BACKGROUND:Perinatal women are increasingly turning to digital media for maternal health information; however, concerns regarding the quality of this information persist. Understanding perinatal women's perceptions of information quality is essential for enhancing the effectiveness of information services. OBJECTIVE:This review aims to (1) identify the key features that perinatal women focus on when perceiving the quality of maternal health information on digital media and (2) summarize the quality issues with maternal health information on digital media that perinatal women have reported. METHODS:A scoping review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines using PubMed, Web of Science, Embase, Scopus, and ScienceDirect databases (2000-2024). The search strategy combined the following four conceptual clusters using Boolean operators: (1) perinatal population terms ("pregnant women," "expectant mothers," and "perinatal"), (2) information-related terms ("information," "education," and "resource"), (3) perception-related terms ("perception," "experience," and "expectation"), and (4) digital media terms ("online," "social media," and "app"). Thematic analysis was used for data synthesis. RESULTS:From 5290 records identified, 30 (0.57%) articles were selected for inclusion in this review. The perceived quality features of information can be categorized into four distinct aspects: (1) information providers, which encompasses 2 features, transparency and authority; (2) information content, consisting of 9 features, trustworthiness, evidence based, timeliness, comprehensiveness, need-based relevance, practicality, motivational simulation, emotional supportiveness, and cultural sensitivity; (3) information presentation, which includes 3 features, understandability, attractiveness, and conciseness; and (4) information platforms, comprising 3 features, user-friendly navigation, proactive delivery, and interactivity. Furthermore, several perceived quality issues associated with these aspects were noteworthy. Specifically, (1) quality issues regarding information providers primarily pertained to their lack of credibility; (2) quality issues related to information content encompassed an overwhelming volume of information, inaccuracies, lack of scientific evidence, prevalence of contradictory information, insufficient breadth and depth, a mismatch between content and the needs of women, and information that induces negative emotions; (3) presentation issues manifested as difficulties in understanding the information; and (4) quality issues regarding information platforms included poor usability and the commercialization of these platforms. CONCLUSIONS:Our review identifies 17 key quality features across various dimensions that are valued by perinatal women. While there are similarities with quality indicators found in general health information, the unique quality features shaped by the specific characteristics of the perinatal population cannot be overlooked. These distinctive attributes highlight the importance of tailoring maternal health information to meet the unique needs and preferences of perinatal women. Although digital media information services offer many benefits, this study indicates that perinatal women are dissatisfied with the quality of existing maternal health information. Clearly, future efforts should focus on integrating perinatal women's perceptions of information quality to ensure ongoing improvements in information quality.
目的 挖掘与分析在线健康社区妊娠期高血糖(HIP)用户的网络问答文本,为HIP患者健康信息服务提供参考.方法 采集"糖尿病网"和"妈妈网"问答数据108 590条,运用社会网络分析法构建文本内容特征词共现网络并进行可视化分析与展示.在识别内容主题的基础上进一步分析主题间及主题内部节点关系,并结合Wilson信息行为理论对内容主题进行属性区分.结果 本研究构建出包含321个节点的HIP用户问答文本特征词网络,其中最大连通子网包括177个节点.围绕血糖控制和应对疾病压力两大类信息寻求动机,共识别出12个内容主题.其中,4个主题具有生理属性、7个主题具有认知属性、6个主题具有情感属性.药物治疗、饮食与营养包含的特征词数量最为突出,各主题内部均存在高点度中心度的特征词.结论 HIP用户关注的内容具有多种属性、多个维度.临床、社区医护人员及其他健康信息服务者可不断完善针对HIP患者的信息服务内容,满足其健康信息需求.
