%0期刊文章%@ 14388871% I JMIR出版公司%V 16卡塔尔世界杯8强波胆分析% N 3% P e84% T中风经验在博客:性别差异的可行性研究%A Koh,Sukjin %A Gordon,Andrew S %A Wienberg,Christopher %A Sood,Sara O %A Morley,Stephanie %A Burke,Deborah M +波莫纳学院语言学和认知科学系，185第六街，Claremont, CA, 91711，美国，1 909 373 6284,dburke@pomona.edu %K脑中风%K体征和症状%K性别差异%K互联网%K博客%D 2014 %7 19.03.2014 %9原始论文%J J医学互联网Res %G英语%X背景:使用医院记录对脑中风症状进行的研究报告称，女性比男性经历更多的非传统中风症状(如精神状态改变、疼痛)。这是一个重要的问题，因为非传统的症状可能会延迟获得医疗援助的决定，并增加正确诊断的难度。在目前的研究中，我们调查了中风经历的性别差异，正如博客上的故事所描述的那样。目的:本研究旨在探讨利用互联网作为中风经验基础研究数据来源的可行性。方法:通过使用StoryUpgrade来识别博客中描述的中风经历，这是一个使用虚构原型故事搜索博客文章的程序。在这项研究中，原型故事是对中风经历的描述。研究人员将检索到的故事编码为相关的，用于更新搜索查询，并使用相关性反馈检索更多的故事。故事按照第一或第三人称叙述者、传统和非传统患者症状、中风类型、患者性别和年龄、寻求医疗援助前的延迟、住院和治疗中的延迟进行编码。 Results: There were 191 relevant stroke stories of which 174 stories reported symptoms (52.3% female and 47.7% male patients). There were no sex differences for each traditional or nontraditional stroke symptom by chi-square analysis (all Ps>.05). Type of narrator, however, affected report of traditional and nontraditional symptoms. Female first-person narrators (ie, the patient) were more likely to report mental status change (56.3%, 27/48) than male first-person narrators (36.4%, 16/44), a marginally significant effect by logistic regression (P=.056), whereas reports of third-person narrators did not differ for women (27.9%, 12/43) and men (28.2%, 11/39) patients. There were more reports of at least 1 nontraditional symptom in the 92 first-person reports (44.6%, 41/92) than in the 82 third-person reports (25.6%, 21/82, P=.006). Ischemic or hemorrhagic stroke was reported in 67 and 29 stories, respectively. Nontraditional symptoms varied with stroke type with 1 or more nontraditional symptoms reported for 79.3% (23/29) of hemorrhagic stroke patients and 53.7% (36/67) of ischemic stroke patients (P=.001). Conclusions: The results replicate previous findings based on hospital interview data supporting the reliability of findings from weblogs. New findings include the effect of first- versus third-person narrator on sex differences in the report of nontraditional symptoms. This result suggests that narrator is an important variable to be examined in future studies. A fragmentary data problem limits some conclusions because important information, such as age, was not consistently reported. Age trends strengthen the feasibility of using the Internet for stroke research because older adults have significantly increased their Internet use in recent years. %M 24647327 %R 10.2196/jmir.2838 %U //www.mybigtv.com/2014/3/e84/ %U https://doi.org/10.2196/jmir.2838 %U http://www.ncbi.nlm.nih.gov/pubmed/24647327