Persepsi ahli gizi di Indonesia terhadap penerapan nutritional care process (NCP) di rumah sakit

Dietitians’ perception of the implementation of the nutrition care process (NCP) in IndonesiaBackground: The nutrition care process (NCP) developed by The Academy of Nutrition and Dietetics was adopted and implemented in Indonesia. Some hospitals in Indonesia do not have a proper facility to support dietitians to implement NCP optimally.Objective: To evaluate dietitians’ perception of the NCP implementation in hospital settings in Indonesia.Methods: This study was a cross-sectional design with dietitians who have been working in a hospital as the study subject. Data were collected by questionnaire. Each subject answered questions on general data, nutrition screening practice, and 20 questions about the NCP implementation. The perception score is ranged from one(1) for ‘strongly disagree’ to five(5) for ‘strongly agree.’ The score was summarized and categorized into two groups ‘good’ and ‘less’ positive perception. Univariate and bivariate analysis was used to evaluate the data statistically. Results: More than half of the participants have a good/positive perception of NCP implementation (62.5%). There was a significant association between the level of education and nutrition screening training to other health workers' perceptions statistically. Conclusion: NCP has been implemented very well in a hospital setting in Indonesia. There are improvements needed in some key aspects to improve the quality of the nutrition care process in the hospital, especially for each dietitian to have a better and more standardized perception nationally on implementing NCP

Identifikasi risiko malnutrisi dan evaluasi status nutrisi pasien kanker anak dengan pengobatan kemoterapi

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p2% (p 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization

The evaluation of formula 100 utilization program towards the nutrtitional status of malnourished children after treatment

ABSTRAKLatar belakang: Persentase balita kurus di Kabupaten Muna sebesar 11,8% dan balita sangat kurus sebanyak 6,3%. Sesuai rekomendasi World Health Organization (WHO), perbaikan status gizi balita gizi buruk dilakukan dengan memperbaiki asupan zat gizi dengan memberikan formula terapi berupa pemberian Formula 100 (F-100), dimana F-100 merupakan makanan yang berbahan dasar susu yang diberikan pada fase transisi dan fase rehabilitasi Tujuan:Mengetahui daya terima F-100 oleh balita gizi buruk dan mengetahui hubungan daya terima F-100 balita gizi buruk dengan perubahan status gizi.Metode:Jenis penelitian ini merupakan penelitian observasional yang menggunakan rancangan kohort prospektif. Sampel penelitian adalah seluruh balita umur 12-24 bulan yang mengalami gizi buruk berjumlah 73 balita yang telah memenuhi criteria inklusi dan eksklusi.Sampel penelitian mendapatkan F-100 selama 5 minggu.Analisis data yang digunakan adalah univariat dan bivariat. Hasil:Sebagian besar subjek (63,08%) termasuk dalam kategori daya terima baik dengan menghabiskan F-100 yang diberikan dan sisanya (36,92%) termasuk dalam kategori daya terima kurang dengan tidak menghabiskan F-100 yang diberikan. Hasil uji Chi Square menunjukan ada hubungan antara daya terima F-100 dengan perubahan status gizi (p=0,02) (RR=2,7, 95% CI=1,07-7,21). Kesimpulan :Terdapat hubungan yang signifikan antara daya terima F-100 denganperubahan status gizibalita (p<0,05). KATA KUNCI: evaluasi, status gizi, F-100ABSTRACTBackground: The total percentage of underweight children in Muna District was 11.8% and the percentage of severe wasted children was 6.3%. As recommended by World Health Organization (WHO),improvement in nutritional status of malnourished children is conductedby improving food supplementation. Giving therapeutic formula 100 (F-100), where F-100 is the food made from dairy products which given in transition and rehabilitation phase. Objectives:To figure out the admission of F-100 by malnourished children and to find out the correlation between F-100 admission from malnourished children and the changing of nutritional status. Methods: This research is an observational study using the design of prospective cohort study. The sample were the whole children aged 12-24 months who suffered malnutrition with the total number up to 73 children who have fulfilled the criteria of inclusion and exclusion. The study sample had received F-100 for 5 weeks. The data analysis used is univariate and bivariate.Results: Most of the subjects are included in the category of well admission (63.08%) by spending given F-100 and the rests are included in the category of less admission (36.92%) by not spending the given F-100. The result of Chi Square Test shows that there is correlation between the admission of F-100 andthe changing of nutritional status (p=0.02) (RR=2.7, 95% CI=1.07-2).Conclusions: There is significant correlation between the admission of F-100 and the changing of children’s nutritional status (p<0.05)KEYWORDS: evaluation, status, nutrition, F-10

