Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of the Nurses' Knowledge Levels of Food-Drug Interaction and Some Other Influencing Factors: A Cross-Sectional Study
Hemşirelerin Besin-İlaç Etkileşimi Bilgi Düzeyleri ve Etkileyen İlişkili Diğer Faktörlerin Değerlendirilmesi: Kesitsel Bir Çalışma
Pınar DURUa, Özlem ÖRSALa, Hilal ÇELİKb
aDepartment of Public Health Nursing, Eskişehir Osmangazi University Faculty of Health Sciences, Eskişehir, Türkiye
bAcıbadem Fulya Hospital, Operating Room Nurse, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):387-97
doi: 10.5336/nurses.2021-84755
Article Language: EN
Full Text
ABSTRACT
Objective: To determine the knowledge levels of nurses on food-drug interaction (FDI) at a university hospital and to identify other relevant variables that affect their knowledge of FDI. Material and Methods: This cross-sectional study was conducted on 243 nurses working at a university hospital between November 2019 and January 2020. 'A scale to determine the level of FDI knowledge in health care professionals' was used to determine the nurses' knowledge level of FDI. For statistical analysis, descriptive statistics, t-test and one-way ANOVA test were used. Results: Among the nurses, 21.4% had low, 39.5% medium, 31.7% good, and 7.4% very good knowledge level of FDI. There was no significant relationship between the nurses' FDI knowledge levels and nurses' gender, age groups, education level, total working duration in the profession, whether they chose the profession willingly, participation in any training after graduation, and whether they know the person who is legally responsible for this situation when an FDI occurs (for each; p>0.05). Nurses who do not put the drug hours at the same time with the foods that may interact to avoid FDI and who use academic databases on FDI had higher knowledge of FDI (for each; p<0.05). Conclusion: In conclusion, 78.6% of the nurses had a moderate or higher level of knowledge on FDI. In practice, it was seen that not giving the drugs and foods that may interact at the same time and using academic databases increase the knowledge level of the nurses' FDI.

Keywords: Food and drug interactions; knowledge; nurses; nurse's role
ÖZET
Amaç: Bir üniversite hastanesinde çalışan hemşirelerin besinilaç etkileşimi (BİE) bilgi düzeylerinin saptanması ve BİE bilgi düzeylerini etkileyen ilgili diğer değişkenlerin belirlenmesidir. Gereç ve Yöntemler: Bu kesitsel çalışma, Kasım 2019-Ocak 2020 tarihleri arasında bir üniversite hastanesinde çalışan 243 hemşire üzerinde gerçekleştirilmiştir. Hemşirelerin BİE bilgi düzeylerini saptamak üzere 'Sağlık çalışanlarında BİE bilgi düzeyini saptama ölçeği' kullanılmıştır. İstatistiksel analizler için tanımlayıcı istatistikler, t-testi ve ANOVA testi kullanılmıştır. Bulgular: Hemşirelerin %21,4'ünün BİE bilgi düzeyi düşük, %39,5'i orta, %31,7'si iyi, %7,4'ü çok iyi düzeyde BİE bilgi düzeyine sahiptir. Hemşirelerin BİE bilgi düzeyleri ile hemşirelerin cinsiyetleri, yaş grupları, eğitim düzeyleri, meslekte toplam çalışma süreleri, mesleği isteyerek seçme, mezuniyet sonrası herhangi bir eğitime katılma durumları, BİE gerçekleştiğinde bu durumdan yasal olarak sorumlu olan kişiyi bilme durumları arasında anlamlı bir ilişki yoktur (her biri için; p>0,05). BİE ile karşılaşmamak için ilaç saatlerini etkileşebilecek besinlerle aynı zaman dilimine koymayan ve BİE ile ilgili akademik veri tabanlarını kullanan hemşirelerin BİE bilgi düzeyleri daha yüksektir (her biri için; p<0,05). Sonuç: Sonuç olarak hemşirelerin %78,6'sı, orta veya üst düzeyde BİE bilgisine sahiptir. Uygulamada etkileşebilecek besinlerle ilaçları aynı zaman diliminde vermeme ve akademik veri tabanlarını kullanmanın hemşirelerin BİE bilgi düzeylerini artırdığı görülmektedir.

