CAJ | 학술논문

背景慢性病逐渐发展成为影响人群健康的主要疾病，公众对其关注度逐渐增加。社交网络作为新型交流工具，成为人们获取慢性病等健康信息的重要途径。目的通过分析影响武汉市患者利用社交网络获取慢性病健康信息的因素，为采取针对性的干预措施提高社交网络在人群健康管理中的作用提供参考。方法以武汉市七家医院的患者作为研究群体，运用卡方检验、Fisher确切概率法和Logistic回归分析进行数据分析。结果73.8%的受访者有通过社交网站获取慢性病健康信息的经历，且男性（P=0.010， O R=0.450）更倾向于使用社交网络工具获取慢性病健康信息。调查对象中80.23%对使用社交网站获取慢性病健康信息的方便性感到满意或非常满意，68.36%对廉价性感到满意或非常满意。只有接近五分之一的调查对象对准确性和权威性感到满意。结论公众对利用社交网站获取慢性病健康信息的满意度较低，尤其是权威性和准确性方面，因此医生应该增加与病人的交流和互动并主动引导其使用社交网站获得慢性病相关信息，同时政府监管部门应制定相应法律法规，完善网络健康信息发布的管理和认证，使社交网络工具更好地为人群健康服务。
배경만성병축점발전성위영향인군건강적주요질병，공음대기관주도축점증가。사교망락작위신형교류공구，성위인문획취만성병등건강신식적중요도경。목적통과분석영향무한시환자이용사교망락획취만성병건강신식적인소，위채취침대성적간예조시제고사교망락재인군건강관리중적작용제공삼고。방법이무한시칠가의원적환자작위연구군체，운용잡방검험、Fisher학절개솔법화Logistic회귀분석진행수거분석。결과73.8%적수방자유통과사교망참획취만성병건강신식적경력，차남성（P=0.010， O R=0.450）경경향우사용사교망락공구획취만성병건강신식。조사대상중80.23%대사용사교망참획취만성병건강신식적방편성감도만의혹비상만의，68.36%대렴개성감도만의혹비상만의。지유접근오분지일적조사대상대준학성화권위성감도만의。결론공음대이용사교망참획취만성병건강신식적만의도교저，우기시권위성화준학성방면，인차의생응해증가여병인적교류화호동병주동인도기사용사교망참획득만성병상관신식，동시정부감관부문응제정상응법율법규，완선망락건강신식발포적관리화인증，사사교망락공구경호지위인군건강복무。
Background As the quality of Chinese health services keeps growing, chronic diseases have increasingly become one of the major diseases.. As a new tool for online communication, social networking sites (SNS) have successfully achieved mutual communication of health information in a more convenient way. Objective By analyzing factors that affect patients obtaining chronic disease health information using SNS in Wuhan City, we attempted to provide evidences for taking targeted interventions to improve the role of SNS in the population health management. Methods Subjects were recruited from seven hospitals in Wuhan city. Results were analyzed using the chi-square test, Fisher's exact test, and logistic regression analysis. Results 73.8% of 247 respondents have obtained chronic health information (CHI) via SNS. Searching the SNS for CHI was more frequently among males (P = 0.010, OR = 0.450). Also, 80.23% of respondents were satisfied or very satisfied about the convenience of using SNS to obtain CHI. And 68.36% of those were satisfied or very satisfied about the low cost,.while less than one fifth of the respondents (18.75%, 19.77%) was satisfied about the accuracy or authority. Conclusion Public satisfaction in using SNS to obtain CHI is relatively low, especially about its accuracy and authority. Therefore, doctors should increase communication and interaction with patients and be aware of the health information available online to help guide patients towards reliable SNS, while government regulators should formulate appropriate laws and regulations, and improve the management and authentication in disseminating health information through the network, making SNS serve public health in a better way.