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Hubungan HBA1C dan Pulsatility Index pada Penderita Stroke Trombotik Akut di RSUD Dr Soetomo Bintan, Rio Tasti Surpa Rahmat; Adrianto, Yudhi; Setyowati, Sita
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 11 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i11.5032

Abstract

Stroke merupakan penyebab utama disabilitas dan kematian nomor dua di dunia, dengan sebagian besar kasus berupa stroke iskemik. Diabetes mellitus menjadi salah satu faktor risiko penting karena hiperglikemia kronis dapat meningkatkan viskositas darah dan resistensi pembuluh serebral. Kadar HbA1c mencerminkan kontrol glikemik jangka panjang, sedangkan nilai pulsatility index (PI) dari pemeriksaan transcranial Doppler (TCD) menggambarkan resistensi vaskular otak. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar HbA1c dan PI pada penderita stroke trombotik akut. Penelitian ini menggunakan desain observasional dengan pendekatan cross-sectional pada pasien stroke trombotik akut yang dirawat di bangsal saraf RSUD Dr. Soetomo Surabaya periode Oktober 2019–April 2020. Data diperoleh dari rekam medis pasien yang memenuhi kriteria inklusi (usia >18 tahun dan telah menjalani pemeriksaan TCD) serta eksklusi (stroke emboli). Analisis data menggunakan uji korelasi Spearman untuk variabel numerik dan uji Chi-square untuk variabel kategorik dengan tingkat signifikansi p<0,05. Sebanyak 32 subjek memenuhi kriteria, terdiri dari 24 laki-laki (75%) dan 8 perempuan (25%) dengan rata-rata usia 56,41 ± 13,22 tahun. Nilai rata-rata HbA1c adalah 6,55 ± 1,9%. Sebanyak 14 pasien (43,75%) memiliki PI Middle Cerebral Artery (MCA) tidak normal (rata-rata 1,8 ± 0,97) dan 18 pasien (56,25%) memiliki PI normal (rata-rata 0,87 ± 0,15). Analisis statistik menunjukkan tidak terdapat hubungan signifikan antara kadar HbA1c dan PI MCA (r=0,07; p=0,73).Secara klinis, temuan ini menunjukkan bahwa kontrol glikemik pada pasien stroke trombotik akut tidak berhubungan langsung dengan resistensi vaskular serebral, sehingga faktor lain kemungkinan berperan dalam perubahan hemodinamik otak.
PERAN EDUKASI GIZI TERHADAP ASUPAN ENERGI-PROTEIN DAN INDEKS MASSA TUBUH PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) Adrianto, Yudhi; Utari, Diah Mulyawati; Hudayani, Fitri; Kresnawan, Triyani
JURNAL RISET GIZI Vol. 9 No. 1 (2021): Mei (2021)
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrg.v9i1.6670

Abstract

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (>80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p>0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.
PERAN EDUKASI GIZI TERHADAP ASUPAN ENERGI-PROTEIN DAN INDEKS MASSA TUBUH PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) Adrianto, Yudhi; Utari, Diah Mulyawati; Hudayani, Fitri; Kresnawan, Triyani
JURNAL RISET GIZI Vol. 9 No. 1 (2021): Mei (2021)
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrg.v9i1.6670

Abstract

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (>80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p>0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.
PERAN EDUKASI GIZI TERHADAP ASUPAN ENERGI-PROTEIN DAN INDEKS MASSA TUBUH PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) Adrianto, Yudhi; Utari, Diah Mulyawati; Hudayani, Fitri; Kresnawan, Triyani
JURNAL RISET GIZI Vol. 9 No. 1 (2021): Mei (2021)
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrg.v9i1.6670

Abstract

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (>80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p>0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.