@文章{info:doi/10.2196/10865，作者="Dorst, Marian Taylor and Anders, Shilo H and Chennupati, Sai and Chen, Qingxia and Purcell Jackson, Gretchen"，标题="孕妇及其照顾者支持系统中的健康信息技术:混合方法研究"，期刊="J Med Internet Res"，年="2019"，月="5"，日="09"，卷="21"，数="5"，页="e10865"，关键词="怀孕;社交网络;社交媒体;卫生信息技术;护理人员;背景:怀孕期间家庭支持系统的质量和数量会影响母胎结局。待产家庭的支持系统可以包括许多元素，如家庭成员、朋友、工作或社区团体。新兴的健康信息技术(如社交媒体、互联网网站和移动应用程序)为怀孕家庭提供了新的资源，以增强其支持系统并填补信息空白。目的:本研究旨在确定孕妇及其照料者(如家庭成员)支持系统组成部分的数量和性质，以及卫生信息技术在这些支持系统中的作用。我们研究了孕妇的支持系统和她们的照顾者的支持系统之间的差异，以及支持系统组成和压力水平之间的联系。 Methods: We enrolled pregnant women and caregivers from advanced maternal-fetal and group prenatal care clinics. Participants completed surveys assessing sociodemographic characteristics, health literacy, numeracy, and stress levels and were asked to draw a picture of their support system. Support system elements were extracted from drawings, categorized by type (ie, individual persons, groups, technologies, and other) and summarized for pregnant women and caregivers. Participant characteristics and support system elements were compared using the Pearson chi-square test for categorical variables and Wilcoxon ranked sum test for continuous variables. Associations between support system characteristics and stress levels were measured with Spearman correlation coefficient. Results: The study enrolled 100 participants: 71 pregnant women and 29 caregivers. The support systems of pregnant women were significantly larger than those of caregivers---an average of 7.4 components for pregnant women and 5.4 components for caregivers (P=.003). For all participants, the most commonly reported support system elements were individual persons (408/680, 60.0{\%}), followed by people groups (132/680, 19.4{\%}), technologies (112/680, 16.5{\%}), and other resources (28/680, 4.1{\%}). Pregnant women's and caregivers' technology preferences within their support systems differed---pregnant women more often identified informational websites, apps, and social media as parts of their support systems, whereas caregivers more frequently reported general internet search engines. The size and components of these support systems were not associated with levels of stress. Conclusions: This study is one of the first demonstrating that technologies comprise a substantial portion of the support systems of pregnant women and their caregivers. Pregnant women more frequently reported specific medical information websites as part of their support system, whereas caregivers more often reported general internet search engines. Although social support is important for maternal and fetal health outcomes, no associations among stress, support system size, and support system components were found in this study. As health information technologies continue to evolve and their adoption increases, their role in patient and caregiver support systems and their effects should be further explored. ", issn="1438-8871", doi="10.2196/10865", url="//www.mybigtv.com/2019/5/e10865/", url="https://doi.org/10.2196/10865", url="http://www.ncbi.nlm.nih.gov/pubmed/31094327" }