Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2

Abstract

Background: Food planning is a basis of diabetes mellitus (DM) therapy. Proper diet is essential for effective control of blood glucose level. Diet therapy through the care of nutrition team in a hospital can increase nutrient intake of patients in a hospital. In 2003 the American Diabetes Association recommended a model of standardized nutrition care process (SNCP).Objective: To find out the effect of SNCP implementation to nutrient intake and blood glucose level of DM type 2 inpatients.Method: The study was a quasi-experiment. Nutrient intake variable was measured in post-test and blood glucose level variable was the pre-post test. Samples were divided into two groups; one group was treated with SNCP and the other with conventional nutrition care. The population of the study consisted of all new patients with DM type 2 diagnosis. Samples were those that met inclusion and exclusion criteria. Data were analyzed by using t-test.Results: Average nutrient intake was found high in the group with SNCP. Nutrient intake comprised energy intake (97.8%), protein intake (95.1%), fat intake (95.6%), and carbohydrate intake (94.9%). The result of the statistical test showed that nutrient intake (energy, protein, fat, carbohydrate) in SNCP was higher than that of conventional nutrition care. Decreasing blood glucose level before and after SNCP intervention was 109.4 mg/dL whereas in conventional nutrition care was 105.5 mg/dL. Decreasing blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care but statistically was not significant.Conclusion: Nutrient intake (energy, protein, fat and carbohydrate) of DM type 2 in the patient with SNCP were higher than those with conventional nutrition care. Decreased blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care, which was not statistically significant.

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

“…Research by Susetyowati [14] showed that an increase in food intake was energy and protein after a standardized nutritional care process was given where at the beginning of the hospital patient intake of food was very low. The results of this study were also in line with the research by Yunita [15] showing that there was a significant increase in energy, protein, The average initial patient body weight in the hospital was 48.7 (± 11.5) kg. Meanwhile, based on measurements at the last day of observation, the average body weight value was 48.8 (± 11.4) kg.…”

“…The imbalance intake of nutrients has a significant effect on an increased risk of disease and its complications and a great impact on decreasing nutritional status to impatient. The standardized of nutritional need of food intake was one of the indicators to the success of nutrition intervention [15]. In general, cancer patients tend to lose weight, so the BMI also decreases.…”

HUBUNGAN ANTARA STATUS GIZI DENGAN LAMA RAWAT INAP PADA PASIEN DIABETES MELITUS TIPE 2 DI INSTALASI RAWAT INAP I ILMU PENYAKIT DALAM RSUD Dr. SAIFUL ANWAR MALANG

“…Oleh karena itu, asupan makan yang sesuai kebutuhan bisa memperbaiki kondisi pasien terkait biokimia terutama gula darah, kondisi fisik klinis pasien, dan status gizi pasien. 16,17…”

EFEKTIFITAS ASUHAN GIZI TERHADAP KEPATUHAN ASUPAN NATRIUM DAN PROTEIN PADA PASIEN HIPERTENSI DENGAN GAGAL GINJAL KRONIK DI RSUD Dr. SAIFUL ANWAR MALANG

“…Penelitian Yunita menyebutkan bahwa pasien yang mengkonsumsi makanan dari luar rumah sakit disebabkan karena pasien tidak diberikan edukasi secara rutin oleh ahli gizi, sehingga tidak termotivasi untuk mematuhi diet yang diberikan. 22…”