Anahtar Kelimeler: Besin ilaç etkileşimleri; bilgi; hemşireler; hemşirelik rolleri
REFERENCES:
  1. U.S. Food & Drug Administration [Internet]. [Cited: 04.11.2020]. Human drugs. Available from: [Link] 
  2. Roe DA. Definition, diagnosis, and risk of diet and drug interactions. Diet and Drug Interactions. 1st ed. Newyork: Springer Science & Business Media; 1989. p.1-10. [Crossref] 
  3. Çorum D, Üney K. İlaçların beslenme ve besin öğeleri üzerine etkileri [Effects of drugs on nutrition and nutritional ingredients]. Dicle Üniv Vet Fak Derg. 2016;2(8):96-105. [Link] 
  4. Aksoy M. Beslenme ve ilaç etkileşimine genel bakış. Beslenme ve İlaç Etkileşimi. 1. Baskı. İstanbul Tıp Kitabevi; 2016. p. 1-76.
  5. Dong O, Wiltshire T. Pharmaconutrigenetics: the impact of geneticson nutrient-drug interactions. In: Caterina RDE, Martinez JA, Kohlmeier M, eds. Principles of Nutrigenetics and Nutrigenomics, Fundamentals of Individualized Nutrition. 1st ed. London: Academic Press; 2020. p.519-24. [Crossref] 
  6. Aydenk Köseoğlu SZ. Yaşlılıkta besin-ilaç etkileşimi [The interaction of food-drug in old age]. Turkiye Klinikleri J Nutr Diet-Special Topics. 2018;4(1):32-7. [Link] 
  7. Jarosz M, Wolnicka K. Relations between occurrence of the risk of food-drug interactions and patients' socio-demographic characteristics and selected nutrition habits. Polish Journal of Food and Nutrition Sciences. 2011;61(3):211-8. [Crossref] 
  8. Mouly S, Lloret-Linares C, Sellier PO, Sene D, Bergmann JF. Is the clinical relevance of drug-food and drug-herb interactions limited to grapefruit juice and Saint-John's Wort? Pharmacol Res. 2017;118:82-92. [Crossref]  [PubMed] 
  9. Thiab S, Barakat M, Al-Qudah R, Abutaima R, Jamal R, Riby P. The perception of Jordanian population towards concomitant administration of food, beverages and herbs with drugs and their possible interactions: a cross sectional study. The International Journal of Clinical Practice. 2021;75(3):e13780. [Crossref] 
  10. Levy I, Attias S, Ben-Arye E, Goldstein L, Schiff E. Potential drug interactions with dietary and herbal supplements during hospitalization. Intern Emerg Med. 2017;12(3):301-10. [Crossref]  [PubMed] 
  11. Resmî Gazete (19.04.2011, Sayı: 27910) sayılı Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik; 2011. [Link] 
  12. Eskişehir Osmangazi Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Ders bilgi paketi. Available from: [Link] 
  13. Hacettepe Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Ders katoloğu, AKTS bilgi paketi. Available from: [Link] 
  14. Ankara Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Bologno bilgi sistemi. Available from: [Link] 
  15. Drummond D, Kirby AN, Gamston CE, Westrick S, Saunders J, Lloyd KB. Impact of interdisciplinary education on pharmacy student knowledge and comfort with counseling on drug-nutrient interactions. Curr Pharm Teach Learn. 2021;13(4):382-90. [Crossref]  [PubMed] 
  16. Lima RE, De Bortoli Cassiani SH. Potential drug interactions in intensive care patients at a teaching hospital. Rev Lat Am Enfermagem. 2009;17(2):222-7. [Crossref]  [PubMed] 
  17. Moradi Y, Rahmani AR, Gholipour KH, Mirzaie R, Samadi N, Al-Sharaa SA. Nurses' pharmacology knowledge of food-drug interactions in Ayatollah Taleghani Hospital of Orumieh, Iran. Journal of Chemical and Pharmaceutical Sciences. 2016;9(3): 1083-7. [Link] 
  18. Joshi S, Raina RS, Singh AK. Impact of awareness and knowledge about different types of drug-related interactions among nurses in a tertiary health center. National Journal of Physiology, Pharmacy and Pharmacology. 2020;10(12):1060-4. [Crossref] 
  19. Saygılı M, Özer Ö, Uğurluoğlu Ö. Bir kamu hastanesinde hemşirelin akılcı ilaç kullanımına yönelik bilgi ve davranışlarının değerlendirilmesi [An evaluation on levels of knowledge and behavior of nurse about rational drug use in a public hospital]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2015;8(3):162-70. [Link] 
