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  1. Article ; Online: Effects of Internet Hospital Consultations on Psychological Burdens and Disease Knowledge During the Early Outbreak of COVID-19 in China: Cross-Sectional Survey Study.

    Li, Lin / Liu, Gang / Xu, Weiguo / Zhang, Yun / He, Mei

    Journal of medical Internet research

    2020  Volume 22, Issue 8, Page(s) e19551

    Abstract: ... of internet hospitals in relieving psychological burden and increasing disease knowledge during the early ... of COVID-19, internet hospitals could help relieve psychological burdens and increase disease awareness ... the effects of internet hospitals on psychological burden and disease knowledge in major public health ...

    Abstract Background: Coronavirus disease (COVID-19) has become a global threat to human health. Internet hospitals have emerged as a critical technology to bring epidemic-related web-based services and medical support to the public. However, only a few very recent scientific literature reports have explored the effects of internet hospitals on psychological burden and disease knowledge in major public health emergencies such as the COVID-19 pandemic.
    Objective: The aim of this study was to explore the role of internet hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak of the COVID-19 pandemic.
    Methods: This survey was conducted from January 26 to February 1, 2020, during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public account of our hospital. To participate in the study, the patient was required to answer a list of questions to exclude the possibility of COVID-19 infection and confirm their willingness to participate voluntarily. Next, the participant was directed to complete the self-report questionnaire. After the internet consultation, the participant was directed to complete the self-report questionnaire again. The questionnaire included sections on general information, the General Health Questionnaire-28 (GHQ-28), and the participant's worries, disease knowledge, and need for hospital treatment.
    Results: The total number of internet consultations was 4120. The consultation topics mainly included respiratory symptoms such as cough, expectoration, and fever (2489/4120, 60.4%) and disease knowledge, anxiety, and fear (1023/4120, 24.8%). A total of 1530 people filled out the questionnaires before and after the internet consultation. Of these people, 1398/1530 (91.4%) experienced psychological stress before the internet consultation, which significantly decreased after consultation (260/1530, 17.0%) (χ
    Conclusions: During the early outbreak of COVID-19, internet hospitals could help relieve psychological burdens and increase disease awareness through timely and rapid spread of knowledge regarding COVID-19 prevention and control. Internet hospitals should be an important aspect of a new medical model in public health emergency systems.
    MeSH term(s) Adult ; Anxiety/epidemiology ; Betacoronavirus/pathogenicity ; COVID-19 ; China/epidemiology ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Coronavirus Infections/virology ; Cross-Sectional Studies ; Disease Outbreaks ; Female ; Health Education/statistics & numerical data ; Hospitals ; Humans ; Internet ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/virology ; Referral and Consultation/statistics & numerical data ; SARS-CoV-2 ; Stress, Psychological/epidemiology ; Surveys and Questionnaires ; Telemedicine ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-08-04
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/19551
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Effects of Internet Hospital Consultations on Psychological Burdens and Disease Knowledge During the Early Outbreak of COVID-19 in China: Cross-Sectional Survey Study

    Li, Lin / Liu, Gang / Xu, Weiguo / Zhang, Yun / He, Mei

    J Med Internet Res

    Abstract: ... of internet hospitals in relieving psychological burden and increasing disease knowledge during the early ... the effects of internet hospitals on psychological burden and disease knowledge in major public health ... during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat ...

    Abstract BACKGROUND: Coronavirus disease (COVID-19) has become a global threat to human health. Internet hospitals have emerged as a critical technology to bring epidemic-related web-based services and medical support to the public. However, only a few very recent scientific literature reports have explored the effects of internet hospitals on psychological burden and disease knowledge in major public health emergencies such as the COVID-19 pandemic. OBJECTIVE: The aim of this study was to explore the role of internet hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak of the COVID-19 pandemic. METHODS: This survey was conducted from January 26 to February 1, 2020, during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public account of our hospital. To participate in the study, the patient was required to answer a list of questions to exclude the possibility of COVID-19 infection and confirm their willingness to participate voluntarily. Next, the participant was directed to complete the self-report questionnaire. After the internet consultation, the participant was directed to complete the self-report questionnaire again. The questionnaire included sections on general information, the General Health Questionnaire-28 (GHQ-28), and the participant's worries, disease knowledge, and need for hospital treatment. RESULTS: The total number of internet consultations was 4120. The consultation topics mainly included respiratory symptoms such as cough, expectoration, and fever (2489/4120, 60.4%) and disease knowledge, anxiety, and fear (1023/4120, 24.8%). A total of 1530 people filled out the questionnaires before and after the internet consultation. Of these people, 1398/1530 (91.4%) experienced psychological stress before the internet consultation, which significantly decreased after consultation (260/1530, 17.0%) (χ21=1704.8, P<.001). There was no significant difference in the number of people who expressed concern about the COVID-19 pandemic before and after the internet consultation (χ21=0.7, P=.43). However, the degree of concern after the internet consultation was significantly alleviated (t2699=90.638, P<.001). The main worries before and after consultation were the dangers posed by the disease and the risk of infection of family members. The scores of the self-assessment risk after the internet consultation were significantly lower than those before consultation (t3058=95.694, P<.001). After the consultation, the participants' knowledge of the symptoms, transmission routes, and preventive measures of COVID-19 was significantly higher than before the consultation (t3058=-106.105, -80.456, and -152.605, respectively; all P<.001). The hospital treatment need score after the internet consultation decreased from 3.3 (SD 1.2) to 1.6 (SD 0.8), and the difference was statistically significant (t3058=45.765, P<.001). CONCLUSIONS: During the early outbreak of COVID-19, internet hospitals could help relieve psychological burdens and increase disease awareness through timely and rapid spread of knowledge regarding COVID-19 prevention and control. Internet hospitals should be an important aspect of a new medical model in public health emergency systems.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #697089
    Database COVID19

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  3. Article ; Online: Effects of Internet Hospital Consultations on Psychological Burdens and Disease Knowledge During the Early Outbreak of COVID-19 in China

    Li, Lin / Liu, Gang / Xu, Weiguo / Zhang, Yun / He, Mei

    Journal of Medical Internet Research, Vol 22, Iss 8, p e

    Cross-Sectional Survey Study

    2020  Volume 19551

    Abstract: ... hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak ... the effects of internet hospitals on psychological burden and disease knowledge in major public health ... the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public ...

