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。
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.
作者
王哲
向菲
WANG Zhe;XIANG Fei(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《医学信息学杂志》
CAS
2023年第12期8-14,28,共8页
Journal of Medical Informatics
关键词
在线健康社区
用户参与行为
抑郁
病耻感
online health community
user participation behavior
depression
stigma
作者简介
王哲,硕士研究生,发表论文1篇;通信作者:向菲,博士,副教授。
