PENERAPAN PROSES ASUHAN GIZI TERSTANDAR TERHADAP ASUPAN ZAT GIZI MAKRO DAN LAMA HARI RAWAT PADA PASIEN GERIATRI DI RUMAH SAKIT

I Kadek Andi Artawa, Ni Komang Wiardani, Pande Putu Sri Sugiani

Abstract


ABSTRACT

 

Geriatric patients are elderly patients with multi-diseases who are prone to malnutrition. One of the efforts to improve macronutrient intake and the length of stay for geriatric patients who are hospitalized in a hospital is the standardized nutrition care process (NCP). Objective: To determine differences in macronutrient intake and length of stay between geriatric patients with standardized NCP and geriatric patients without standardized NCP in the hospital. Method: The type of research that has been done is a quasi-experimental with post test only control group design. The subjects who had fulfilled the inclusion criteria were 36 people then divide into 2 groups, namely the standardized NCP group at RSUD Klungkung and non-standardized NCP group at RSUD Bangli. Data collection on macronutrient intake was carried out by the food weighing method, and data on length of stay was collected by medical record observation. Hypothesis testing is done by unpaired t-test and Mann-Whitney. Results: The average age of the study subjects was 70,08 years and most were in 61-69 years. Assessment of nutritional status based on MNA was obtained at 44,4% of the subjects were malnourished. The results of the unpaired t-test produced a p-value of 0,001 (p<0,05) which showed that the average macronutrient intake in the standardized NCP group was significantly higher than the non-standardized NCP group. The average length of stay in the standardized NCP group (7,33 days) was shorter when compared to the non-standardized NCP (10 days). Mann-Whitney’s test produced a p-value of 0,023 (p<0,05) showed that there were significant differences in the average length of stay of the two groups. Conclusions and Suggestions. The application of standardized NCP has an effect on improving macronutrient intake and length of stay in geriatric patients, so nutritionists are advised to apply the standardized NCP to geriatric patients to improve their nutritional status.

 

Keyword: the standardized nutrition care process, macronutrient intake, length of stay

 


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References


DAFTAR PUSTAKA

Pusat Data dan Informasi. 2017. Analisis Lansia di Indonesia. Jakarta: Kemenkes RI.

Prasetyo, W.H; Pramantara, I.D.P; dan Budiningsari, R.D. 2017. Pengaruh Hasil Skrining Berdasarkan Metode MNA (Mini Nutritional Assesment) Terhadap Lama Rawat Inap Dan Status Pulang Pasien Lanjut Usia di RSUP Dr. Sardjito Yogyakarta. Berkala Kedokteran. 13 (1): 69-80.

Hardini, R.S. 2005. Hubungan Status Gizi (Mini Nutritional Assessment) dengan Outcome Hasil Perawatan Penderita di Divisi Geriatri Rumah Sakit Dokter Kariadi Semarang. Tesis. Semarang: Universitas Diponegoro.

Stanga, Zeno. 2009. Dasar-dasar Dalam Nutrisi Klinis: Nutrisi pada Lansia., (online), available: https://doi.org/10.1016/j.eclnm.2009.06.019 (15 Januari 2019).

Setiati, S; Alwi, I; Sudoyo, A; Simadibrata, M; Setiyohadi, B; dan Syam, A. 2014. Buku Ajar : Ilmu Penyakit Dalam Jilid I Edisi VI. Jakarta: InternaPublishing.

Kementerian Kesehatan RI. 2012. Pedoman Pelayanan Gizi Lanjut Usia. Jakarta: Direktorat Jenderal Bina Gizi dan KIA.

. 2014. Pedoman Proses Asuhan Gizi Terstandar (PAGT). Jakarta: Direktorat Jenderal Bina Gizi dan KIA.

Handayani, D; Astutik, P; Nurwati, Y; dan Mahar, M.A. 2017. Efektifitas Penatalaksanaan Proses Asuhan Gizi Terstandar terhadap Perbaikan Asupan Pasien Sindrom Metabolik di RSUD Sidoarjo. Malang: Universitas Brawijaya.

Chasbullah, I.Y; Gunawan, I; dan Budiningsih, R. 2011. Pelaksanaan Asuhan Terapi Gizi Medis (TGM) Berpengaruh Terhadap Lama Rawat Inap. Jurnal Gizi Klinik Indonesia. 8(2):93-98.

Yunita; Asdie, A.H; dan Susetyowati. 2013. Pelaksanaan Proses Asuhan Gizi Terstandar (PAGT) terhadap Asupan Gizi dan Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2. Jurnal Gizi Klinik Indonesia. 10(2): 82-91.

Garin, N; Olaya, B; Perales, J; Moneta, M.V; Miret, M; and Mateos, J. 2014. Multimorbidity Patterns in a National Representative Sample of the Spanish Adult Population. PLoS One. 9(1):1-9.

Lugito, N.P.H; Soejono, C.H; wahyudi, E.R; dan Dewiasty, E. 2015. Pengaruh Status Nutrisi Terhadap Kesintasan 30 Hari Pasien Geriatri yang Dirawat di Rumah Sakit. Jurnal Penyakit Dalam Indonesia. 2(3):160-169.

Pratama, E.L; Martini, R.D; Pertiwi, D. 2017. Gambaran Multipatologi Pasien Geriatri di Poliklinik Khusus Geriatri RSUP Dr. Djamil Padang Periode Januari-Dsember 2014. Jurnal Kesehatan Andalas. 6(3):536-545.

Sudoyo, A.W; Setiyohadi, B; Alwi, I; Simadibrata, M; dan Setiati, S. 2006. Buku Ajar : Ilmu Penyakit Dalam Jilid III Edisi IV. Jakarta: Pusat Penerbit Departemen Ilmu Penyakit Dalam FKUI.

Sumapradja, M.G; Fayakun, Y.L; dan Widyastuti, D. 2011. Proses Asuhan Gizi Terstandar (PAGT). Jakarta: Abadi Publishing & Printing.

Nuraini; Ngadiarti, I; dan Moviana, Y. 2017. Bahan ajar Gizi : Dietetika Penyakit Infeksi. Jakarta: Kemenkes RI.

Fayakun, Y.L. 2011. Peranan Proses Asuhan Gizi Terstandar Terhadap Asupan Gizi, Status Gizi dan Lama Rawat Inap di RSUD Dr. Hasan Sadikin Bandung tahun 2010. Tesis. Yogyakarta: Program Pascasarjana Universitas Gadjah Mada.

Susetyowati; Hadi, H; Asdie, A.H; dan Hakimi, M. 2014. Penerapan Algoritma Proses Asuhan Gizi Terstandar Berbasis Skrining Gizi. Jurnal Gizi Klinik Indonesia. 11(1): 20-30.

Suhaema; Iswidhani; Sulasty, S. 2011. Penerapan Nutrition Care Process (NCP) pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Umum Provinsi NTB Berpengaruh pada Perbaikan Asupan Zat Gizi dan Kadar Gula Darah. Mataram: Jurusan Gizi Poltekkes Kemenkes Mataram.

ADA. 2008. International Dietetics and Nutrition Terminology (IDNT) Reference Manual Standardized Language for the Nutrition Care Process. 1st edition.

PERSAGI dan AsDI. 2011. Pengembangan Konsep Nutrition Care Process (NCP) dan Proses Asuhan Gizi Terstandar (PAGT).

Kemenkes RI. 2019. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/393/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Malnutrisi pada Dewasa. Jakarta: Kemenkes RI.




DOI: https://doi.org/10.33992/jig.v11i4.1278

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