Ben-Arye Eran, Halabi Inbal, Attias Samuel, Goldstein Lee, Schiff Elad
Department of Family Medicine, Complementary and Traditional Medicine Unit, Technion-Israel Institute of Technology, Haifa, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Clalit Health Services, Western Galilee District, Haifa, Israel; Integrative Oncology Program, The Oncology Service, Lin Medical Center, Israel.
Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Complement Ther Med. 2014 Apr;22(2):304-10. doi: 10.1016/j.ctim.2014.01.005. Epub 2014 Jan 11.
Use of dietary supplements (DS) during hospitalization carries risks such as reducing drug treatment efficacy and increasing peri-operative complications due to DS-drug interactions and DS side effects. In this study, we aimed to develop socio-cultural-sensitive patient histories to detect DS use amongst hospitalized patients from different backgrounds.
Prospective cohort study of hospitalized patients from June 2009 through March 2010, using mixed quantitative (questionnaires), and qualitative (semi-structured interviews) research methodology to detect DS use.
Data were provided by 691 of 895 patients (response rate 77.2%). Of these, 359 (51.9%) reported using DS in the previous year. 168 (46.8%) disclosed DS use following a standard question on DS consumption. 191 (53.2%) respondents disclosed DS use only following further questioning utilizing DS-related keywords. Leading questioning techniques that facilitated admitting DS use included: naming common DS (50.6% disclosure rate), and using traditional/herbal medicine (THM) related keywords (41.3% disclosure rate) such as infusions, teas, herbs picked in the garden. A logistic multivariate regression model indicated that disclosure of DS use, by using THM related keywords was associated with non-Jewish religion [EXP(B)=3.57, 95% C.I. 1.70-7.50, p=0.001], dwelling in rural areas (p=0.004), and having a lower degree of education (p=0.01).
Improved history taking regarding DS use in hospitalized patients can be accomplished by using specific keywords that address socio-cultural diversities as in the following question: "Do you use any natural, folk, traditional, grandma remedies, herbs picked in the garden, infusions or herbal teas to improve your health?.
住院期间使用膳食补充剂（DS）存在风险，例如因DS与药物相互作用及DS副作用而降低药物治疗效果并增加围手术期并发症。在本研究中，我们旨在制定对社会文化敏感的患者病史，以检测不同背景住院患者中DS的使用情况。
对2009年6月至2010年3月期间的住院患者进行前瞻性队列研究，采用混合定量（问卷调查）和定性（半结构化访谈）研究方法来检测DS的使用情况。
895名患者中有691名提供了数据（应答率77.2%）。其中，359名（51.9%）报告在前一年使用过DS。168名（46.8%）在关于DS消费的标准问题后披露了DS的使用情况。191名（53.2%）受访者仅在使用与DS相关的关键词进行进一步询问后才披露了DS的使用情况。促使承认使用DS的主要询问技巧包括：提及常见的DS（披露率50.6%），以及使用与传统/草药医学（THM）相关的关键词（披露率41.3%），如输液、茶、在花园采摘的草药。逻辑多变量回归模型表明，使用与THM相关的关键词披露DS的使用情况与非犹太宗教[EXP(B)=3.57，95%置信区间1.70 - 7.50，p = 0.001]、居住在农村地区（p = 0.004）以及教育程度较低（p = 0.01）有关。
通过使用针对社会文化多样性的特定关键词，如以下问题：“您是否使用任何天然、民间、传统、祖传疗法、在花园采摘的草药、输液或草药茶来改善健康？”，可以改进对住院患者DS使用情况的病史采集。
