慢性病患者信息过载的概念分析

doi:10.3761/j.issn.1672-9234.2025.01.020

摘要/Abstract

摘要：

目的分析慢性病患者信息过载的定义属性，明晰其概念内涵，探讨其前因后果，为今后开展相关研究提供理论依据。方法检索PubMed、Web of Science、Embase、CINAHL、中国生物医学文献数据库、万方、中国知网、维普数据库中慢性病患者信息过载相关文献，并采用Walker和Avant的经典概念分析法对慢性病患者信息过载进行概念分析。结果共纳入24篇文献，确定其定义属性包含健康信息输入过多、认知资源消耗及健康信息有效利用率降低三方面。前置因素包括信息环境因素、认知因素、心理因素、技术焦虑、人口学特征和感知障碍。后果主要可归纳为认知、情绪、行为三方面。适用于慢性病患者的测量工具有癌症信息过载量表、心脏健康信息过载量表和信息过载问卷。结论目前国内慢性病患者信息过载研究尚处于起步阶段，其起因多样，所造成的后果较为严重，且符合我国国情的慢性病患者信息过载特异性评估工具较少，未来应围绕慢性病患者信息过载展开更加深入、全面的研究。

关键词: 慢性病, 信息过载, 信息疲劳, 概念分析

Abstract:

Objective To analyze the definition and connotation of information overload in patients with chronic diseases，explore its antecedents and consequences，and provide a theoretical basis for future related research. Methods A literature search was conducted on information overload related articles in PubMed，Web of Science，Embase，CINAHL，CBM，Wanfang Data，CNKI，and VIP databases. Walker and Avant’s classic concept analysis method was employed to analysis information overload among chronic disease patients. Results A total of 24 articles were included. The defining attributes of information overload included excessive input of health information，consumption of cognitive resources，and decreased effective utilization of health information. The predisposing factors consist of information environmental factors，cognitive factors，psychosocial factors，technological anxiety，demographic characteristics，and perceived barriers. The consequences were mainly categorized into three aspects：cognitive，emotional，and behavioral. The measurement tools applicable to chronic disease patients include the Cancer Information Overload Scale，the Heart Health Information Overload Scale and the Information Overload Questionnaire. Conclusion Currently，research on information overload among chronic disease patients in China is still in its early stages. The causes of this phenomenon are diverse，and the consequences are significant. Moreover，there are scant specific assessment tools tailored to the Chinese context for evaluating information overload among chronic disease patients. Therefore，more in-depth and comprehensive research should be conducted in the future to address information overload among chronic disease patients.

Key words: Chronic Diseases, Information Overload, Information Fatigue, Concept Analysis

蔡闵敏, 张春, 张洁琼, 张银雪, 王凤娟, 胡安倩, 马玉彤. 慢性病患者信息过载的概念分析[J]. 中华护理教育, 2025, 22(1): 122-128.

CAI Minmin, ZHANG Chun, ZHANG Jieqiong, ZHANG Yinxue, WANG Fengjuan, HU Anqian, MA Yutong. Information overload in patients of chronic diseases：a concept analysis[J]. Chinese Journal of Nursing Education, 2025, 22(1): 122-128.

