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All Journal Muhammadiyah Journal of Nutrition and Food Science (MJNF) Jurnal Ilmu Gizi dan Dietetik
Esmiati, Catur Endri
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Asuhan Gizi pada Pasien Diabetes Mellitus dengan Infeksi Luka Operasi (ILO) Post-Cranioplasty Prameswari, Fajria Saliha Puspita; Marliyati, Sri Anna; Esmiati, Catur Endri
Muhammadiyah Journal of Nutrition and Food Science (MJNF) Vol 5, No 2 (2024): Muhammadiyah Journal of Nutrition and Food Science (MJNF)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mjnf.5.2.121-133

Abstract

Laporan kasus ini bertujuan untuk memaparkan asuhan gizi pada pasien diabetes mellitus dengan infeksi luka operasi post-cranioplasty. Seorang pasien laki-laki berusia 45 tahun dengan hiperglikemia, ILO post-cranioplasty berisiko tinggi malnutrisi dan hasil asesmen SGA menunjukan malnutrisi sedang. Pasien memiliki status gizi kurang dan riwayat gizi asupan protein kurang. Penilaian biokimia menunjukan pasien mengalami hiperglikemia, gangguan ginjal akut, anemia, infeksi, dan ketidakseimbangan elektrolit. Pasien mengalami takikardia dengan kesadaran baik, tanpa disertai mual, muntah, dan sesak napas. Intervensi gizi pasien diberikan kombinasi diet DM 1800 kkal makanan biasa dan 2x200 mL formula komersil khusus diabetes. Hasil monitoring menunjukan perbaikan pada asupan protein, kadar glukosa darah sewaktu (GDS), dan frekuensi nadi pasien. Terapi gizi yang konsisten dan mengandung protein tinggi bagi pasien diabetes mellitus dengan komplikasi infeksi luka operasi berperan penting dalam perbaikan kondisi pasien.
Laporan Kasus: Upaya Meningkatkan Asupan Zat Gizi pada Pasien Malnutrisi dengan Chronic Kidney Disease Stage V yang Menjalani Hemodialisis: Case Report: Efforts to Increase Nutrient Intake in a Malnourished Patient with Stage V Chronic Kidney Disease on Hemodialysis Esmiati, Catur Endri; Najiyah, Mufliha; Dewi, Mira
Jurnal Ilmu Gizi dan Dietetik Vol 4 No 4 (2025)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jigd.2025.4.4.321-331

Abstract

Chronic kidney disease (CKD) stage V is a terminal condition that requires renal replacement therapy and optimal nutritional intervention. Malnutrition is commonly found in patients with CKD undergoing hemodialysis and may worsen clinical outcomes. This case report aims to describe the role of nutritional intervention in a malnourished patient with CKD stage V. The patient was a 55-year-old individual with CKD stage V complicated by uremia, hypertensive heart disease (HHD), pneumonia, pleural effusion, tuberculosis, type 2 diabetes mellitus, anemia, and dyspepsia, and was at risk of malnutrition based on a Malnutrition Screening Tool (MST) score of 3 and Subjective Global Assessment (SGA) category B. Nutritional care was provided during three days of hospitalization using the Nutrition Care Process approach, including nutritional assessment, diagnosis, intervention, and monitoring and evaluation. The intervention consisted of a diabetic dialysis diet along with nutrition education and counseling. The results showed an improvement in nutrient intake and clinical condition, although intake did not reach ≥80% of the estimated requirements. Nutritional intervention plays an important role in supporting clinical improvement in patients with CKD stage V with comorbidities.  
Co-Authors Najiyah, Mufliha Prameswari, Fajria Saliha Puspita Sri Anna Marliyati