四类:论坛/社交网页、商业网页、学术网页以及医师个人网页。应用DISCERN评分和舟骨骨折医学信息特异评分(scaphoid fracture specific content score,SFSCS)对这些网页的医学信息质量进行评估。结果纳入评估的88个中文网页中,商业网页数量最多,占44%。88个网页的DISCERN评分中位数是40分,没有网页的质量可达到优(评分在64~80)。88个网页的SFSCS评分中位数是8分,也没有网页的质量可达到优(评分在24~30)。学术网页以及医师个人网页的DISCERN评分和SFSCS评分显著高于商业网页。结论目前应用国内搜索引擎搜索得到的关于舟骨骨折的中文网页质量较差。患者及家属对获得的网络医疗信息应慎重对待。Objective To evaluate the overall quality of the online information about scaphoid fracture obtained from Chinese websites using the local search engines in a cross-sectional study.Methods We conducted an online search using the keyword“scaphoid fracture”from the top 5 search engines in China,i.e.,Baidu,Sougou,Haosou,Bing and Shenma,and gathered the top-ranked websites,which included a total of 120 websites.Among them,88 websites were kept for further analyses by removing duplicated and unrelated ones as well as websites requiring payment.These websites were classified into four categories,including forum/social networks,commercials,academics,and physician’s personals.Health information evaluation tool DISCERN and Scaphoid Fracture Specific Content Score(SFSCS)were used to assess the quality of the websites.Results Among the 88 Chinese websites that we studied,commercial websites were the most common ones accounting for 44%of all websites.The median DISCERN score of the 88 websites was 40 and no website had a score A(ranging from 64 to 80).The median SFSCS score was 8 and no website had a score A(range between 24 and 30).In addition,DISCERN and SFSCS scores from academic and physician’s websites were significantly higher than those from the commercials.Conclusions The overall quality of health information obtained from Chinese websites about scaphoid fracture is low.Patients and their family members should be aware of such deficiency and pay special attention for the medical information obtained by using the current search engines in China.

关 键 词：舟骨 骨折 医学信息 英特网 健康记录 个人 

分 类 号：R683.4[医药卫生—骨科学]