| 抑郁类在线健康社区用户参与行为现状及病耻感对其影响研究 |
| 修订日期：2023-05-18 点此下载全文 |
| 引用本文：王哲,向菲.抑郁类在线健康社区用户参与行为现状及病耻感对其影响研究[J].医学信息学杂志,2023,44(12):8-14, 28 |
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| 中文摘要:目的/意义 探究当前抑郁类在线健康社区(online health communities, OHC)内用户的抑郁倾向及病耻感程度,基于计划行为理论模型,探讨用户病耻感对OHC参与的影响机制,为开展抑郁症防治特色服务工作提供思路和理论支持。方法/过程 线上问卷调查法收集数据,结合计划行为理论、应对方式理论、在线社会支持理论、自我效能理论构建理论模型并提出假设,采用结构方程模型法和Boostrap中介检验法对影响因素及路径进行假设检验。结果/结论 抑郁类OHC中以轻度抑郁倾向用户为主。病耻感正向影响OHC参与行为。用户参与OHC所获得的情感支持并不能替代患者的现实陪伴需求,应当在现实生活中给予其更多的支持和关注,提供更多的资源和途径,帮助其尽早脱离抑郁困境。 |
| 中文关键词:在线健康社区 用户参与行为 抑郁 病耻感 |
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| Study of the Participation Behavior Status of Depressive Online Health Community Users and the Influence of Stigma on It |
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| Abstract:Purpose/Significance To explore the depression tendency and stigma degree of the depressive online health community (OHC) users, based on the theory of planned behavior (TPB) model, to discuss the influence mechanism of user stigma on OHC participation, and to provide ideas and theoretical support for the special service of depression prevention and treatment. Method/Process Online questionnaire survey method is used to collect data, combined with TPB, coping style theory, online social support theory, self-efficacy theory to construct a theoretical model and put forward hypotheses. Structural equation modeling method and Boostrap intermediary test method are used to analyze the influencing factors and path for hypothesis testing. Result/Conclusion The majority of OHC for depression are users with mild depression tendencies. Stigma directly affects OHC participation behavior. The emotional support obtained by users participating in OHC can not replace the actual companionship needs of patients. We should give them more support and attention in real life, provide more resources and ways to help them get out of depression as soon as possible. |
| keywords:online health community user participation behavior depression stigma |
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