Hubungan Pengetahuan Gizi Dan Asupan Pangan Dengan Status Gizi Hemodialisa Di Rumah Sakit Umum Hermina Bekasi
Association of nutrition knowledge and dietary intake with nutrition status on hemodialysis outpatient in Hermina Hospital Bekasi
DOI:
https://doi.org/10.54771/nx758k94Keywords:
chronic kidney diseases, energy protein intake, hemodialysis, nutrition knowledge, nutritional statusAbstract
The prevalence of patients on hemodialysis at Hermina Bekasi Hospital increases from year to year. The risk of malnutrition in chronic kidney failure patients on hemodialysis is very high. Several causal factors include nutritional knowledge and intake. This study aims to analyze the relationship between nutritional knowledge, energy and protein intake with the nutritional status of outpatient chronic kidney failure patients on hemodialysis at Hermina Bekasi Hospital. The design of this study was cross sectional, which was carried out at Hermina Bekasi Hospital on 90 subjects in May-June 2018. The research subjects were patients with chronic renal failure on hemodialysis who had undergone hemodialysis for at least one-month, routine HD twice per week, without NGT, can communicate well. Nutritional status was measured using the SGA form, nutritional knowledge using a structured questionnaire and intake was measured using a 3x24 hour food record. Statistical analysis with Chi-square with α 5%. 43% of subjects had poor or poor nutritional status, most of them had good knowledge (55.6%), and had a good intake (energy 52.2% and protein 78.9%). There is a significant relationship between nutritional knowledge and nutritional status (p 0.038; OR 2.447), and a relationship between energy intake and nutritional status (p = 0.000; OR 15.951), as well as protein intake and nutritional status (p = 0.005; OR 5.032). In chronic kidney patients on hemodialysis, knowledge and macronutrient intake are closely related to nutritional status.
References
Kementerian Kesehatan RI. Riset Kesehatan Dasar Tahun 2018 [Internet]. Jakarta; 2018 [cited 2020 Nov 27]. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Badan Penelitian dan Pengembangan Kesehatan. Laporan Provinsi Jawa Barat Riskesdas 2018 [Internet]. Balitbangkes. 2019 [cited 2024 Jun 26]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3857/1/LAPORAN%20RISKESDAS%20JAWA%20BARAT%202018.pdf
PERNEFRI. 11th Report Of Indonesian Renal Registry 2018 [Internet]. 2018 [cited 2024 Jun 26]. Available from: https:// www.indonesianrenalregistry.org/ data/IRR 2018.pdf
Xi W zhen, Wu C, Liang Y li, Wang LL, Cao Y han. Analysis of malnutrition factors for inpatients with chronic kidney disease. Front Nutr. 2023 Jan 6;9.
Hayati DM, Widiany FL, Nofiartika F. Status gizi berdasarkan dialysis malnutrition score (DMS) dengan kualitas hidup pasien hemodialisis. Jurnal Gizi Klinik Indonesia. 2021 Jul 30;18(1):28.
Miao J, Liang R, Tian X, Sun Xi, Li Z. Contributors to nutritional status in continuous ambulatory peritoneal dialysis as practised in Henan Province, China. Asia Pac J Clin Nutr. 2018;27(2):318–21.
Mousa I, Ataba R, Al-ali K, Alkaiyat A, Zyoud SH. Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine. Ren Replace Ther. 2018 Dec 9;4(1):21.
Martins VS, Adragão T, Aguiar L, Fortes A, Costa M, Borges N, et al. Can an intradialytic snack model compensate the catabolic impact of hemodialysis? Clin Nutr ESPEN. 2021 Apr;42:292–8.
Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition and Metabolism (ISRNM). Journal of Renal Nutrition. 2013 Mar;23(2):77–90.
Astuti AT, Septriana S. Asupan energi, zat gizi makro, dan zat gizi mikro pada pasien hemodialisis di RSUD Panembahan Senopati Bantul. Nutrisia. 2018;20(2):45–52.
Idris NR. Hubungan pengetahuan gizi dan lama menjalani hemodialisa terhadap kepatuhan diet pasien di unit hemodialisa rumah sakit tabrani pekanbaru [Skripsi]. [Riau]: Universitas Isla Negeri Sultan Syarif Kasim Riau; 2023.
Rachmawati TY, Syauqy A. HUBUNGAN PENGETAHAN GIZI DENGAN ASUPAN ENERGI, PROTEIN, PHOSPHOR, DAN KALIUM PASIEN PENYAKIT GINJAL KRONIK DENGAN HEMODIALISIS RUTIN DI RSUD TUGUREJO SEMARANG. Journal of Nutrition College. 2014 Jan 27;3(1):271–7.
Arikunto S. Prosedur Penelitian: Suatu Pendekatan Praktik. Jakarta: Rineka Cipta; 2013.
Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. American Journal of Kidney Diseases. 2020 Sep;76(3):S1–107.
Suharyati S. Penuntun Diet dan Terapi Gizi. Suharyati S, editor. Jakarta: EGC; 2019.
Pan X, Wang C, Li R, Su L, Zhang M, Cai C, et al. Applicability of the Nutrition Risk Screening 2002 Combined with a Patient-Generated Subjective Global Assessment in Patients with Nasopharyngeal Carcinoma. Cancer Manag Res. 2020 Sep;Volume 12:8221–7.
Widiany FL. Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis. Jurnal Gizi Klinik Indonesia. 2017 Oct 30;14(2):72.
Notoatmojo S. Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2012.
Ekaputri GJ, Khasanah TA. Hubungan asupan energi dan protein terhadap status gizi pasien penyakit ginjalkronik dengan hemodialisa. Journal of Nutrition and Culinary. 2022;2(2).
Sulistyowati S. Adekuasi hemodialisa dengan asupan makan dan status gizi pasien hemodialisa. [Semarang]: Universitas Diponegoro; 2009.
Shinaberger CS, Kilpatrick RD, Regidor DL, McAllister CJ, Greenland S, Kopple JD, et al. Longitudinal Associations Between Dietary Protein Intake and Survival in Hemodialysis Patients. American Journal of Kidney Diseases. 2006 Jul;48(1):37–49.
Yogyantini MDT, Wahyunani BD. Hubungan asupan gizi dengan status gizi pada pasien gagal ginjal kronik dengan hemodialisa di rumah sakit panti rapih yogyakarta. Prosiding TIN Persagi. 2023;121–30.
Pourafshar S, Scialla JJ. Reconsidering Plant-Based Diets in Patients Receiving Maintenance Hemodialysis. AJKD. 2021;78(5).
He Y, Lu Y, Yang S, Li Y, Yang Y, Chen J, et al. Dietary Plant Protein and Mortality Among Patients Receiving Maintenance Hemodialysis: A Cohort Study. American Journal of Kidney Diseases. 2021 Nov;78(5):649-657.e1.
Hardinsyah dkk. Ilmu Gizi Teori dan Aplikasi. Jakarta: EGC; 2019.