Booklet Nutrisi Meningkatkan Asupan Makan dan Kadar Albumin pada Pasien Bedah yang Berisiko Malnutrisi

Ida Mardalena; Umi Istianah; Heru Sucipto; Etik Ratnaningsih

doi:10.21927/jnki.2017.5(1).76-81

Booklet Nutrisi Meningkatkan Asupan Makan dan Kadar Albumin pada Pasien Bedah yang Berisiko Malnutrisi

Ida Mardalena, Umi Istianah, Heru Sucipto, Etik Ratnaningsih

Abstract

Malnutrition in patients in the hospital have to know anything to do with the increase in the old days of hospitalisation, clinical conditions change, the increased use of hospital resources support, and increased risk of complications. The high malnutrition in hospitals have also been widely reported, at the time of going home from the hospital an average weight loss of 5.4%. In Indonesia, the prevalence of malnutrition is still relatively high, the prevalence of malnutrition by 40% -60% of patients digestif malnutrition. The results of the study in 2007, using the parameters Subjective Global Assessment (SGA), Body Mass Index (BMI), haemoglobin, hematocrit and albumin found the prevalence of malnutrition by 52%, 15%, 55%, 26% and 93%. Research in the UK found that promotional text messages to monitor the weight in the community have helped to identify the risk of malnutrition. Research purposes. This study aims to determine the effect of the use of nutrition booklet on food intake and levels of albumin surgical patients. Research methods. This study uses a pure experiment with Post Test Only with Control groups Design. Involved 60 respondents were divided into treatment group and 30 respondents 30 respondents comparison group. Statistical test using independent t-test with CI 95% Results: There were significant differences average remaining meal among surgical patients who use the nutrition booklet that does not use a nutrition booklet on alpha 5% with the p-value of 0.03. There are differences in the average value of serum albumin among surgical patients who use the nutrition booklet that does not use a nutrition booklet on alpha 5%, p 0.0001. Serum albumin levels and food intake increased significantly with the use of nutritional booklet.

Keywords

booklets; nutrition; surgical patients

Full Text:

PDF

References

Mardalena I, Istianah U. Red Tray Strategi Meningkat Status Gizi Pasien Malnutrisi di RSUP Dr. Sardjito Yogyakarta. J Teknol Kesehat. 2015;11(1):6–11.

Theresa A. Fessler. Malnutrition: A Serious Concern for Hospitalized Patients. Today’s Dietit [Internet]. 2008 [cited 2017 Mar 29];10(7):44. Available from: http://www.todaysdietitian.com/newarchives/063008p44.shtml

ASPEN. The ASPEN Nutrition Support Core Curriculum: A Case-Based Approach — The Adult Patient [Internet]. American Society of Parenteral and Enteral Nutrition; 2007 [cited 2017 Mar 29]. Available from: https://pdfs.semanticscholar.org/b842/22b26e5f2aad80c61dd75f294e0acadd2b17.pdf

Correia MITD, Campos ACL, ELAN Cooperative Study. Prevalence of hospital malnutrition in Latin America: the multicenter ELAN study. Nutrition [Internet]. 2003 Oct;19(10):823–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14559314

Fuhrman MP, Charney P, Mueller CM. Hepatic proteins and nutrition assessment. J Am Diet Assoc [Internet]. 2004 Aug;104(8):1258–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15281044

Kelly IE, Tessier S, Cahill A, Morris SE, Crumley A, McLaughlin D, et al. Still hungry in hospital: identifying malnutrition in acute hospital admissions. QJM [Internet]. 2000 Feb;93(2):93–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10700479

Kondrup J, Johansen N, Plum LM, Bak L, Larsen IH, Martinsen A, et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr [Internet]. 2002 Dec;21(6):461–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12468365

Mueller C, Compher C, Ellen DM, American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: Nutrition screening, assessment, and intervention in adults. JPEN J Parenter Enteral Nutr [Internet]. 2011 Jan;35(1):16–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21224430

Russell MK. Functional assessment of nutrition status. Nutr Clin Pract [Internet]. 2015 Apr;30(2):211–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25681483

Weinsier RL, Hunker EM, Krumdieck CL, Butterworth CE. Hospital malnutrition. A prospective evaluation of general medical patients during the course of hospitalization. Am J Clin Nutr [Internet]. 1979 Feb;32(2):418–26. Available from: http://www.ncbi.nlm.nih.gov/pubmed/420132

Singh H, Watt K, Veitch R, Cantor M, Duerksen DR. Malnutrition is prevalent in hospitalized medical patients: are housestaff identifying the malnourished patient? Nutrition [Internet]. 2006 Apr;22(4):350–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16457988

Pagana K, Pagana T. Mosby’s Manual of Diagnostic and Laboratory Tests. 3rd ed. Mosby Inc; 2006.

McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ [Internet]. 1994 Apr 9;308(6934):945–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8173401

O’Flynn J, Peake H, Hickson M, Foster D, Frost G. The prevalence of malnutrition in hospitals can be reduced: results from three consecutive cross-sectional studies. Clin Nutr [Internet]. 2005 Dec;24(6):1078–88. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16219393

Pirlich M, Schütz T, Kemps M, Luhman N, Minko N, Lübke HJ, et al. Social risk factors for hospital malnutrition. Nutrition [Internet]. 2005 Mar;21(3):295–300. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15797669

Manusiwa R, Sudarso T. Komunikasi, Informasi & Edikasi Gizi Kearifan Lokal, Pola Makan, Asupan dan Status Gizi. Universitas Gadjah Mada; 2011.

Bradley L, Rees C. Reducing nutritional risk in hospital: the red tray. Nurs Stand [Internet]. 2003;17(26):33–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12677818

Comstock EM, St Pierre RG, Mackiernan YD. Measuring individual plate waste in school lunches. Visual estimation and children’s ratings vs. actual weighing of plate waste. J Am Diet Assoc [Internet]. 1981 Sep;79(3):290–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7264115

Saryono, Prastowo A, Anggraeni MD. Perbedaan Kadar Albumin Plasma pada Pasien Sebelum dan Setelah Menjalani Rawat Inap di RSUP Prof. Dr, Margono Soekarjo Purwokerto. J Keperawatan Soedirman. 2006;1(1).

Banh L. Serum proteins as markers of nutrition: What are we treating? Pract Gastroenterol. 2006;30(10):46–64.

Middleton MH, Nazarenko G, Nivison-Smith I, Smerdely P. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Intern Med J [Internet]. 2001 Nov;31(8):455–61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11720058

Barker L, Gout B, Crowe T. Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System. Int J Environ Res Public Health [Internet]. 2011 Feb 16;8(12):514–27. Available from: http://www.mdpi.com/1660-4601/8/2/514/

Seiler WO. [Nutritional status of ill elderly patients]. Z Gerontol Geriatr [Internet]. 1999 Jul;32 Suppl 1:I7–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10441797

YouGov The Patients Association. Malnutrition In The Community and Hospital Setting. Abbot Nutrition; 2011.

DOI: http://dx.doi.org/10.21927/jnki.2017.5(1).76-81