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Journal : GIZI INDONESIA

KECUKUPAN ZAT GIZI DAN PERUBAHAN STATUS GIZI PASIEN SELAMA DIRAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR Weta, I Wayan; Wirasamadi, NL Partiwi
GIZI INDONESIA Vol 32, No 2 (2009): September 2009
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v32i2.78

Abstract

NUTRIENTS ADEQUACY AND CHANGES OF NUTRIRIONAL STATUS INDICES OF PATIENTS DURING HOSPITALIZED CARE IN CENTRAL GENERAL HOSPITAL OF SANGLAH DENPASARMalnourished in hospitalized patients was reported relatively high (30-50%). It was occurred duringhospital care (iatrogenic malnutrition). It was potentially decrease the curing process, prolong lengthof stay, and rose up the cost of care. A prospective study was conducted in General Central Hospitalof 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 statusindex and nutrient adequacy of the subjects. The parameter of nutritional status (body weight andbody mass index) in the first and last day of care, average of food and nutrient intake duringhospitalized, estimate nutrient requirement and adequacy, was measured. The average length of staywas varied (6.5±5.25 days). The average macro nutrient intake of the subjects during hospitalizedwere 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 statusdecreased; body weight (BW) (P 0.016), body mass index (BMI) (P0.019). It was higher decreasing inmales ( BW P0.029, BMI P0.027) than females (BW and BMI P0.05). In conclusion, decreasing ofnutritional status of patients was occurred in hospitalized patients. The adequacy of nutrient intakewas lower than the requirement level. There are a complex nutritional problems in hospitalizedpatients. Nutritional service should be performed comprehensively in order to maintain nutritionalstatus and increase curing process of the patients. It should be performed systematically andintegrated 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 asan impact of intervention.Keywords: Hospitalized patients, Hospital of Sanglah, index of nutritional status, nutrientadequacy.
KECUKUPAN ZAT GIZI DAN PERUBAHAN STATUS GIZI PASIEN SELAMA DIRAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR Weta, I Wayan; Wirasamadi, NL Partiwi
GIZI INDONESIA Vol 32, No 2 (2009): September 2009
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.823 KB)

