%0期刊文章%@ 1438-8871 %I JMIR出版物%V 20 卡塔尔世界杯8强波胆分析%N 2 %P 47 %T从因特网获得的健康信息和医疗决策的变化:问卷编制与横断面调查%陈阿、燕元%李阿、嘉明%梁阿、蔡志冲%蔡秦中%+学习科学计划，台北市大安区和平E一段161号，台湾，10647,886 277345999,aljc@ntnu.edu.tw %K互联网%K寻求帮助行为%K素养%K决策%D 2018 %7 12.02.2018 %9原创论文%J J医学互联网Res %G英语%X背景:互联网的日益普及为人们在网上搜索健康信息提供了更好的机会，而这在过去是不容易获得的。研究报告称，在互联网上搜索健康信息可能会潜在地影响一个人改变其寻求健康行为的决策。目的:本研究的目的是:(1)编制并验证两份问卷，以评估医学问题解决策略和在线健康信息的利用;(2)确定在线搜索健康信息与在线健康信息利用之间的相关性;(3)确定在线医疗求助与在线健康信息利用之间的相关性。方法:编制并实施《医学问题解决与在线健康信息利用》问卷。我们进行了验证性因素分析，以检查所有项目和维度的因素负荷结构和相互关系。我们采用Pearson相关系数来检验“医学问题解决”问卷各维度与“在线健康信息利用”问卷各维度之间的相关性。此外，我们还进行了结构方程建模，以检验“医学问题解决”问卷的6个维度和“在线健康信息利用”问卷的3个维度之间可能的联系。结果:共有457例患者参与了本研究。 Pearson correlation coefficients ranged from .12 to .41, all with statistical significance, implying that each dimension of the Problem Solving in Medicine questionnaire was significantly associated with each dimension of the Online Health Information Utilization questionnaire. Patients with the strategy of online health information search for solving medical problems positively predicted changes in medical decision making (P=.01), consulting with others (P<.001), and promoting self-efficacy on deliberating the online health information (P<.001) based on the online health information they obtained. Conclusions: Present health care professionals have a responsibility to acknowledge that patients’ medical decision making may be changed based on additional online health information. Health care professionals should assist patients’ medical decision making by initiating as much dialogue with patients as possible, providing credible and convincing health information to patients, and guiding patients where to look for accurate, comprehensive, and understandable online health information. By doing so, patients will avoid becoming overwhelmed with extraneous and often conflicting health information. Educational interventions to promote health information seekers’ ability to identify, locate, obtain, read, understand, evaluate, and effectively use online health information are highly encouraged. %M 29434017 %R 10.2196/jmir.9370 %U //www.mybigtv.com/2018/2/e47/ %U https://doi.org/10.2196/jmir.9370 %U http://www.ncbi.nlm.nih.gov/pubmed/29434017