关键词: 糖尿病, 健康教育, 网页信息, 质量评价

Abstract: Background　The Internet has become one of the main ways to obtain health information for diabetes patients in China. However，the quality of web pages of diabetes-related health care information is unclear. Objective　To assess the quality of web pages of diabetes-related health care information obtained using common search engines in China. Methods　In October 2018，using "糖尿病" as the key word，we searched for diabetes-related health care information on the first 50 web pages obtained by using each of the top six popular engines〔including Baidu，Shenma（mobile），Sougou，360 search，Google，Bing（domestic）〕 in an annual rank list（September 2017 to September 2018） of Internet search engines in China made by Stat Counter（an Internet traffic monitoring organization）. After screening，web pages with diabetes-related health care information suitable for diabetics and other people reading were included，and their quality was assessed by Silberg Scale，Interactivity Scale，Abbott's Aesthetic Criteria and self-made content tool. Results　The median Silberg Scale score，Interactivity score，Abbott's Aesthetic Criteria score，and self-made content tool assessed score for the included 173 web pages were 2.0（2.0），1.0（1.0），1.0（1.0），and 2.0（4.0），respectively. The average Interactive score and Abbott's Aesthetic Criteria score for web pages searched via different search engines were statistically different（P<0.05）. The accountability of the web pages assessed by Silberg scale showed that 50.3%（87/173）stated the date created/last modified specified，35.3%（61/173） stated the author's affiliation，but only 2.9%（5/173） stated the sponsorship disclosed. The interactivity of the web pages assessed by the Interactivity scale showed that 72.8%（126/173） provided intra-site search engines，but only 1.7%（3/173） provided evaluation questionnaires. The presentation of the web pages assessed by the Abbott's aesthetic criteria demonstrated that only 9.2%（16/173） provided diagrams and other visualization means，and 80.9%（140/173） of the websites had advertisements. Content quality assessment revealed that web pages with lifestyle interventions for diabetes were the most（61.3%，106/173），followed by clinical manifestations of diabetes（46.8%，81/173） and diabetic complications（39.9%，69/173）. Conclusion　The overall quality of web pages of diabetes-related health care information needs improving and auditing by the government in China.

Key words: Diabetes, Health education, Web pages, Quality evaluation