Pemberian taburia (sprinkle) berpengaruh terhadap lama dan frekuensi diare akut anak

Background: Major causes of mortality in children are diarrhea and pneumonia (25.2% and 15.5%). “Five steps of diarrhea management” is an integrated approach in the management of diarrhea comprising the supplementation of oral rehydration, zinc within 10 days subsequently, breastfeeding and food, selective antibiotics and advice for the mother/family. Zinc supplementation combined with vitamin A and micronutrient on children with the diarrhea had been researchead that result can minimize morbidity, duration and frequency of diarrhea, and the incidence of recurrent diarrhea.Objective: To find out the effect of taburia supplementation (sprinkle) on duration and frequency of diarrhea.Method: The study was randomized controlled trial (RCT) with parallel design. Subject consisted of two groups, the first got therapy of taburia (sprinkle) 1 sachet/day and the second was the control group. Each group got standard diarrhea medication at the health center. Samples consisted of 30 children of 1-5 years old per group and they were obtained by using simple randomization technique. Statistical analysis was performed by using Chi-Square and t-test.Results: Duration of diarrhea of the experiment group was 33.25 ± 18.08 hours (95% CI: 26.49 - 40.00) and the control group was 43.7 ± 19.25 hours (95% CI: 36,50 - 50,89). Frequency of diarrhea of the experiment group was 4.93 ± 3.41 times/day (95% CI: 3,41-3,65) and the control group was 6.33 ± 3.20 times/day (95% CI: 5.13-7.53). The result of statistic test showed that there was effect of taburia supplementation to duration and frequency of diarrhea (p<0.05).Conclusion: Supplementation of taburia (sprinkle) in the standard therapy of diarrhea shortened the duration and minimized the frequency of diarrhea

Usia ibu dan jumlah anak berhubungan dengan kejadian beban gizi ganda pada tingkat rumah tangga di desa dan kota di Indonesia

Maternal age and number of children are associated with the incidence of a double burden of malnutrition at the household level in rural and urban areas in IndonesiaBackground:  Double burden of malnutrition is a nutritional problem where two nutritional problems occur at the same time and this can happen at the household level. The diversity of community characteristics causes differences in the incidence of the double burden of malnutrition at the household level in people living in rural and urban areas in Indonesia.Objective: To determine the associated factors with the incidence of double burden malnutrition at the household level in rural and urban areas in Indonesia.Methods: This study with a cross-sectional design used secondary data from the fifth wave of the Indonesia Family Life Survey (IFLS). The sample in this study was 6,468 households. The double burden of malnutrition at the household level is defined as a household in which there is at least one pair of mother and child aged 2-18 years that has underweight and or overweight/obese. Maternal factors, household economic status, number of children, and regional area are independent variables in this study. A logistic regression test was used to perform statistical analysis.Results: The prevalence of double burden malnutrition at the household level in urban areas was higher than in rural areas (8.70%) and 7.77%). Factors that were significantly (p<0.05) associated with the incidence of double burden malnutrition at the household level in rural areas were maternal age, mother's education, economic level, number of children, and regional living of the household, while in urban areas were maternal age and number of children.Conclusions: Maternal age and the number of children are two significant factors associated with the incidence of double burden malnutrition at the household level in rural and urban areas in Indonesia

