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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.
HbA1c and Pulsatility Index in Middle Cerebral Artery of Patients with Acute Thrombotic Stroke Bintan, Rio Tasti Surpa Rahmat; Setyowati, Sita; Adrianto, Yudhi
Folia Medica Indonesiana Vol. 60, No. 2
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: 1. The findings of this study indicate that clinicians should remain vigilant, as effective glycemic control, reflected by optimal HbA1c levels, does not necessarily correlate with favorable distal cerebrovascular resistance, as measured by pulsatility index (PI). 2. This study recommends that patients with acute thrombotic stroke undergo a comprehensive examination to ensure an accurate diagnosis and appropriate treatment. Abstract Stroke is the second leading cause of death and disability in the world. Diabetes mellitus is a risk factor for stroke with an increase in blood viscosity associated with hyperglycemia, and HbA1c is a well-established biomarker primarily used for the long-term monitoring of glycemic control in patients with diabetes mellitus. The Pulsatility index (PI) parameter of Trans Cranial Doppler (TCD) can measure blood vessel resistance. This study was to prove the correlation between HbA1c and PI in Middle Cerebral Artery (MCA) of acute thrombotic stroke patients. A cross-sectional study was conducted to thrombotic stroke patients treated at the neurological ward of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from March 2019 to April 2020 who met the inclusion and exclusion criteria. Data were obtained from medical records. Statistical analysis was performed using Spearman test for numerical data and Chi-square for categorical data with a significant value of p <0.05. There were 32 subjects who met the inclusion and exclusion criteria. A total of 24 subjects (75%) were males and 8 (25%) females with a mean age of 56.41±13.22 years. PI MCA results were abnormal in 14 subjects (43.75%) with an average of 1.8±0.97 and PI MCA was normal in 18 subjects (56.25%) with an average of 0.87±0.15. The average HbA1c was 6.55±1.9%. There was no statistically significant association observed between HbA1c and PI in MCA examination (r=0.07; p=0.73). In conclusion, the findings of this study indicate the lack of correlation between pulsatility index and HbA1c in patients with acute ischemic stroke. This underscores the importance of comprehensive cerebrovascular evaluation regardless of HbA1c status.
Pengembangan “CREATININ” Website Terhadap Pengetahuan Dan Sikap Pada Pasien CAPD (Continous Ambulatory Peritoneal Dialysis) Salsabila, Lutfia; Swamilaksita, Prita Dhyani; Sa'pang, Mertien; Tambunan, Maria; Sitoayu, Laras; Adrianto, Yudhi; Wahyuni, Yulia; Harna, Harna
Jurnal Nutrire Diaita (Ilmu Gizi) Vol 17, No 01 (2025): NUTRIRE DIAITA
Publisher : Lembaga Penerbitan Unversitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/nut.v17i01.7500

Abstract

Latar belakang: Terapi pengganti ginjal dengan CAPD cenderung mengalami Protein Energy Wasting (PEW). Namun dilain sisi, pasien CAPD cenderung mengalami kelebihan absorsi dekstros yang terdapat pada cairan dialisat. Terapi CAPD dapat dilakukan secara mandiri sehingga tidak memerlukan kunjungan rumah sakit setiap saat. Oleh karena itu media website dapat digunakan sebagai alternatif untuk pasien CAPD. Edukasi gizi melalui “CREATININ” website akan memberikan informasi untuk meningkatkan pengetahuan kesehatan yang memicu sikap patuh terhadap diet ginjal.  Tujuan: Penelitian ini bertujuan untuk mengembangkan media dan menganalisis pengaruh “CREATININ” website terhadap pengetahuan dan sikap. Metode: Desain penelitian quasi-experimental dengan one group pre post test. Pemilihan responden menggunakan purposive sampling. Subjek terdiri dari 13 pasien CAPD. Edukasi diet ginjal dengan media “CREATININ” website dilakukan secara daring melalui video cofference (zoom meeting), dan diberikan edukasi selama 14 hari. Instrumen yang digunakan merupakan kuesioner yang sebelumnya sudah divalidasi. Analisis bivariat menggunakan uji t-test dependen dan uji wilcoxon. Hasil: Studi ini menunjukkan peningkatan pengetahuan pada saat post test 1 (p = 0.012) dan post test 2 (p = 0.043) serta terdapat perbedaan sikap saat post test 1 (0,000) dan post test 2 (0.0003). Simpulan:  Edukasi gizi menggunakan “CREATININ” website dapat meningkatkan pengetahuan dan sikap terkait diet ginjal pada pasien CAPD.