背景:确定DCRYouTube视频作为患者教育资源的质量和可靠性,并确定预测视频质量的任何相关因素。
方法:使用术语“泪囊鼻腔造口术,DCR,手术”将于2022年1月12日发布,并选择了前50个相关视频进行收录。对于每个视频,收集了以下内容:视频超链接,title,总视图,视频发布几个月后,视频长度,总喜欢/不喜欢,作者身份(即外科医生,患者经验或媒体公司)和评论数量。这些视频是由居民独立评分的,注册官和眼整形外科医生使用三个经过验证的评分系统:美国医学会杂志(JAMA),DISCERN,网上健康(HON)。
结果:视频观看次数平均为22,992,平均长度为488.12s,每个视频平均有18条评论。JAMA的共识,DISCERN和HON评分分别为2.1±0.6、29.1±8.8和2.7±1.0。这表明所包含的视频质量很低,然而,只有DISCERN评分具有良好的观察者间相似性.考虑到平均JAMA和HON分数,外科医生发布的视频优于非外科医生。没有其他因素与教育内容的质量相关。
结论:患者教育DCR相关内容的质量和可靠性相对较低。根据这项研究的发现,应鼓励患者观看由外科医生或专科医生制作的视频,而不是YouTube上的其他来源.
BACKGROUND: To determine the quality and reliability of DCR YouTube
videos as patient education resources and identify any associated factors predictive of video quality.
METHODS: A YouTube search was conducted using the terms \"Dacryocystorhinostomy, DCR, surgery\" on 12th of January 2022, with the first 50 relevant
videos selected for inclusion. For each video, the following was collected: video hyperlink, title, total views, months since the video was posted, video length, total likes/dislikes, authorship (i.e. surgeon, patient experience or media companies) and number of comments. The
videos were graded independently by a resident, a registrar and an oculoplastic surgeon using three validated scoring systems: the Journal of the American Medical Association (JAMA), DISCERN, and Health on the Net (HON).
RESULTS: The average number of video views was 22,992, with the mean length being 488.12 s and an average of 18 comments per video. The consensus JAMA, DISCERN and HON scores were 2.1 ± 0.6, 29.1 ± 8.8 and 2.7 ± 1.0, respectively. This indicated that the included
videos were of a low quality, however, only DISCERN scores had good interobserver similarity.
Videos posted by surgeons were superior to non-surgeons when considering mean JAMA and HON scores. No other factors were associated with the quality of educational content.
CONCLUSIONS: The quality and reliability of DCR related content for patient education is relatively low. Based on this study\'s findings, patients should be encouraged to view videos created by surgeons or specialists in preference to other sources on YouTube.