TY -的盟Dorst玛丽安泰勒AU -安德斯,Shilo H盟——Chennupati赛盟——陈Qingxia AU -珀塞尔杰克逊,格雷琴PY - 2019 DA - 2019/05/09 TI -健康信息技术支持系统的怀孕妇女和他们的照顾者:混合方法研究乔- J地中海互联网Res SP - e10865六世- 21 - 5 KW -怀孕KW -社交网络KW -社会媒体KW -健康信息技术KW -看护者KW -生活压力AB -背景:怀孕期间家庭支持系统的质量和数量会影响孕产妇和胎儿的结局。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。新兴的卫生信息技术(如社交媒体、互联网网站和移动应用程序)为孕妇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顾者(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关系。方法:我们招募了来自高级母胎和小组产前护理诊所的孕妇和护理人员。参与者完成了评估社会人口特征、健康素养、计算能力和压力水平的调查，并被要求描绘出他们的支持系统。从图纸中提取支持系统元素，按类型(即个人、群体、技术等)分类，并为孕妇和护理人员总结支持系统元素。对分类变量采用Pearson卡方检验，对连续变量采用Wilcoxon排序和检验，比较参与者特征和支持系统要素。 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. SN - 1438-8871 UR - //www.mybigtv.com/2019/5/e10865/ UR - https://doi.org/10.2196/10865 UR - http://www.ncbi.nlm.nih.gov/pubmed/31094327 DO - 10.2196/10865 ID - info:doi/10.2196/10865 ER -