Abstract

NUTRIENTS ADEQUACY AND CHANGES OF NUTRIRIONAL STATUS INDICES OF PATIENTS DURING HOSPITALIZED CARE IN CENTRAL GENERAL HOSPITAL OF SANGLAH DENPASARMalnourished in hospitalized patients was reported relatively high (30-50%). It was occurred duringhospital care (iatrogenic malnutrition). It was potentially decrease the curing process, prolong lengthof stay, and rose up the cost of care. A prospective study was conducted in General Central Hospitalof 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 statusindex and nutrient adequacy of the subjects. The parameter of nutritional status (body weight andbody mass index) in the first and last day of care, average of food and nutrient intake duringhospitalized, estimate nutrient requirement and adequacy, was measured. The average length of staywas varied (6.5±5.25 days). The average macro nutrient intake of the subjects during hospitalizedwere 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 statusdecreased; body weight (BW) (P 0.016), body mass index (BMI) (P0.019). It was higher decreasing inmales ( BW P0.029, BMI P0.027) than females (BW and BMI P>0.05). In conclusion, decreasing ofnutritional status of patients was occurred in hospitalized patients. The adequacy of nutrient intakewas lower than the requirement level. There are a complex nutritional problems in hospitalizedpatients. Nutritional service should be performed comprehensively in order to maintain nutritionalstatus and increase curing process of the patients. It should be performed systematically andintegrated 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 asan impact of intervention.Keywords: Hospitalized patients, Hospital of Sanglah, index of nutritional status, nutrientadequacy.
Co-Authors ., Ni Putu Ayu Laksmini A. A. D. Dalem Dwi Putra AAG Budhiarta Aagp Wiraguna Adhi, I Gusti Ayu Mirah Aditia Martanti Aditya Johan Romadhon Agung Nova Mahendra Agung Wiwiek Indrayani Agus Eka Darwinata Ali Imron Ana Yulia Anak Agung Gde Putra Wiraguna Anak Agung Gede Budhiarta Anggreini ** Aprilany Stella peng Astrid Amanda Pangalela Awan, Syuma Adhy Bagus Komang Satriyasa Christine Icasia Citra Anissa Ayu Cok Gde Prema Kurnia Baswara Desak Ketut Ernawati Desak Made Wihandani Dhumaranang, Hyangayu Dedari Dian Damayanti Dinda Anggita Meiwita Sari Donal Syafrianto Duarsa, iDyah Pradnyaparamita Dwi Halim Kevin Gautama Dyah Pradnyaparmita Duarsa Faradilla N Fendy Nugroho Fenni Liem Fibriany Chandra Florensa Krismawati Gde Ngurah Idraguna Pinatih Gusti Made Agung Mega Utama Gusti Ngurah Prana Jagannatha Harimawan, Agustinus I Wayan Heidy Dwi Nadia I A Md Dwi Purwitasari I Dewa Ayu Inten Dwi Primayanti I Gde Ardika Nuaba I Gede Marantika Yogananda Sutela I Gusti Made Aman I Ketut Suastika I Made Ady Wirawan I Made Dwi Ariyuda I Made Jawi I MADE MULIARTA . I Nengah Sandi I Nyoman Adi Putra I Nyoman Mangku Karmaya I Putu Adiartha Griadhi I Putu Agus Budi Sudarsana I Putu Eka Jaya I Putu Gede Adiatmika I.A.A. Widhiartini Ida Ayu Mustika Suri Jayanti Ida Bagus Ngurah IN. Adiputra Indra Lesmana Indraguna Pinatih, Gde Ngurah Intan Lestari Putri Istiana Marfianti J. A. Pangkahila K Tangking Widarsa K. G. Budhi Riyanta Kadek Ayu Purwaningsih Kadek Tresna Adhi Ketut Adi Jaya Sutana Ketut Tirtayasa Komang Ayu Kartika Sari LMI. Sri Handari Adiputra Luh Putu Ayu Vitalistyawati Luh Putu Iin Indrayani Maker Luh Putu Ratna Sundari Luh Putu Wrasiati Luh Seri Ani Luh Wayan Ayu Rahaswanti Made Oka Negara Marfianti, Istiana Maria C Hindom Maria Marissa Maharani Marselli Widya Lestari Masrum Syam MB. Redy Utama Milhanah Milhanah Moh. Ali Imron, Moh. Muh. Ali Imron Muh. Ali Imron Muh. Ali Imron Muh. Irfan Muhammad Hafiz Bin Mohd Arifin Muhammad Irfan Munawwarah, Muthiah Muthiah Munawaroh Myranti Puspitaningtsya Junaedi Nadia Anastasia Ni Kadek Parswa Diah Pradnyandari Ni Luh Partiwi Wirasamadi Ni Luh Putu Suariyani Ni Made Sri Nopiyani Ni Made Suasti Wulanyani Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Putu Idaryati NL Partiwi Wirasamadi, NL Partiwi Nurpratiwi, Resti NW. Tianing NYOMAN SEMADI ANTARA Pande Putu Yoga Kamayana Phebe Indriani Prabandari, A A S Mirah Pradnyaparamita, Dyah Pramartha, I Made Dwi Adi Putu Aryani Putu Ayu Sita Saraswati Putu Cintya Denny Yuliyatni Rizky Wulandari S. Indra Lesmana S. Indra Lesmana S. Indra Lesmana Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Sintia Sugiarta Rahmasari Sirait, Josephine Claudia Stefani Marietta Sugijanto - Sugijanto - Susy Purnawati Sutana, Ketut Adi Jaya Sutanto, Grace Abigail Syahmirza Indra Lesmana Teja, Anjaya Artha Tince Sarlin Nalle Wahyuddin - Wahyuddin, Wahyuddin Wayan Citra Wulan Sucipta Putri Wibawa, Anak Agung Ngurah Alit Dwi Nanda Wijanadi, M. Candra Wimpie I Pangkahila Wirasamadi, Ni Luh Partiwi