West Adrienne L, Fetters Michael D, Hemmila Mark R, Gorenflo Daniel W, Kiyota Ayano, Moroi-Fetters Sayoko
Department of Ophthalmology, University of Michigan Health System, Ann Arbor, Michigan 48105, USA.
Am J Ophthalmol. 2005 Mar;139(3):522-9. doi: 10.1016/j.ajo.2004.10.043.
To survey comprehensive ophthalmology patients about their use of vitamins and herbal supplements.
Cross-sectional survey.
A survey instrument was developed and distributed to 397 patients presenting to a main campus university-based comprehensive ophthalmology clinic and to an off-site comprehensive ophthalmology clinic. Information gathered included demographics, use of prescription medications, use of vitamin and herbal supplements, the reasons for using these supplements, perceived benefits of these products, where the information regarding them was gathered, and with whom patients had discussed their use.
Fifty-eight percent of patients reported nearly daily use of vitamins. Multivitamins were the most common vitamin and were used by 46% of the patients. Eight percent of patients used herbal products on a daily basis. Twenty-six percent learned about vitamins from their primary care physician (PCP), and just 2% from their ophthalmologists, while 35% discussed their actual use with a PCP, and 5% with their ophthalmologists. Just 2% of these patients learned of herbs from a PCP, and <1% from an ophthalmologist. Older patients used multivitamins and other vitamins most frequently, while gender and education were not predictive of vitamin or herbal use. Mean monthly spending on vitamins by users was 15.74 dollars, while herbal users spent a monthly mean of 15.35 dollars.
Vitamins and herbs are used by a significant number of patients in a comprehensive ophthalmology setting. Given the prevalence of vitamin and herbal use, ophthalmologists should systematically inquire about their use.
调查综合眼科患者使用维生素和草药补充剂的情况。
横断面调查。
开发了一份调查问卷,并分发给在一所位于大学校园的主校区综合眼科诊所以及一家校外综合眼科诊所就诊的397名患者。收集的信息包括人口统计学资料、处方药使用情况、维生素和草药补充剂的使用情况、使用这些补充剂的原因、对这些产品的感知益处、获取相关信息的来源以及患者与谁讨论过其使用情况。
58%的患者报告几乎每天都使用维生素。复合维生素是最常用的维生素,46%的患者使用。8%的患者每天使用草药产品。26%的患者从其初级保健医生(PCP)处了解到维生素,只有2%从眼科医生处了解到;35%的患者与PCP讨论过其实际使用情况,5%与眼科医生讨论过。这些患者中只有2%从PCP处了解到草药,不到1%从眼科医生处了解到。老年患者最常使用复合维生素和其他维生素,而性别和教育程度并不能预测维生素或草药的使用情况。维生素使用者每月平均花费15.74美元,草药使用者每月平均花费15.35美元。
在综合眼科环境中,大量患者使用维生素和草药。鉴于维生素和草药使用的普遍性,眼科医生应系统地询问其使用情况。