  20. Hırçın Cenger D, Aksu Kapucu Ş, Altın H, Şengün Yalnız N, Altın S. Akılcı ilaç kullanımı anket sonuçları ışığında eğitim ihtiyaç analizi [Education needs analysis in the light of rational drug use survey results]. Med J SDU. 2020;27(3):337-43. [Link] 
  21. Karakoç MD, Uyanık, Ö. Bir kamu hastanesinde görevli hemşirelerin akılcı ilaç kullanımı konusundaki bilgi, tutum ve davranışlarının değerlendirilmesi [Evaluation of nurses' knowledge, attitudes and behaviours about rational drug use in a public hospital]. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(2):112-8. [Crossref] 
  22. Hossaini Alhashemi S, Ghorbani R, Vazin A. Improving knowledge, attitudes, and practice of nurses in medication administration through enteral feeding tubes by clinical pharmacists: a case-control study. Adv Med Educ Pract. 2019;10:493-500. [Crossref]  [PubMed]  [PMC] 
  23. Lederman VG, Huffman FG, Enrione EB. Knowledge of Florida nurses and dietitians regarding dietary supplements. Complement Ther Clin Pract. 2009;15(1):38-43. [Crossref]  [PubMed] 
  24. Enwerem NM, Okunji P. Knowledge, attitudes and awareness of food and drug interactions among nurses with different levels of experience. International Journal of Nursing. 2015;2(1):1-9. [Crossref] 
  25. Karagöz MF, Gezmen-Karadağ M, Yıldıran H, Akçil-Ok M. Developing a food and drug interaction knowledge scale for health care professionals: a validity and reliability study. Suleyman Demirel University Journal of Health Sciences. 2022;13(1):48-59. [Crossref] 
  26. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 7th ed. London: Pearson Education Limited; 2009. [Link] 
  27. Özünal ZG, Akgün FS, Sağlam E, Türken O. Kemoterapi almakta olan onkoloji hastalarında ilaç-ilaç, ilaç-besin etkileşimlerinin değerlendirilmesi [Evaluation of drug-drug and drug-nutrient interactions in oncology patients receiving chemotherapy]. Ege Klin Tıp Derg. 2020;58(2):120-5. [Link] 
  28. Aydos TR, Emre Aydıngöz S, Lux KM, Efe OE, İşli F, Aksoy M, et al. Polypharmacy prevalence among geriatric patients in primary healthcare settings across Turkey: a cross-sectional analysis through the nationwide prescription information system. Turkish Journal of Geriatrics. 2020;23(2):169-79. [Crossref] 
  29. Elshenawi HA, Elazeem YFA. Nurses' awareness and perception of drug-drug and drug food interactions. Evidence-Based Nursing Research. 2020;2(2):62-77. [Crossref] 
  30. Enwerem NM, Okunji PO. Knowledge of food and drug interactions among nurses: Assessment strategy for continuing education. International Journal of Higher Education. 2017;6(1):122-30. [Crossref] 
  31. El-Lassy RBM, Ouda MM. The effect of food-drug interactions educational program on knowledge and practices of nurses working at the pediatric out-patients' clinics in El-Beheira General Hospitals. IOSR Journal of Nursing and Health Science. 2019;8(4):34-48. [Link] 
  32. Oguz E, Alasehirli B, Demiryurek AT. Evaluation of the attitudes of the nurses related to rational drug use in Gaziantep University Sahinbey Research and Practice Hospital in Turkey. Nurse Educ Today. 2015;35(2):395-401. [Crossref]  [PubMed] 
  33. Abbasi Nazari M, Salamzadeh J, Hajebi G, Gilbert B. The role of clinical pharmacists in educating nurses to reduce drug-food interactions (absorption phase) in hospitalized patients. Iran J Pharm Res. 2011;10(1):173-7. [PubMed]  [PMC] 
  34. Abdollahi M, Eslami S, Taherzadeh Z, Salehi S, Ebrahimi M. Factors associated with potential food-drug interaction in hospitalized patients: a cross-sectional study in Northeast Iran. Evidence Based Care Journal. 2018;8(1):27-34. [Crossref] 

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