    Abstract BackgroundCoronavirus disease (COVID-19) has become a global threat to human health. Internet hospitals have emerged as a critical technology to bring epidemic-related web-based services and medical support to the public. However, only a few very recent scientific literature reports have explored the effects of internet hospitals on psychological burden and disease knowledge in major public health emergencies such as the COVID-19 pandemic. ObjectiveThe aim of this study was to explore the role of internet hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak of the COVID-19 pandemic. MethodsThis survey was conducted from January 26 to February 1, 2020, during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public account of our hospital. To participate in the study, the patient was required to answer a list of questions to exclude the possibility of COVID-19 infection and confirm their willingness to participate voluntarily. Next, the participant was directed to complete the self-report questionnaire. After the internet consultation, the participant was directed to complete the self-report questionnaire again. The questionnaire included sections on general information, the General Health Questionnaire-28 (GHQ-28), and the participant’s worries, disease knowledge, and need for hospital treatment. ResultsThe total number of internet consultations was 4120. The consultation topics mainly included respiratory symptoms such as cough, expectoration, and fever (2489/4120, 60.4%) and disease knowledge, anxiety, and fear (1023/4120, 24.8%). A total of 1530 people filled out the questionnaires before and after the internet consultation. Of these people, 1398/1530 (91.4%) experienced psychological stress before the internet consultation, which significantly decreased after consultation (260/1530, 17.0%) (χ21=1704.8, P<.001). There was no significant difference in the number of people who expressed concern about the COVID-19 ...
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2020-08-01T00:00:00Z
    Publisher JMIR Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: The Effects of Internet Hospitals on Psychological Burden and Disease Cognition during the early outbreak of COVID-19 in China: cross-sectional survey

    Li, L. / Xu, W. / He, M. / Zhang, Y. / Liu, G.

    Journal of medical Internet research

    Abstract: ... the early outbreak of COVID-19, internet hospital can help relieving psychological burden and increasing ... burden and increasing disease cognition during the early outbreak of COVID-19 pandemic ... hospitals on psychological burden and disease cognition in major public health emergencies like COVID-19 ...

    Abstract BACKGROUND: The 2019 coronavirus disease (COVID-19) has become a global threat Internet hospitals have emerged as a critical technology to bring epidemic-related online services and medical support to the public However, there is little and very new scientific literature exploring the effects of internet hospitals on psychological burden and disease cognition in major public health emergencies like COVID-19 OBJECTIVE: The aim of this study is to explore the role of internet hospitals in relieving psychological burden and increasing disease cognition during the early outbreak of COVID-19 pandemic METHODS: This survey was conducted from January 26, 2020 to February 1, 2020, which was the early outbreak of COVID-19 in China The platform used to the consultation was the WeChat public account of our hospital People all over the country could apply for the free consultation as long as they had access to the WeChat The procedure of free COVID-19 consultation services was as follows: First, people must answer a list of questions to exclude the possibility of COVID-19 Next, the participant was directed to complete the self-report questionnaire after confirmation of their willingness to participate voluntarily Then, clinicians would communicated with people on their symptoms and psychological state, whether they developed COVID-19, prevention and control of the disease, and whatever questions until the people actively ends the online consultation Finally, the participant was directed to complete the self-report questionnaire again The questionnaire included: general information, general health questionnaire-28 (GHQ-28), their worries, disease cognition and medical needs RESULTS: The total number of internet consultation was 4120 The consultation content mainly included 60 4%(2489/4120) respiratory symptoms such as cough, expectoration and fever and 24 8% (1023/4120) disease knowledge, anxiety and fear A total of 1530 people filled out questionnaires before and after internet consultation 91 4% (1398/1530) of the people had psychological stress reaction before internet consultation, which was significantly higher than that after consultation (17 0%, 260/1530) (χ2=1704 800, P 001) There was no significant difference in the percentage of people who expressed worry about the COVID-19 pandemic before and after internet consultation (χ2=0 710, P= 43) However, the degree of worry after internet consultation was significantly alleviated than that before internet consultation (t=90 638, P= 001) The main worries before and after consultation were the disease's danger and the risk for family and relatives to be infected The scores of self-assessment risk after internet consultation was significantly lower than those before consultation (t=95 694, P= 001) After consultation, the people' cognition of the symptoms, transmission routes and preventive measures of COVID-19 was higher than that before consultation, the difference was statistically significant (t=-106 105, -80 456 and -152 605 respectively, all P= 001) The score of medical needs after internet consultation was (1 6 ± 0 8), lower than that before consultation (3 3 ± 1 2), the difference was statistically significant (t=45 765, P 001) CONCLUSIONS: During the early outbreak of COVID-19, internet hospital can help relieving psychological burden and increasing disease cognition of people through timely and rapid spread of COVID-19 prevention and control knowledge Internet hospitals should be an important part of a new medical model in public health emergency system CLINICALTRIAL: Not applicable
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #656151
    Database COVID19

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