【原】#SCI墙裂推荐：在线健康论坛上关于心力衰竭诊断准确性和点对点健康信息的分析

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Farnood, A., Johnston, B., & Mair, F. S. (2021). An analysis of the diagnostic accuracy and peer-to-peer health information provided on online health forums for heart failure. Journal of Advanced Nursing, 00, 1– 14. https:///10.1111/jan.15009

对在线健康论坛上关于心力衰竭诊断准确性和点对点健康信息的分析

Aims To examine the accuracy of diagnostic responses and types of information provided on online health forums.

研究目的：在线健康论坛上诊断回答的准确性和信息类型的分析

Design Qualitative descriptive study.

研究设计：定性描述性研究

Methods This paper reports the findings of a thematic analysis of peer responses to posts included on heart failure online health forums, to understand the quality and types of information provided. Responses posted between March 2016 and March 2019 were screened, collected and analysed thematically using Braun & Clarke. Themes were conceptually underpinned by Normalization Process Theory. Responses were assessed for quality against the NICE and SIGN guidelines to determine whether they were evidence based or not.

研究方法：这篇论文报告了一个主题分析的结果，包括在线健康论坛上关于心力衰竭的帖子，以了解论坛上所提供的信息的质量和类型。对2016年3月至2019年3月期间发布的回复进行了筛选，使用Braun & Clarke收集和分析主题。使用标准化过程（Normalization Process Theory）对主题进行概念分析。根据NICE和SIGN指南（NICE and SIGN guidelines）对论坛回复进行质量评估，以确定它们是否基于证据。

Results The total number of responses collected for analysis was 639. Five main themes were identified: diagnostic, experiential, informational, peer relations and relationships with healthcare professionals. Out of 298 diagnostic responses, 5% were guideline evidence-based and 6% had information that were partly evidence-based. Non-evidence based and potentially dangerous responses were 10%. Experiential responses were 10%; 23% included advice that was not supported with any clinical evidence; and 46% signposted users to other online references/healthcare professionals.

研究结果：用于分析的（论坛上的）回复总数为639个。确定了5个主题：诊断、经验、信息、同伴关系以及与医疗保健专业人员的关系。诊断、经验、信息、同伴关系以及与医疗保健专业人员的关系。在298个诊断应答中，5%是基于指南的，6%的信息是部分基于证据的，无证据和潜在危险的回复占10%，经验回复为10%；23%的建议没有任何临床证据支持，46%的用户向其他用户在线推荐/医疗保健专业人员。

Conclusion Online health communication largely focuses on provision of experiential responses to assist those in need of pre- or post-diagnosis advice and support. However, there is evidence of inaccurate information provision which suggests the use of a moderator would be beneficial.

研究结论：在线健康传播主要侧重于提供经验性应对措施，以帮助那些需要诊断前或诊断后建议和支持的人。但是，有证据表明提供的资料不准确，这表明使用调解员版主是有益的。

Impact This study suggests heart failure online health forums are a source of support, however, there are potential risks. Increasing nurses and other health care professional's awareness of online health forums will be important. Additional training is needed to help them learn more about patient's use of online health forums, to gain a better understanding about the types of information sought, and how best to address such knowledge deficits. Healthcare systems must ensure sufficient time and resources are available to meet information needs for people with heart failure.

研究意义：这项研究表明，心力衰竭在线健康论坛是一个支持的来源，但也有潜在的风险。提高护士和其他卫生保健专业人员对在线健康论坛的认识将是重要的。还需要额外的培训，以帮助他们更多地了解患者使用在线健康论坛的情况，更好地了解所寻求的信息类型，以及如何最好地解决这类知识不足。医疗保健系统必须确保有足够的时间和资源来满足心力衰竭患者的信息需求。