Qadour Einav, Ben-Arye Eran, Goldstein Lee, Attias Samuel, Schiff Elad
Harefuah. 2015 Jan;154(1):39-42, 67.
Consumption of dietary supplements (DS) by patients in the community is rising. DS affect human health, and safety issues regarding concomitant DS-medication use are underemphasized. Consequently, the Ministry of Health issued a directive regarding the need for assessing DS use in every patient and documenting such use in the medical record.
To evaluate the rate of DS consumption in hospitalized patients, and to assess documentation of such consumption.
This was a prospective cross-sectional study. Patients hospitalized in the medical wards of a public-academic hospital in Israel, between the years 2009-2010, were interviewed regarding their use of DS. The medical records were searched for documentation of DS use.
A total of 895 hospitalized patients were interviewed; 691 agreed to answer the questionnaire (compliance rate 77%). The analysis referred to 648 fully-completed questionnaires. Of the participants, 359 (55.4%) were DS consumers. On multivariable analysis, DS consumption was associated with older age, female gender, higher education status, and the presence of psychiatric disease. Only 11.4% of DS users had documentation of such use in their medical record.
DS consumption is common amongst hospitalized patients, and is overlooked by the medical team. Patients and doctors should be more aware of the possible adverse effects of DS use and their potential herb-drug interactions. Education regarding appropriate communication on DS use should be established.
社区患者对膳食补充剂（DS）的消费量正在上升。DS会影响人类健康，而关于DS与药物同时使用的安全问题未得到足够重视。因此，卫生部发布了一项指令，要求评估每位患者使用DS的情况并将其记录在病历中。
评估住院患者使用DS的比例，并评估此类使用情况的记录。
这是一项前瞻性横断面研究。对2009年至2010年间在以色列一家公立学术医院内科病房住院的患者进行了关于其DS使用情况的访谈。在病历中查找DS使用情况的记录。
共访谈了895名住院患者；691人同意回答问卷（依从率77%）。分析涉及648份完整填写的问卷。在参与者中，359人（55.4%）使用DS。多变量分析显示，DS的使用与年龄较大、女性、较高的教育程度以及患有精神疾病有关。只有11.4%的DS使用者在其病历中有此类使用情况的记录。
DS的使用在住院患者中很常见，但被医疗团队忽视。患者和医生应更加了解DS使用可能产生的不良反应及其潜在的草药-药物相互作用。应开展关于DS使用的适当沟通的教育。
