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E-Sağlık Kaynağı Olarak YouTube: Lomber Disk Hernisi Egzersizleri İçin Faydalı mı?
YouTube as a Source of eHealth: Is It Beneficial for Lumbar Disc Herniation Exercises?
Received Date : 14 Apr 2020
Accepted Date : 13 Jul 2020
Available Online : 28 Sep 2020
Doi: 10.31609/jpmrs.2020-75515 - Makale Dili: EN
J PMR Sci. 2020;23(3):217-23
ÖZET
Amaç: Lomber disk herniasyonu ağrı ve sakatlığa neden olan yaygın bir hastalıktır. Belirlenmiş egzersizlerin uygulanması cerrahi olmayan tedavi seçenekleri içerisinde önemli bir yere sahiptir. Sağlıkla ilgili bilgi elde etmek için internet kullanımı önemli ölçüde artmıştır. YouTube, dünya çapında sağlıkla ilgili önemli bir video kaynağıdır. Mevcut makalenin amacı, lomber disk herniasyonu egzersizlerinde en çok izlenen YouTube videolarının kalitesini değerlendirmektir. Gereç ve Yöntemler: Videoları aramak için 'lomber disk hernisi egzersizi, lomber disk hernisi rehabilitasyonu, lomber disk hernisi fizik tedavisi ve lomber disk hernisi fizyoterapisi' anahtar terimleri kullanılmıştır. Videoların güvenilirliği değiştirilmiş DISCERN aracı kullanılarak değerlendirildi. Videoların eğitim açısından kalitesi Global Kalite Ölçeği (GKÖ) kullanılarak değerlendirildi. GKÖ skorlarına göre üç grup oluşturuldu: iyi/mükemmel kalite, orta kaalite ve düşük kalite. Bulgular: Videoların %36.4’ü (n=28) iyi/mükemmel kalitede, %35.1’i (n=27) orta ve %28.5’i (n=22) düşük kalitede idi. İyi/mükemmel videolar orta ve kötü kalitede videolardan anlamlı olarak daha yüksek medyan DISCERN skoruna sahipti (p<0.0001). Diğer yandan, video kalitesine göre günlük medyan görüntülemeler (p=0.896), günlük yorumlar (p=0.483) ve beğenme oranları (p=0.119) arasında anlamlı bir fark yoktu. Sonuç: YouTube sağlık hizmetleri hakkında büyük miktarda veri barındırmasına rağmen, bu bilgilerin bir kısmı yanlış veya düşük kalitededir. Doktorlar hastaları doğru çevrimiçi kaynaklara yönlendirmeli ve çevrimiçi kaynak değerlendirmesinin önemini açıklığa kavuşturmalıdır.
ABSTRACT
Objective: Lumbar disc herniation is a common disorder that causes pain and disability. Application of certain exercises plays a major role in non-surgical treatment choices. Internet use for obtaining health-related information has significantly increased. YouTube is a major source of health-related videos worldwide. The aim of the current paper is to evaluate the quality of the most viewed YouTube videos in lumbar disc herniation exercises. Material and Methods: The key terms ‘lumbar disc herniation exercise, lumbar disc herniation rehabilitation, lumbar disc herniation physical therapy and lumbar disc herniation physiotherapy’ were used for searching the videos. The reliability of the videos was evaluated using the modified DISCERN tool. The quality of the videos in terms of education was assessed using the Global Quality Scale (GQS). According to GQS scores, three groups were formed: good/excellent quality, moderate, and poor quality. Results: Of the videos, 36.4% (n=28) were of good/excellent quality, 35.1% (n=27) were moderate, and 28.5% (n=22) were of poor quality. Good/excellent videos had a significantly higher median DISCERN score than videos of moderate and poor quality (p<0.0001). On the other hand, there were no significant differences in median views per day (p=0.896), comments per day (p=0.483), and like ratios (p=0.119) according to video quality. Conclusion: Although YouTube hosts a large amount of data on healthcare, some of this information is incorrect or of poor quality. Physicians should refer patients to the accurate online resources and clarify the importance of online resource assessment.
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