TY - JOUR AU - Madrigal, Lillian AU - Escoffery, Cam PY - 2019 DA - 2019/03/05 TI -美国成人慢性病患者的电子健康行为:横断面调查JO - J Med Internet Res SP - e11240 VL - 21 IS - 3kw -信息搜索行为KW -慢性病KW -健康促进KW -电子健康KW -移动应用程序KW -患者门户AB -背景:随着技术和互联网的普及，有很多机会利用电子卫生、互联网或技术提供的卫生服务和信息来预防和管理慢性病。目的:本文的目的是探讨(1)技术使用的差异，(2)网络健康信息的搜索和使用行为，(3)在网络上搜索健康信息的态度，(4)18 - 64岁有和没有慢性疾病的成年人的电子健康素养水平。方法:2017年3月，对401名美国成年人进行了横断面互联网调查。研究人员检查了参与者的回答，以了解慢性疾病状况与电子健康行为(如互联网健康寻求行为和与健康相关的网络行为)之间的关系，用移动应用程序跟踪健康指标，患者门户网站的使用，以及对健康信息的偏好。结果:大约三分之一(252/401,37.2%)的参与者报告至少有一种慢性疾病诊断。75%(301/401)的参与者报告曾经在网上搜索过健康信息。患有慢性疾病的参与者根据在网上找到的健康信息访问和与医疗保健提供者交谈的情况明显更高(40.0% [48/120]vs 25.8% [46/178]， χ22=6.7;P = . 01;43.3% [52/120] vs 27.9% [50/179]; χ22=7.6; P=.006). The uses of health information found on the Web also significantly differed between participants with and without chronic diseases in affecting a decision about how to treat an illness or condition (49.2% [59/120] vs 35.0% [63/180], χ23=6.7; P=.04), changing the way they cope with a chronic condition or manage pain (40.8% [49/120] vs 19.4% [35/180], χ22=16.3; P<.001), and leading them to ask a doctor new questions or get a second opinion (37.5% [45/120] vs 19.6% [35/179], χ22=11.8; P<.001). Chronic disease participants were significantly more likely to be tracking health indicators (43.9% [65/148] vs 28.3%, [71/251] χ22=10.4; P=.006). In addition, participants with chronic disease diagnosis reported significantly higher rates of patient portal access (55.0% [82/149] vs 42.1% [106/252], χ22=6.3; P=.01) and use (40.9% [61/149] vs 21.0% [53/252], χ22=18.2; P<.001). Finally, both groups reported similar perceived skills in using the internet for health information on the eHealth Literacy Scale (eHEALS). The majority of participants responded positively when asked about the usefulness of health information and importance of accessing health resources on the Web. Conclusions: The high rates of reported information seeking and use of internet-based health technology among participants with chronic disease may reflect the uptake in eHealth to help manage chronic disease conditions. Health care providers and educators should continue to seek ways to interact and support patients in their management of chronic disease through eHealth platforms, including capitalizing on Web-based resources, patient portals, and mobile phone apps for disease education and monitoring. SN - 1438-8871 UR - //www.mybigtv.com/2019/3/e11240/ UR - https://doi.org/10.2196/11240 UR - http://www.ncbi.nlm.nih.gov/pubmed/30835242 DO - 10.2196/11240 ID - info:doi/10.2196/11240 ER -