Objective To excavate the information needs of women with gestational diabetes based on latent Dirichlet allocation(LDA) theme model, and to provide reference for medical workers to carry out effective information services.Methods The users′ question and answer(Q&A) data of gestational diabetes in online Q&A communities were obtained by using the web crawler program.The LDA theme model was used to identify the theme of the data and analyze the information needs.Results Through LDA thematic analysis of 126,616 pieces of data, the information needs regarding gestational diabetes were factored into eight categories: maternal and infant harm and inspection, maternal and infant self-monitoring, nutritional weight control and fetal growth and development, screening and prenatal examination, experience sharing and emotional support of patients, the selection of food categories and sugar raising effect, maternal and infant health management during and after childbirth, blood glucose control and diet, and insulin medication.Conclusion The information needs of women with gestational diabetes are diversified, professional and meticulous, with the needs falling into multiple dimensions of cognition, physiology and emotion.Medical workers should play their role as the mainstay in information service, and provide professional, sophisticated and comprehensive information services for gestational diabetes.
Objective:To explore the information needs of pregnant and lying-in women in the maternal-infant forums, so as to provide theoretical basis and information support for the development of maternal health education.Methods:From July 1 to 31, 2020, the question texts in the three major sections of pregnancy preparation, pregnancy, and lactation in the "Mama.com" Q&A column were used for data cleaning and word segmentation, and the Latent Dirichlet Allocation (LDA) model was used to mine topic features.Results:The analysis of the subject characteristics of the question records of "Mama.com" showed that the LDA model divided 32 466 question records into 3 stages and a total of 10 subjects, namely the pregnancy preparation (pre-pregnancy health knowledge needs, emotional characteristics during pregnancy preparation, second child preparation, assistance reproduction) , pregnancy (first trimester, second trimester, third trimester, childbirth) , lactation (feeding knowledge needs, baby care needs) .Conclusions:The research results based on the LDA model can reflect the information needs of pregnant and lying-in women in online maternal-infant forums, and provide information guidance and emotional support for maternal knowledge and special emotional needs of pregnant and lying-in women in different periods.
目的:了解北京市公立中医医院微信公众平台建设运行现况,为提升中医医院信息服务水平提供参考.方法:通过手机微信App收集北京市38所不同级别公立中医类医院的微信公众平台,获取数据并分析.结果:截至2020年6月,有35所中医医院开通了共157个微信公众平台;开发比例最高的菜单功能是预约挂号,仅有28个平台开发了中医特色菜单;110个平台推文数量≤100篇/年,36个平台推文更新时间≤7 d,75个平台原创推文为0;不同级别公立中医类医院的平台开通、推文数量及原创推文数量差异有统计学意义.结论:北京市公立中医类医院微信平台开通情况良好,但存在中医特色菜单开发比例较低,多数平台推文量少、更新迟缓、原创推文不足等问题,传播效果有待进一步提升.
目的 了解并分析孕妇通过互联网查询母婴健康信息的内容及影响因素,为有效开展基于互联网的母婴健康信息服务提供依据.方法 采用便利取样方法,对北京市某三甲妇产医院就诊孕妇进行问卷调查,共调查孕妇446名,采用SPSS22.0软件进行统计分析.结果 92.2%的孕妇曾在怀孕后通过互联网查询母婴健康信息.其中,孕期不适、产检内容与方法、检查结果意义等相关信息为高关注度内容.孕妇在不同妊娠阶段对互联网母婴健康信息查询内容存在差异.不同妊娠异常情况者对用药和应对孕期异常情况信息查询方面表现不一.不同产次孕妇对孕期不适管理、胎教、分娩方式及坐月子等信息查询存在差异.结论 互联网母婴健康信息服务应充分挖掘和细化关注度较高的信息,针对不同妊娠阶段、孕次及妊娠异常情况孕妇,提供差异化母婴健康信息推送服务,提升信息服务有效性和针对性.
目的 分析高影响力健康微信公众号信息传播特征,为提升护理信息服务影响力提供参考.方法 依据清博大数据微信传播指数,选择30个高影响力健康公众号,以"5W模式"为分析框架,对高影响力健康微信公众号的信息传播特征进行多维分析.结果 高影响力健康公众号中缺乏独立的护理信息服务公众号.高影响力公众号的传播主体具有企业化运营为主、专业性强的特征;传播对象具有大众化和目标人群定位并存特征;传播方式注重创意推文形式和精选推送时间;传播内容以科普为主、原创性较强、紧跟热点;此外,具有菜单开发充分、盈利模式多元化等特征.但在信息碎片化、历史信息管理、用户互动、短视频应用等方面有待提升.结论 护理人员需借助多学科团队,定位目标人群,深挖用户信息需求与行为规律,优化信息组织,稳定原创推文频率,探索合理盈利模式,提供专业、精细的信息服务,以不断提升护理信息服务影响力.