参考文献 45

[1]	World Health Organization. World health statistics 2023:moni-toring health for the SDGs,sustainable development goals[EB/OL].(2023-05-19). https://www.who.int/publications/i/item/9789-240074323.
[2]	陈琼, 赵宇翔, 宋士杰, 等. 在线健康信息搜寻中信息过载研究综述[J]. 情报学报, 2022, 41(4):424-436.
[3]	Arnold M, Goldschmitt M, Rigotti T. Dealing with information overload:a comprehensive review[J]. Front Psychol, 2023, 14:1122200.
[4]	Miller JG. Information input overload and psychopathology[J]. Am J Psychiatry, 1960, 116:695-704.
[5]	李晴歌, 胡嘉乐, 阮洪, 等. 概念分析方法及其在护理研究中的应用进展[J]. 护理学杂志, 2018, 33(7):111-112,封3.
[6]	Jensen JD, Carcioppolo N, King AJ, et al. The cancer informa-tion overload(CIO) scale:establishing predictive and discrimi-nant validity[J]. Patient Educ Couns, 2014, 94(1):90-96. doi: 10.1016/j.pec.2013.09.016 pmid: 24268921
[7]	Synnot AJ, Hill SJ, Garner KA, et al. Online health information seeking:how people with multiple sclerosis find,assess and integrate treatment information to manage their health[J]. Health Expect, 2016, 19(3):727-737.
[8]	Deng ZH, Deng ZH, Fan GR, et al. More is better? Understan-ding the effects of online interactions on patients health anxiety[J]. Asso For Info Science & Tech, 2023, 74(11):1243-1264.
[9]	Cao YY, Li JJ, Qin XH, et al. Examining the effect of overload on the mHealth application resistance behavior of elderly users:an SOR perspective[J]. Int J Environ Res Public Health, 2020, 17(18):6658.
[10]	Chae J. Who avoids cancer information? Examining a psycho-logical process leading to cancer information avoidance[J]. J Health Commun, 2016, 21(7):837-844.
[11]	Eraslan P, Tufan G. Cancer information overload may be a crucial determinant of adjuvant aromatase inhibitor adherence[J]. Eur Rev Med Pharmacol Sci, 2022, 26(19):7053-7062.
[12]	Jensen JD, Liu M, Carcioppolo N, et al. Health information seeking and scanning among US adults aged 50-75 years:testing a key postulate of the information overload model[J]. Health Informatics J, 2017, 23(2):96-108.
[13]	Jin SW, Lee Y, Dia DA. Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model[J]. Patient Educ Couns, 2019, 102(3):416-423. doi: S0738-3991(18)30970-4 pmid: 30448041
[14]	Jensen JD, Pokharel M, Carcioppolo N, et al. Cancer informa-tion overload:discriminant validity and relationship to sun safe behaviors[J]. Patient Educ Couns, 2020, 103(2):309-314. doi: S0738-3991(19)30381-7 pmid: 31522897
[15]	Eraslan P, Ilhan A. Cancer information overload and death anxiety predict health anxiety[J]. Eur Rev Med Pharmacol Sci, 2023, 27(1):291-298.
[16]	Chae J, Lee CJ, Jensen JD. Correlates of cancer information overload:focusing on individual ability and motivation[J]. Health Commun, 2016, 31(5):626-634.
[17]	Peng W, Carcioppolo N, Occa A, et al. Feel worried,overloa-ded,or fatalistic? The determinants of cancer uncertainty ma-nagement preferences[J]. Health Commun, 2021, 36(3):347-360. doi: 10.1080/10410236.2019.1692489
[18]	Obamiro KO, Chalmers L, Lee K, et al. Anticoagulation know-ledge in patients with atrial fibrillation:an Australian survey[J]. Int J Clin Pract, 2018, 72(3):e13072.
[19]	丁遥遥, 韩静, 杨富国. 心房颤动病人信息超载现状及影响因素分析[J]. 护理研究, 2023, 37(2):355-358.
[20]	Liu CF, Kuo KM. Does information overload prevent chronic patients from reading self-management educational materials?[J]. Int J Med Inform, 2016, 89:1-8.
[21]	于晓磊, 李文鑫, 陈盼盼, 等. 癌症信息超载对头颈部恶性肿瘤放化疗患者恐惧疾病进展的影响:决策冲突的中介作用[J]. 军事护理, 2023, 40(11):74-78.
[22]	Sarkhel S, Bakhla AK, Praharaj SK, et al. Information overload regarding COVID-19:adaptation and validation of the cancer information overload scale[J]. Indian J Psychiatry, 2020, 62(5):481-487.
[23]	Ramondt S, Ramírez AS. Assessing the impact of the public nutrition information environment:adapting the cancer infor-mation overload scale to measure diet information overload[J]. Patient Educ Couns, 2019, 102(1):37-42. doi: S0738-3991(18)30424-5 pmid: 30097378
[24]	Obamiro K, Lee K. Information overload in patients with atrial fibrillation:can the cancer information overload(CIO) scale be used?[J]. Patient Educ Couns, 2019, 102(3):550-554.