Perbedaan asupan makan balita di perkotaan dan perdesaan pada provinsi dengan beban gizi ganda

Differences in food intake among children under five years in urban and rural areas in provinces with the double burden of malnutritionBackground: The double burden of malnutrition is one of the nutritional problems in children at national and global levels. Food intake is the main cause of the double burden of malnutrition. Differences in residence in urban and rural areas will affect food access which will have an impact on different food intake. Objective: To analyze the differences in energy, protein, fat, and carbohydrate intake of children under-fives in urban and rural areas in provinces with the double burden of malnutrition. Methods: This research used secondary data analysis using the Total Diet Study (TDS) 2014. The subjects of this study were 813 children in provinces with a dual burden of malnutrition that fulfilled the inclusion and exclusion criteria. Provinces with the double burden of malnutrition are provinces with a prevalence of underweight children aged ≥24-59 months at >22.36% and a prevalence of overweight children age ≥24-59 months at >1.23%. Total Diet Study (TDS) data will provide information on food intake of children through recall results, differences in residence obtained from district classification data, the double burden of malnutrition data obtained from children nutritional status is overweight and underweight based on weight and age data of children processed using WHO-ANTRO software. Results: The average intake of energy, protein, and fat in the urban area are higher than in a rural area, but the average carbohydrate intake in an urban area is lower than in a rural area. The average intake of energy in urban was 1300.01 kcal, in rural areas was 1223.23 kcal (p=0.0008). The average intake of protein in urban was 55.03 g, in rural areas was 47.67 g (p<0.0001). The average intake of fat in urban was 47.99 g, in rural areas was 37.12 g (p<0.0001). The average intakes of carbohydrate in urban were 163.61 g, in rural areas was 178.88 g (p=0.0042).Conclusions: There are differences in energy, protein, fat, and carbohydrate intake of children under five years in urban and rural areas in provinces with the double burden of malnutrition

Karakteristik sosial demografi dan konsumsi zat besi pada ibu hamil berdasarkan data Studi Diet Total (SDT) tahun 2014 di Indonesia

Background: Pregnant women are the group most vulnerable to iron deficiency anemia. This occurs as a consequence of a significantly increased demand for iron intake during pregnancy. The efforts of pregnant women to compensate for the increased need of iron depend on various sociodemographic characteristics.Objective: To analyze the relationship between sociodemographic characteristics and iron consumption of pregnant women in Indonesia.Method: This research is observational study design with cross-sectional approach using secondary data of the Total Dietary Study (SDT) year 2014. A total of 644 pregnant women inform the SDT study who met our inclusion and exclusion criteria were assessed for their level of consumption using 24-hour dietary recall method. Data were then processed using Nutrisurvey software and Indonesian Food Composition Table (TKPI) to estimate the consumption of iron. Analysis was conducted using Mann-Whitney and Kruskal-Wallis tests by including various social demographic characteristics in pregnant women.Results: The results of this study found that level of education, employment status, economic status, and residence of pregnant women are significantly related to iron consumption (p<0.05).Conclusion: Pregnant women with high education, working status, middle to upper economic status, and living in urban areas have better iron consumption

