F. Pérez, Ricardo Martínez Reolid, Pablo Alejandro Sarduy Coronado
Jun 1, 2020
Nephrology Dialysis Transplantation
New technologies have advanced diagnostic techniques and enabled patient self-information, nonetheless, they can become a weapon of misinformation if not used appropriately. Online health resources utilization, gamification and the appearance of new specialized Apps are becoming a challenge in the quest for correct use of new technologies in the Nephrological field and in the patient empowerment process. 1st Phase: Determine how frequent medical information is searched for online, the main topics and the different sources of information used by PD patients in our Service of Nephrology. Observational prospective study using a cohort of patients from PD Unit (pre dialysis and on dialysis). First, an online survey was used in order to obtain demographic variables and to determine the use of different sources of information and their quality. Secondly, patients were instructed in ICTs via virtual desktop as well as in two live workshops. 52 patients (37 men, 15 women). Mean age: 61.7 years. Academic level (elementary school: 20). Place of residence (urban: 65.4%). 48% never uses the internet. From the rest: 68% searches in a regular manner for health-related issues, with “Google” being the main search engine (77.8%). 100% have searched for their own illnesses, 72.2% consider the information found not completely reliable. 61% looks for information before and after the clinical encounter. 72.2% have asked other patients about nephrological health related issues, while 27.8% have given counsel of said issues to others. 86.5% doesn’t use health related Apps and only 5.8% use blogs. Among the variables analysed, differences where found in being older age and less use of internet (ANOVA test p<0.001) and with lower cultural level and less use of new technologies (Chi-squared test p<0.001). The analysed data show that nowadays we face two main problems in our PD unit: Generational digital divide we have patients who have not incorporated into their lives the use of new technologies, in contraposition to others who use them in regular bases. Guarantee that those who use digital resources can access them in a simple and trustworthy manner. Therefore, we believe that the second phase of this project, both the workshops and the virtual desktop, are tools that can help fix these problems.