[25]	丁遥遥, 姜慧, 韩静, 等. 修订版心房颤动信息超载量表的汉化及信效度检验[J]. 中国实用护理杂志, 2023, 39(6):446-450.
	Ding YY, Jiang H, Han J, et al. Translation of the Chinese version of the Modified Atrial Fibrillation Information Overload Scale and the test of its reliability and validity[J]. Chin J Pract Nurs, 2023, 39(6):446-450.
[26]	Crook B, Stephens KK, Pastorek AE, et al. Sharing health in-formation and influencing behavioral intentions:the role of health literacy,information overload,and the Internet in the diffusion of healthy heart information[J]. Health Commun, 2016, 31(1):60-71.
[27]	Schommer JC, Doucette WR, Worley MM. Processing prescrip-tion drug information under different conditions of presenta-tion[J]. Patient Educ Couns, 2001, 43(1):49-59. pmid: 11311839
[28]	Costa DSJ, Smith AB, Lim BT, et al. Simplifying the assessment of cancer information overload:a comment on Jensen et al.(2014)[J]. Patient Educ Couns, 2015, 98(11):1450.
[29]	Breyton M, Smith AB, Rouquette A, et al. Cancer information overload:association between a brief version of the CIO scale and multiple cancer risk management behaviours[J]. Patient Educ Couns, 2021, 104(5):1246-1252. doi: 10.1016/j.pec.2020.09.016 pmid: 33067081
[30]	Bawden D, Robinson L. The dark side of information:over-load,anxiety and other paradoxes and pathologies[J]. J Inf Sci, 2009, 35(2):180-191.
[31]	Eppler MJ, Mengis J. The concept of information overload:a review of literature from organization science,accounting,marketing,MIS,and related disciplines[J]. Inform Soc, 2004, 20(5):325-344.
[32]	McCaughan E, McKenna H. Never-ending making sense:towards a substantive theory of the information-seeking behaviour of newly diagnosed cancer patients[J]. J Clin Nurs, 2007, 16(11):2096-2104. pmid: 17331090
[33]	Coulter A, Ellins J. Effectiveness of strategies for informing,educating,and involving patients[J]. BMJ, 2007, 335(7609):24-27.
[34]	Rodney A. Pathogenic or health-promoting? How food is framed in healthy living media for women[J]. Soc Sci Med, 2018, 213:37-44. doi: S0277-9536(18)30391-5 pmid: 30056325
[35]	De la Torre-Díez I, Díaz-Pernas FJ, Antón-Rodríguez M. A content analysis of chronic diseases social groups on Facebook and Twitter[J]. Telemed J E Health, 2012, 18(6):404-408. doi: 10.1089/tmj.2011.0227 pmid: 22650380
[36]	Swar B, Hameed T, Reychav I. Information overload,psycholo-gical ill-being,and behavioral intention to continue online healthcare information search[J]. Comput Hum Behav, 2017, 70:416-425.
[37]	Lang AN. Using the limited capacity model of motivated mediated message processing to design effective cancer com-munication messages[J]. J Commun, 2006, 56(SUPPL.):57-80.
[38]	Franconeri SL, Alvarez GA, Cavanagh P. Flexible cognitive re-sources:competitive content maps for attention and memory[J]. Trends Cogn Sci, 2013, 17(3):134-141. doi: 10.1016/j.tics.2013.01.010 pmid: 23428935
[39]	Sweller J. Cognitive load during problem solving:effects on learning[J]. Cogn Sci, 1988, 12(2):257-285.
[40]	Islam AKMN, Whelan E, Brooks S. Does multitasking computer self-efficacy mitigate the impact of social media affordances on overload and fatigue among professionals?[J]. Inf Technol People, 2021, 34(5):1439-1461.
[41]	da Silva Cezar BG, Maçada ACG. Cognitive overload,anxiety,cognitive fatigue,avoidance behavior and data literacy in big data environments[J]. Inf Process Manag, 2023, 60(6):103482.
[42]	谷成铭. 性别视角下中国老年人自评健康差异分析:基于CLHLS数据[D]. 济南: 山东财经大学, 2023.
	Gu CM. Differences in self-rated health among Chinese elderly from the perspective of gender—based on CLHLS data[D]. Jinan: Shandong University of Finance and Economics, 2023.
[43]	Slade K, Plack CJ, Nuttall HE. The effects of age-related hearing loss on the brain and cognitive function[J]. Trends Neurosci, 2020, 43(10):810-821. doi: 10.1016/j.tins.2020.07.005 pmid: 32826080
[44]	Thomas SP. Information fatigue syndrome:is there an epidemic?[J]. Issues Ment Health Nurs, 1998, 19(6):523-524. pmid: 9883128
[45]	Stephens KK, Rains SA. Information and communication tech-nology sequences and message repetition in interpersonal interaction[J]. Commun Res, 2011, 38(1):101-122.