目的:探讨老年人使用互联网中医药健康信息服务的动机,以提高互联网中医药健康信息服务的有效性及与老年人需求的契合性.方法:对21名老年人的半结构访谈资料进行主题编码分析和比较分析.在"生存-关系-成长"理论的基础上得出老年人使用互联网中医药健康信息服务动机模型.结果:老年人使用互联网中医药健康信息服务的动机包括生存需求的保护动机、实用动机、娱乐动机、关系需求的交往动机、成长需求的认知动机和自主动机等.它们可在不同情境和程度上激发和调节老年人使用互联网中医药健康信息服务的行为.结论:互联网中医药健康信息服务需关注老年人现存和非现存健康问题的相关需求、与健康生活相关的需求、实用性需求和成长性需求、自主性需求和交往性需求,以促使互联网中医药健康信息服务在老年人生活质量提高和生命意义提升中发挥更大的作用.
从整体上把握老年人中医药信息行为的过程,有利于开展连续和系统的中医药信息服务.对22位老年人进行半结构深入访谈,采取扎根理论编码技术分析资料,得出老年人中医药信息行为过程概念体系及不同环节行为策略.从行为流和信息流角度对行为环节内部及相互关系进行分析,形成老年人中医药信息行为整体过程模型.从行为流角度看,老年人中医药信息行为过程不同环节具有循环往复性,不同环节行为选择间具有对应关系.从信息流角度看,对应信息获取、处理、使用三个行为环节,存在信息源、基础信息库、信息资产三个信息集合,不同信息集合间具有双向关联关系.老年人中医药信息行为过程是行为流与信息流不同环节间相互生发、互为因果、互根互用的动态循环的整体过程.
Objective: This article starts to explore the characteristics of users, doctors and the question & answer records related to childhood asthma, by analyzing the data from three online medical communities.It then develops a topic model to identify the topics in the question-answer records which can help to find specific needs of users. Method: We developed a topic model to identify the topics in the question-answer records which can help to find specific needs of users. After data cleaning and word segmentation, we applied a text mining technique, Latent Dirichlet Allocation (LDA) topic modeling, to analyze the themes of the question records and the characteristics of patients and doctors.Results: Finally, 2173 question records were divided into eight themes which included knowledge requirements, emotional needs and nursing needs.Network data were found to correspond with childhood asthma epidemiology.Fewer doctors from children's speciality hospitals were engaged with the online medical communities than other types of facilities.. Conclusion:The data in online medical communities can reflect the needs of users, which can help medical staff to improve medical services.
[目的/意义]探索和分析老年人中医药信息行为相关的情境因素,为开展更高效的中医药信息服务提供理论支撑和依据.[方法/过程]主要采用质性研究中的扎根理论方法,于2017年3月至2018年6月,选取了22位老年人进行半结构深入访谈.针对访谈资料,采用三级编码方法,通过不断比较,对老年人中医药信息行为的情境进行深入分析.研究提出包含30个概念,8个次范畴,2个主范畴的老年人中医药信息行为情境相关概念体系.[结果/结论]老年人中医药信息行为的情境是由主体情境和主体条件共同构建的整体情境,两个情境组成要素相互区别又共同作用,推动、激发、调节着老年人的中医药信息行为.
[目的/意义]信息处理是老年人中医药信息行为过程的重要环节,对老年人中医药信息处理行为的理论探索是提升其信息处理能力和中医药信息素养的重要前提.[方法/过程]采用质性研究设计,采取半结构式深入访谈法收集资料,并对访谈资料进行扎根理论编码分析,通过不断分析、比较,以及与现有理论对话,分析得出老年人中医药信息处理行为的要素、特征及典型路径.[结果/结论]老年人中医药信息处理行为包括3个基本要素(目标定位、依据选择和手段选用)和19个具体要素.结合精细加工可能性模型和启发-系统模型,老年人中医药信息处理行为的目标定位及其行为路径可以划分为低认知努力(外围路径,主要采用感知、求证、比较3类信息处理手段)、高认知努力(中心路径,主要采用推理手段)和一般认知努力(两者兼有)3类.老年人中医药信息处理行为具有阶段性、困难性、处理目标时空差异性、处理过程发展性等特征.
