TY -非盟的Strøm, Janni AU - Høybye, Mette Terp AU -劳尔森半AU - Jørgensen,琳恩Bastrup AU -尼尔森,老人Vinther PY - 2019 DA - 2019/07/04 TI -腰椎融合患者使用一个网络支持组织:混合方法研究乔- J地中海互联网Res SP - e9805六世- 21 - 7 KW -脊柱融合术KW -医学信息学KW -自助小组千瓦电子健康KW -在线社交网络KW -社会支持AB -背景:因特网在卫生保健环境中的使用提供了提供健康信息和同伴支持的可能性。互联网支持小组(ISGs)为患者提供了面对面支持所没有的优势。在接受腰椎融合术(LSF)的患者中，ISGs可能具有特殊的潜力，因为网络上的同伴支持可能会缓解这些患者对社会生活的满意度下降和社会孤立。isg可能以这种方式有助于提高功能和与健康有关的总体生活质量。然而，LSF患者通常属于一群不倾向于网络和在线同伴支持的公民。然而，我们对LSF患者如何使用ISGs的知识是有限的。目的:本研究的目的是描述ISG使用者的特点，并主题探讨因退行性脊柱疾病而接受LSF器械的丹麦患者的ISG交互内容。方法:参与者从随机对照试验中招募，并纳入混合方法设计的前瞻性队列。在基线和术前1 ~ 5周获得社会人口学特征和心理健康(焦虑和抑郁症状)信息。 Usage of the ISG was registered from baseline until 3 months after surgery. All posts and comments were collected, and content analysis was performed. Results: A total of 48 participants comprised the study population, with a mean age of 53 years (range 29-77). Of the participants, 54% (26/48) were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed, and the majority (69% [33/48]) had secondary education. Approximately one-third of the participants had symptoms of depression (35%, 17/48) and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants accessed the ISG. No correlations were found between sociodemographic characteristics and access to the ISG. Women were more prone to be active users, contributing with posts (P=.04). Finally, active users contributing with posts or comments had viewed more pages, whereas passive users, users without posts or comments, had more interactions with the ISG (P<.001). The ISG contained 180 conversation threads, generating 354 comments. The 180 conversation threads in the ISG were constituted by 671 independent dialogue sequences. On the basis of those 671 dialogue sequences, 7 thematic categories emerged. Conclusions: Sociodemographic characteristics were not predictors of ISG use in this study, and active use was found to be gender dependent. Content of interactions on the ISG emerged within 7 thematic categories and focused on social recognition, experience of pain or use of pain medication, experience of physical activity or physical rehabilitation, expression of psychosocial well-being, advising on and exploring the ISG, and employment, which seemed to correspond well with the prevalent occurrence of symptoms of anxiety and depression. SN - 1438-8871 UR - //www.mybigtv.com/2019/7/e9805/ UR - https://doi.org/10.2196/jmir.9805 UR - http://www.ncbi.nlm.nih.gov/pubmed/31274113 DO - 10.2196/jmir.9805 ID - info:doi/10.2196/jmir.9805 ER -