基于在线健康社区的老年健康信息需求研究  

Research of elderly health information needs based on online health community

作　　者：张楚 郑颖 黄锦泉 刘灵涛 谢晖 刘玉文 ZHANG Chu;ZHENG Ying;HUANG Jinquan;LIU Lingtao;XIE Hui;LIU Yuwen(School of Nursing,Bengbu Medical University,Bengbu,Anhui 233030,China;School of Health Management,Bengbu Medical University,Bengbu,Anhui 233030,China)

机构地区：[1]蚌埠医科大学护理学院,安徽蚌埠233030 [2]蚌埠医科大学卫生管理学院,安徽蚌埠233030

出　　处：《安徽医学》2024年第10期1302-1310,共9页Anhui Medical Journal

基　　金：安徽省教育厅人文社科重点项目(编号:SK2021A0437);蚌埠医学院2022年度研究生科研创新计划资助立项项目(编号:Byycx22074);蚌埠医科大学第二批“512人才培育计划”(编号:by51202201)。

摘　　要：目的分析在线健康社区平台内老年健康信息需求分布特征。方法以“寻医问药网”在线健康平台中2013年1月7日至2022年7月13日生成的6013条老年问诊记录作为研究数据来源,利用扎根理论三级编码编制老年健康信息需求编码表,采用内容分析法量化老年人健康信息需求特征,并分析老年群体对健康信息需求的差异。结果疾病防治、肿瘤/癌症、生活方式调整、排泄异常、用药咨询、性健康、美容形体、医疗保健及其他9个维度构成了老年健康信息需求一级条目,9个维度下又细分为心血管系统健康、癌症治疗、饮食营养等36个二级健康信息需求条目。不同性别老年群体在肿瘤/癌症、性健康和美容形体的健康信息需求方面,差异有统计学意义(P<0.05);不同年龄阶段老年群体在肿瘤/癌症、生活方式调整、排泄异常、性健康和美容形体等健康信息需求方面,差异有统计学意义(P<0.05)。结论在线健康社区平台中,老年健康信息需求具有多样性和差异性,性别、年龄均是老年群体健康信息需求的影响因素。Objective To analyze the distribution characteristics of information needs on online health community platforms for the el⁃derly.Methods The research was based on 6,013 elderly medical consultation records generated from the"Xun Yi Wen Yao"OHC between January 7,2013,and July 13,2022,as the source of research data.A three-level coding system based on grounded theory was employed to cre⁃ate a coding table for elderly health information demands.Subsequently,content analysis was used to quantify the characteristics of health infor⁃mation demands among the elderly and analyze the differences in health information demands within the elderly population.Results It was found that the elderly health information needs system was composed of nine dimensions,including prevention and treatment of disease,can⁃cer/tumour,lifestyle adjustment,abnormal excretion,medication consultation,sexual health,beautification of body,medical health care related and others,which could be further divided into 36 classes of secondary health information needs such as cardiovascular system health informa⁃tion needs,cancer treatment,diet and nutrition,etc.There was a statistically significant difference in health information needs for tumor/can⁃cer,sexual health,and beautification of body among the elderly groups of different genders(P<0.05);and the elderly users of different ages had significant differences in the health information needs of cancer/tumour,lifestyle adjustment,abnormal excretion,sexual health and beautifica⁃tion of body(P<0.05).Conclusion In the online health community platform,the health information needs of the elderly are diverse and differ⁃ent,and gender and age are the factors influencing the health information needs of the elderly.

关 键 词：在线健康社区 老年 健康信息需求 扎根理论 内容分析 

分 类 号：R193[医药卫生—卫生事业管理]