媒体话语,影响和反思:在长期护理中对自杀和杀人的内容分析和文本挖掘研究
Charlotte Wang1,2, Hsiu-Ju Fang3, Hsin-Yang Lu1
1Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, Taipei, Taiwan.
Journal of medical Internet research
|April 28, 2025
概括
媒体对长期护理悲剧的描述正在从"家庭道德悲剧"转变为"长期护理悲剧",并越来越关注护理负担. 促进积极的长期护理故事和媒体素养可以帮助预防护理人员的自杀和杀人.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 媒体研究 媒体研究
背景情况:
- 人口老龄化增加对长期护理 (LTC) 服务的需求.
- 媒体的代表性对公众的看法和对LTC信息的获取有重大影响.
- 新闻框架可以通过充满希望的叙事 (帕帕格诺效应) 来减轻负面影响 (沃特效应).
研究的目的:
- 调查台湾LTC地区自杀和杀人的新闻报道.
- 分析2017年台湾LTC计划2.0实施前后媒体报道框架的变化.
- 评估新闻内容与提供关于LTC服务和预防自杀的信息之间的一致性.
主要方法:
- 433个新闻报道 (2009-2021) 的内容分析和文本挖掘,涵盖95个LTC自杀/杀人案件.
- 应用随机效应模型来分析术语频率转换.
- 分析语言特征,医疗/伦理术语,并提供支持信息.
主要成果:
- 家庭照顾者谋杀-自杀构成了大多数 (>60%) 的案例.
- 观察到从"家庭道德悲剧"到"长期护理悲剧"的演讲的转变.
- 报告"护理负担" (P=.003) 和自杀预防热线的增加 (>50%),LTC服务信息有限 (<25%).
结论:
- 媒体框架影响公众对LTC问题的反应;积极的框架可以是预防性的.
- 政府应促进积极的LTC媒体报道,提高媒体素养.
- 建立关于护理人员谋杀-自杀的年度数据库可以为政策和预防工作提供信息.
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