Citra tubuh, asupan makan, dan status gizi wanita usia subur pranikah

Background: Premarital reproductive age women are prospective mothers whose nutritional status should be monitored, because it can affect the outcome of pregnancy. Premarital period can be interpreted as pre conception period. As the wedding ceremony approaches, women’s concern of their body image is increasing. Negative body image can influence their dietary intake and nutritional status. Research on the effect of pre wedding body image on women’s dietary intake and nutritional status in non-western countries is still limited.Objective: The aim of this research was to describe the relationship between body image, dietary intake and nutritional status of premarital reproductive age women in Yogyakarta city. Method: This research was an observational research with cross-sectional design. The subjects were 157 premarital reproductive age women in Yogyakarta city who came to the office of religious affairs to register their marriage or followed the premarital advisory program. Body image was measured by Body Shape Questionnaire (BSQ-34); dietary intake was measured by Semi-Quantitative Food Frequency Questionnaire (SQFFQ); and nutritional status was classified based on Body Mass Index (BMI). Data were analyzed with Chi-Square test, t-test and multiple logistic regression.Result: Only 12,1% of participant reported dissatisfied of their body image. Dominant factor that affect their body image was environmental influence (OR=14,5). Bivariat analysis showed that there was a significant relationship between body image and nutritional status (p0,05). Multiple logistic regression analysis showed that factors associated with nutritional status were body image, carbohydrate intake and environmental influence. Conclusion: Body image was associated with nutritional status. However, body image does not affect dietary intake. Energy, protein, fat and carbohydrate intake were significantly associated with nutritional status

Hipoalbuminemia praoperasi pasien kanker kolorektal terhadap risiko komplikasi pascaoperasi dan lama rawat inap

Background: Malnutrition is most commonly found in gastrointestinal cancer that affects the result of an operation. Albumin serum is an effective and simple way of assessing risk which is associated with malnutrition intensity so that it is generally used as the prognostic index for the development of the incidence of colorectal cancer postoperative complications.Objective: To identify the effect of preoperative hypoalbumin to the incidence of postoperative complications and length of stay of colorectal cancer in patients.Method: The study used the quantitative approach with a nonconcurrent cohort (retrospective analysis) design. The population was patients diagnosed having colorectal cancer who would undergo an operation at Kasih Ibu, Dr. Oen, and Panti Waluyo Hospital of Surakarta. Data analysis used Chi-Square test and logistic regression.Results: Hypoalbumin, either based on admission or pre-operation, was significant risk factor for the incidence of post operative complications in colorectal cancer patients as well as age and American Society of Anesthesiologist Physical Status Classification (ASA) status. The result of multivariate analysis showed age of 20-59 years (OR=2), hypoalbumin based on admission (2.1 times) and preoperation (1.9 times) were risk factors for the incidence of postoperative complication (infection). ASA status III-IV had risk 2.8 times for the incidence of postoperative sepsis complications and 3.7 times for mortality than ASA status I-II. Status of hypoalbumin did not influence total length of stay or postoperative length of stay but age influenced postoperative length of stay.Conclusion: Hypoalbumin influenced the incidence of postoperative complications in colorectal cancer patients, particularly infection complication; whereas factors of age and ASA status were external factors strongly influenced. Hypoalbumin did not influence length of stay. Age was an external factor that strongly influenced postoperative length of stay

Status gizi pasien bedah mayor preoperasi berpengaruh terhadap penyembuhan luka dan lama rawat inap pascaoperasi di RSUP Dr Sardjito Yogyakarta

Background: Severe malnutrition affects morbidity due to disrupted wound healing and decreased endurance against infection. There are some factors that cause malnutrition in surgical patients. Two major factors are lack of food intake and process of inflammation that cause increase of catabolism and decrease of anabolism. The condition can be identified from the decrease of albumin serum and muscle hypothrophy.Objective: The study aimed to identify impact of nutrition status of preoperative major surgical patients based on Nutritional Risk Index (NRI) indicator to wound healing and post operative length of stay.Method: The study was observational with prospective cohort study design. Nutrition screening was undertaken to the group that met inclusion criteria at the preliminary process of hospitalization using NRI indicator to identify nutrition status of surgical patients. Next, the group was split into two, one with undernourished nutrition status and the other with good nutrition status. Assessment of nutrition status of patients was based on NRI obtained from level of serum albumin and current and usual weight ratio within the last 6 months. Weight assessment was made during early hospitalization or weight within the last 6 months.Result: The result of the study showed there was signifiant association between nutrition status and wound healing and post operative length of stay (p 7 days than those with good nutrition status (95% CI:4.701-50.914).Conclusion: There was impact of nutrition status of preoperative major surgical patients based on NRI indicator to wound healing and post operative length of stay