Nita Nurul Rachman
Department of Nutrition, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital

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PENGELOLAAN GIZI BENCANA PADA IBU HAMIL DAN IBU MENYUSUI Nita Nurul Rachman; Diyah Eka Andayani
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 4 No 2 (2021): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v4i2.75

Abstract

Indonesia merupakan negara kepulauan yang luas dan mempunyai potensi kejadian bencana yang tinggi. Masalah kesehatan yaitu malnutrisi merupakan salah satu masalah utama dalam kondisi bencana .Rusaknya berbagai sarana dan prasarana pelayanan umum dan kesehatan, terputusnya jalur distribusi pangan dan ketersediaan pangan yang terbatas, sanitasi lingkungan yang buruk dan rusaknya sarana air bersih menjadi dasar terjadinya kekurangan asupan nutrisi pada korban terdampak bencana. Pandemik COVID-19 yang saat ini terjadi tentunya menjadi tantangan tersendiri bagi dunia kesehatan. Diperlukan perhatian khusus untuk pengelolaan gizi pada saat bencana, terutama pada ibu hamil dan ibu menyusui sebagai populasi rentan. Pengelolaan gizi tidak hanya berkaitan dengan permasalahan kesehatan pada ibu hamil dan ibu menyusui saja, tetapi menjadi kesatuan dengan dampak kesehatan yang akan terjadi pada masa depan kesehatan bayi yang akan dilahirkan. Pengetahuan akan pengelolaan gizi yang baik diharapkan dapat menurunkan angka kejadian masalah kesehatan yang terjadi pada saat bencana
EFFECTIVENESS OF PREOPERATIVE CARBOHYDRATE LOADING WITH LENGTH OF HOSPITALIZATION IN NON-INVASIVE GYNECOLOGICAL SURGERY PATIENTS: AN EVIDENCE-BASED CASE REPORT Nita Nurul Rachman; Wina Sinaga
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 2 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i2.111

Abstract

Background Carbohydrate loading is one of the steps in the preoperative procedure of Enhanced Recovery after Surgery (ERAS). The advantages of the ERAS pathway have positive effects on postoperative outcomes, including a reduction in the length of stay/LOS in hospital. Objective: This study aims to critically analyze the effectiveness of carbohydrate loading on the reduction in the length of hospital stay among patients undergoing non-invasive gynecologic surgical procedure. Methods: A search was conducted to find several literatures from PubMed, Cochrane and Scopus. This study assesses the relevance and feasibility of the literatures. The search found three selected literatures to further conduct a critical assessment. Results: A critical review was conducted towards three randomized controlled trial literatures. Two literatures showed a significant reduction in the length of stay with preoperative carbohydrate loading (p<0.001), while one literature showed an insignificant finding (p=0.684). Conclusions: Carbohydrate loading as a part of the preoperative management of ERAS could reduce the length of hospital stay among patients undergoing non-invasive gynecologic surgery procedure. Differences in the results of several studies indicate the need for further studies using the similar intervention method. Keywords: enhanced recovery after surgery, gynecologic surgery, carbohydrate loading, length of stay.