我国分娩镇痛相关网络科普教育资料现状分析

Analysis of current status of internet-based patient education materials on labor analgesia in China

目的分析我国分娩镇痛相关网络科普教育资料现状。方法根据搜索引擎用户习惯,检索并筛选分娩镇痛相关资料。由3位麻醉科医师对内容覆盖率、准确率进行评价,利用中文版患者教育资料印刷品评估工具(C-PEMAT-P)从医学文本角度对可理解性及可操作性进行主观评估。采用组内相关系数(ICC)法对3位麻醉科医师的评价结果进行一致性分析。采用机器学习联合ChatGPT-4.0方法建立中文可读性分级模型,从中文文本角度对纳入资料的阅读难易程度进行客观评估。结果共检索到97篇网页资料,共21篇资料纳入研究。分娩镇痛禁忌证的内容覆盖率仅62%(13/21);准确率在90%以上的网页资料构成比为71%(15/21);易于理解的网页资料构成比为81%(17/21),具有指导意义的网页资料构成比为5%(1/21)。对于内容覆盖率、准确率、可理解性及可操作性一致性评价的ICC值分别为0.975、0.833、0.758和0.773(P<0.001)。适合义务教育水平(可读性评分2分)读者的网页资料构成比为5%(1/21),适合高中及以上教育水平(可读性评分为3分)读者的网页资料构成比为43%(9/21)。结论我国分娩镇痛相关网络科普教育资料数量多,但质量有待提高。未来应开展"麻醉学+语言学"合作模式,为患者提供内容更全面、准确更高、更适合孕妇理解的科普教育资料。

Objective To analyze the current status of internet-based patient education materials related to labor analgesia in China.Methods Labor analgesia-related materials were retrieved and screened according to the search habits of Chinese search engine users.The coverage and accuracy of the content were evaluated by 3 anesthesiologists.The Chinese version of the Patient Education Materials Assessment Tool for Print Materials was used to subjectively assess comprehensibility and operability from a medical text perspective.The consistency of the evaluation results of the three anesthesiologists was analyzed using the intraclass correlation coefficient method.A machine learning method combined with ChatGPT-4.0 was employed to establish a Chinese readability classification model to objectively evaluate the readability difficulty of the included materials from a Chinese text perspective.Results A total of 97 web pages were retrieved,with 21 valid materials included in the study.The coverage rate of contraindications for labor analgesia was only 62%(13/21),and the accuracy rate of materials exceeding 90%was 71%(15/21).Internet-based materials that were easy to understand accounted for 81%(17/21),while the constituent ratio of internet-based materials with instructional significance were only 5%(1/21).The intraclass correlation coefficient values of consistency evaluation for coverage rate,accuracy rate,and comprehensibility and operability were 0.975,0.833,0.758,and 0.773,respectively(P<0.001).Internet-based materials suitable for compulsory education level were only 5%(1/21),while those suitable for high school and above education level accounted for 43%(9/21).Conclusions There are numerous internet-based patient education materials related to labor analgesia in China,but the quality needs improvement.In the future,a collaborative model of"anesthesiology+linguistics"should be developed to provide patients with more comprehensive,accurate,and pregnant-friendly patient education materials.