评估TikTok上鼻中隔成形术相关内容的准确性、质量和可靠性

文献信息

中文摘要

引言： TikTok已成为健康信息的主要来源，但医学内容的质量和可靠性仍令人担忧。鼻中隔成形术是最常进行的耳鼻喉科手术之一，在该平台上经常被讨论。我们试图评估TikTok上鼻中隔成形术相关内容的准确性、质量和可靠性。
方法： 于2025年4月至5月对公开可用的TikTok视频进行了横断面内容分析。使用搜索词“septoplasty”、“deviated septum”和“septal reconstruction”识别视频。筛选后，纳入173个视频，使用全球质量量表（GQS）和改良DISCERN（mDISCERN）进行分析；74个视频包含足够的健康信息，可使用数字健康准确性工具（ANDI）进行评估。描述性和比较性分析评估了不同创作者类型的内容质量、可靠性、准确性和参与度。
结果： 总体而言，视频显示出中等准确性（平均ANDI 2.82）、低至中等质量（平均GQS 2.31）和低可靠性（平均mDISCERN 0.78）。大多数视频（67.1%）由非医疗专业人员创建。医生创建的视频在准确性、质量和可靠性评分上显著高于非医生视频（所有P ≤ .001）。参与度指标在不同创作者类型之间无显著差异（所有P > .30）。认证账户状态是与更高参与度最一致相关的因素。
结论： TikTok上鼻中隔成形术相关内容显示出中等准确性，但可靠性和质量普遍较低。由医生和其他医疗专业人员创建的内容在准确性、质量和可靠性上高于非医疗专业人员创建的内容。这些发现支持合格医疗专业人员更多地参与在社交媒体上传播循证信息，尽管未评估此类内容对观众理解和医疗决策的影响。

英文摘要

INTRODUCTION: TikTok has become a major source of health information, but concerns remain regarding the quality and reliability of medical content. Septoplasty is one of the most performed otolaryngologic procedures and is frequently discussed on the platform. We seek to evaluate the quality, reliability, and accuracy of septoplasty-related content on TikTok.
METHODS: A cross-sectional content analysis of publicly available TikTok videos was conducted between April and May 2025. Videos were identified using the search terms "septoplasty," "deviated septum," and "septal reconstruction." After screening, 173 videos were included for analysis using the Global Quality Scale (GQS) and modified DISCERN (mDISCERN); 74 videos contained sufficient health information for evaluation with the Accuracy in Digital-health Instrument (ANDI). Descriptive and comparative analyses assessed content quality, reliability, accuracy, and engagement across creator types.
RESULTS: Overall, videos demonstrated moderate accuracy (mean ANDI 2.82), low-to-moderate quality (mean GQS 2.31), and low reliability (mean mDISCERN 0.78). Most videos (67.1%) were created by non-health care professionals. Physician-created videos had significantly higher accuracy, quality, and reliability scores than nonphysician videos (all P ≤ .001). Engagement metrics did not differ significantly by creator type (all P > .30). Verified account status was the factor most consistently associated with higher engagement.
CONCLUSION: Septoplasty-related TikTok content demonstrates moderate accuracy but generally low reliability and quality. Content created by physicians and other healthcare professionals demonstrated higher accuracy, quality, and reliability than content created by non-healthcare professionals. These findings support greater participation by qualified healthcare professionals in disseminating evidence-based information on social media, although the effects of such content on viewer understanding and healthcare decision-making were not assessed.