为了解北京市社区中老年人中医药信息获取的情境,并探讨其影响因素,研究于2019年1-3月对便利获取的224位北京市社区中老年人发放自行设计的调查问卷.调查结果显示,38.4%(86人)的中老年人获取中医药信息的情境为应对突发健康问题,29.8%(67人)为应对潜在健康问题,68.8%(154人)为应对慢性健康问题,占比最多.卡方检验显示,北京市社区中老年人中医药信息获取可能的影响因素有性别(x2=12.504,P=0.002)、年龄(x2=15.892,P=0.003)、受教育程度(x2=10.926,P=0.027)、照顾角色(x2=11.908,P=0.003)、中医药态度(x2=11.330,P=0.023).未来面向中老年人的中医药信息服务应加强慢性健康问题相关的中医药信息服务,并充分考虑上述影响因素,以使中医药信息服务更具有效性和针对性.
护士职业要求护理学专业的学生必须掌握一定的护理礼仪知识和技能.首都医科大学护理学院将常用于语言教学的"交际法"引入护理礼仪教学中.本文从护理礼仪概况、交际教学法与护理礼仪的理论融合、应用、效果和体会等方面报告了本次教学改革的过程.
Objective To explore the hotspots of the integrated early childhood development (IECD) in China. Methods The articles published in the China National Knowledge Infrastructure (CNKI) database on IECD before April 2017 were searched. Microsoft Excel and the computer program were used to construct keywords frequency lists and correlation matrix. SPSS 18. 0 software was used for hierarchical clustering. Results A total of 546 articles were included, 59 high frequency keywords were extracted, and 8 hotspots in this field were summarized by cluster analysis. Conclusion To some extent, 8 hotspots in this field reflect the trends of this field and could provide some reference for clinical practice.
医学英语词汇是专业英语或双语教学过程中所遇的瓶颈之所在,学生在传统教学模式下学习动力弱、学习效果较差.本文对常用的先进语言学理论(包括语义场理论、组块理论、图式理论与隐喻理论)及其在医学英语词汇教学中的应用与启示进行综述,为探索词汇教学新思路提供借鉴和参考.
Objective To analyze and discuss the research hotspots of childhood asthma in last 5 years refereed journal papers in China.Methods The research was underwent in China national knowledge infrastructure(CNKI) database from September 2009 to September 2014,and the search key words were " asthma and children"," childhood asthma" or "asthmatic children".SPSS 18.0 and Excel were used as data processing tool,and self-compiling program and co-word clustering analysis were used.Results A total of 5 220 papers was found,and there were 5 191 papers remained after the removal of no key word and abnormal data.The amount of childhood asthma relative papers in last 5 years had a tendency to increase.There were 3 370 authors from more than 30 provinces and cities across China published 5 191 papers in 517 kinds of journals.Seven main research objects of childhood asthma in last 5 years in China were the diagnosis and treatment of childhood asthma,epidemiology,etiology,treatment and nursing in acute attack,pathogenesis,management of asthma,diagnosis and treatment of stable asthma and cough variant asthma,and traditional Chinese medicine therapy.Conclusion Co-word clustering analysis shows the clinical priorities and research hot-spots of childhood asthma in last 5 years in China,and it could provide information support for related researchers and clinical workers and theoretical basis for the scientific research and clinical practice.
Objective:To understand the current situation of related information services of outpatient. Methods:The related information services of outpatient of 52 Third-grade Class-A hospitals in Beijing are investigated with the observation method. Results:All kinds of medical information are provided well. Conclusion:The registration process, medical process, remaining registration information, waiting area information and other links can be further improved and need to be strengthened, in order to further improve the outpatient information service effect.