Kecukupan Zat Gizi Dan Perubahan Status Gizi Pasien Selama Dirawat Di Rumah Sakit Umum Pusat Sanglah Denpasar

Abstract

Malnourished in hospitalized patients was reported relatively high (30-50%). It was occurred during hospital care (iatrogenic malnutrition). It was potentially decrease the curing process, prolong length of stay, and rose up the cost of care. A prospective study was conducted in General Central Hospital of Sanglah Denpasar, included 42 male and female of hospitalized patients during period of February -Mart 2006 aged 18 to 70 years. The aim of the study was to assess the change of nutritional status index and nutrient adequacy of the subjects. The parameter of nutritional status (body weight and body mass index) in the first and last day of care, average of food and nutrient intake during hospitalized, estimate nutrient requirement and adequacy, was measured. The average length of stay was varied (6.5±5.25 days). The average macro nutrient intake of the subjects during hospitalized were less than the requirement level: energy (78%), protein (68%), carbohydrate (78%), but not in fat (99%). Macro nutrient adequacy in males were less than females subject. Indexes of nutritional status decreased; body weight (BW) (P 0.016), body mass index (BMI) (P 0.019). It was higher decreasing in males ( BW P 0.029, BMI P 0.027) than females (BW and BMI P>0.05). In conclusion, decreasing of nutritional status of patients was occurred in hospitalized patients. The adequacy of nutrient intake was lower than the requirement level. There are a complex nutritional problems in hospitalized patients. Nutritional service should be performed comprehensively in order to maintain nutritional status and increase curing process of the patients. It should be performed systematically and integrated through the team approach, which is play role in (1) define the diagnosis in term of clinical, biochemical, and nutritional status, (2) measure nutrient requirement and decide the feeding method, (3) carry out the nutritional support intervention, and (4) undertake the monitoring and evaluating as an impact of intervention.

The Effect of Dietary Modification and Nutritional Education on Nutrition Care Process (NCP) for Increasing Dietary Intake, Body Weight, and Nutritional Status of Cancer Patients at Risk of Malnutrition and Malnourished in the Inpatient of Dharmais Cancer

“…The results of this study were in line with Fayakun's research that showed there was a difference change or increase in body weight and nutritional status based on the BMI of respondents when they went home, but it was not significantly related to the length of stay in hospital (p > 0.05) [17]. This study is also in line with Weta and Wirasamadi [28] research that showed there was a change or difference in body weight and nutritional status based on BMI from the beginning of admission to hospital discharge with an average length of treatment of 6.4 days, but from the length of treatment (1-3 days), there was no significant change in body weight and BMI. The results of this study were also in line with the research by Ernawati et al [29] showing that giving a high protein milk diet could improve nutritional status of adult patients with pulmonary TB through increasing the body weight, energy, and protein intake.…”

Hubungan Status Fungsional Dan Asupan Zat Gizi Makro Dengan Status Gizi Pasien Penyakit Dalam Di Rumah Sakit Dr. Cipto Mangunkusumo Jakarta

“…18 Hal tersebut selaras dengan yang dikemukakan Weta dan Wirasamadi (2009) bahwa menurunnya keadaan gizi dapat disebabkan oleh asupan zat gizi yang kurang, terjadinya gangguan gastrointestinal (mual, kembung, tidak nafsu makan), tingkat beratnya penyakit dan status gizi awal masuk rumah sakit. 19…”

Hubungan Kepuasan Pelayanan Makanan Dengan Tingkat Kecukupan Energi Dan Protein Pasien Di Rumah Sakit Universitas Airlangga Surabaya

“…Kondisi tersebut menunjukkan bahwa secara umum konsumsi makanan pasien belum dapat mencukupi kebutuhan energi dan proteinnya. Lebih lanjut, penelitian yang dilakukan oleh Weta (2009) di RSUP Sanglah Denpasar menunjukkan bahwa rata-rata tingkat konsumsi energi dan protein pasien masih berada di bawah kebutuhan yaitu sebesar 78,1% untuk tingkat konsumsi energi dan 78,3% untuk tingkat konsumsi protein.…”