Abstract

Objective

During COVID-19, access to trustworthy news and information is vital to help people understand the crisis. The consumption of COVID-19-related information is likely an important factor associated with the increased anxiety and psychological distress that has been observed. We aimed to understand how people living with a kidney condition access information about COVID-19 and how this impacts their anxiety, stress and depression.

Methods

Participants living with chronic kidney disease (CKD) were recruited from 12 sites across England, UK. Respondents were asked to review how often they accessed and trusted 11 sources of potential COVID-19 information. The Depression, Anxiety and Stress Scale–21 Items was used to measure depression, anxiety and stress. The 14-item Short Health Anxiety Inventory measured health anxiety.

Results

A total of 236 participants were included (age 62.8 [11.3] years, male [56%], transplant recipients [51%], non-dialysis [49%]). The most frequently accessed source of health information was television/radio news, followed by official government press releases and medical institution press releases. The most trusted source was via consultation with healthcare staff. Higher anxiety, stress and depression were associated with less access and trust in official government press releases. Education status had a large influence on information trust and access.

Conclusions

Traditional forms of media remain a popular source of health information in those living with kidney conditions. Interactions with healthcare professionals were the most trusted source of health information. Our results provide evidence for problematical associations of COVID-19 related information exposure with psychological strain and could serve as an orientation for recommendations.

中文翻译：

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在肾病患者中导航 COVID-19 信息流行病：获取和信任健康信息来源以及与焦虑和抑郁的关联

摘要

客观的

在 COVID-19 期间，获取可信赖的新闻和信息对于帮助人们了解危机至关重要。消费 COVID-19 相关信息可能是与已观察到的焦虑和心理困扰增加相关的一个重要因素。我们旨在了解患有肾脏疾病的人如何获取有关 COVID-19 的信息，以及这如何影响他们的焦虑、压力和抑郁。

方法

从英国英格兰的 12 个地点招募患有慢性肾病 (CKD) 的参与者。受访者被要求审查他们访问和信任 11 个潜在 COVID-19 信息来源的频率。抑郁、焦虑和压力量表 - 21 个项目用于测量抑郁、焦虑和压力。14 项短期健康焦虑量表测量了健康焦虑。

结果

共纳入 236 名参与者（年龄 62.8 [11.3] 岁，男性 [56%]，移植受者 [51%]，非透析 [49%]）。最常访问的健康信息来源是电视/广播新闻，其次是政府官方新闻稿和医疗机构新闻稿。最值得信赖的来源是咨询医护人员。较高的焦虑、压力和抑郁与较少获得和信任官方政府新闻稿有关。教育状况对信息的信任和获取有很大的影响。

结论

传统媒体形式仍然是肾病患者获取健康信息的热门来源。与医疗保健专业人员的互动是最值得信赖的健康信息来源。我们的结果为 COVID-19 相关信息暴露与心理压力之间存在问题关联提供了证据，并可作为建议的方向。