Pengaruh Edukasi Gizi terhadap Asupan dan Status Gizi Pasien Sirosis Hati
DOI:
https://doi.org/10.21776/ub.ijhn.2020.007.02.5Keywords:
edukasi gizi, sirosis hati, status gizi, asupan zat gizi, antropometri giziAbstract
ABSTRAK
Malnutrisi adalah masalah yang umum terjadi pada pasien sirosis hati. Kurangnya pengetahuan tentang gizi sehingga menyebabkan adanya pembatasan diet yang tidak perlu dan kemudian berkontribusi pada kejadian malnutrisi. Penelitian ini bertujuan untuk mengetahui adanya pengaruh pemberian edukasi gizi terhadap status gizi dan asupan pasien sirosis hati di Poli Gastroenterohepatologi Rumah Sakit dr. Saiful Anwar Malang. Jenis penelitian yang dilakukan termasuk dalam penelitian experimental dengan desain penelitian pre-post test control group design. Kelompok intervensi adalah kelompok yang diberi edukasi gizi pada awal pengambilan data, sedangkan kelompok kontrol adalah kelompok yang tidak diberi edukasi gizi. Data yang diambil pada penelitian ini adalah data antropometri, data asupan saat pengambilan data awal dan akhir serta data asupan makan partisipan yang dimonitoring selama 1 bulan menggunakan food diary. Hasil penelitian ini menunjukkan tidak terdapatnya penurunan yang signifikan (p=0.48) pada Indeks Massa Tubuh partisipan di kelompok intervensi dan kontrol. Sedangkan asupan energi dan karbohidrat pada kelompok intervensi mengalami peningkatan yang signifikan (p<0.05). Pemberian edukasi akan memberikan efek positif dan efektif jika dilakukan bersama dengan peningkatan aktivitas fisik. Efek dari pemberian edukasi gizi akan nampak bila durasi monitoring dan evaluasi diperpanjang.
Â
Kata kunci: edukasi gizi, sirosis hati, status gizi, asupan zat gizi, antropometri gizi
ABSTRACT
Malnutrition is a common problem among liver cirrhosis patients. Lack of knowledge about nutrition causes unnecessary dietary restrictions and leads to the incidence of malnutrition. This study aimed to determine the effect of nutrition education on intake and nutritional status of patients with liver cirrhosis at the Gastroenterohepatology Department, dr. Saiful Anwar General Hospital, Malang. The design used was an experimental study with a pre-post test control group. The intervention group is the group given nutrition education, while the control group is the group without nutrition education. The data taken in this study were anthropometric, intake data when taking initial and final data, and participants' daily food intake monitored for a month using a food diary. The study results showed no significant decrease (p = 0.48) in the body mass index of participants in the intervention and control groups. However, the energy and carbohydrate intake in the intervention group experienced a significant increase (p <0.05). Providing nutrition education will have a positive and effective effect if done together with increased physical activity. The duration of monitoring and evaluation should be extended to see the effectiveness of the nutrition education
Keywords: nutritional education, liver cirrhosis, nutritional status, nutrient intake, nutritional anthropometry
References
- Cheung K, Lee SS, Raman M. Prevalence and Mechanisms of Malnutrition in Patients With Advanced Liver Disease, and Nutrition Management Strategies. Clinical Gastroenterology and Hepatology. 2012.
- Merli M, Berzigotti A, Zelber-Sagi S, Dasarathy S, Montagnese S, Genton L, et al. EASL Clinical Practice Guidelines on nutrition in chronic liver disease. 2019.
- Sidiq T, Khan N. Nutrition as a Part of Therapy in the Treatment of Liver Cirrhosis. 2015;
- Khan R, Ahmed A, Ismail W, Abid S, Awan S, Shah H, et al. Perception and Knowledge About Dietary Intake in Patients with Liver Cirrhosis and its Relationship with the Level of Education. J Coll Physicians Surg Pakistan. 2012;22(7):435–9.
- Falk Foundation. A Guide for Patients with Liver Diseases including Guidelines for Nutrition. Falk Foundation e.V; 2015.
- P. A, E. H, B. D, M. M. The effect of nutritional education and continuous monitoring on clinical symptoms, knowledge, and quality of life in patients with cirrhosis. Gastroenterol Hepatol from Bed to Bench. 2019;12(1):17–24.
- Alavinejad P, Hajiani E, Danyaee B, Morvaridi M. The effect of nutritional education and continuous monitoring on clinical symptoms, knowledge, and quality of life in patients with cirrhosis. Gastroenterol Hepatol from bed to bench. 2019;12(1):17–24.
- Jorvand R, Valizadeh A, Karami B. Effect of Healthy Nutrition Education on the Body Mass Index (BMI) of Health Volunteers in Ilam Province. Heal Educ Heal Promot. 2016;4(2):25–34.
- Dharmade PN, Kale MP. Effect of nutrition education on anthropometric measurements of adolescent girls. Int J Home Sci. 2017;3(1):136–40.
- Krieger JW, Sitren HS, Daniels MJ, Langkamp-Henken B. Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: a meta-regression 1. Am J Clin Nutr. 2006 Feb;83(2):260–74.
- Green KK, Shea JL, Vasdev S, Randell E, Gulliver W, Sun G. Higher Dietary Protein Intake is Associated with Lower Body Fat in the Newfoundland Population. Clin Med Insights Endocrinol Diabetes. 2010;3:25–35.
- Primadhani. Konsumsi Energi dan Protein pada Penderita Penyakit Hati Rawat Inap di Perjan RS Dr. Cipto Mangunkusumo Jakarta. Institut Pertanian Bogor; 2006.
- Yusminingrum WT, Widajati E, Kholidah D. Gambaran Asuhan Gizi pada Pasien Sirosis Hepatis dengan Hematemesis Melena di Rumah Sakit Umum Daerah Dr. Saiful Anwar Malang. J Inf Kesehat Indones. 2019;5(2):79–101.
- Par’i HM, Wiyono S, Harjatmo TP. Penilaian status gizi. Jakarta Selatan Pus Pendidik Sumber Daya Mns Kesehat. 2017;
- Cahyati SMW. Hubungan Kepatuhan Diet dengan Status Gizi pada Penderita Diabetes Mellitus Tipe II di Dusun Karang Tengah Yogyakarta. SEKOLAH TINGGI ILMU KESEHATAN ‘AISYIYAH YOGYAKARTA; 2015.
- Sinurat LR, Purba BT. Peningkatan Status Gizi Pada Pasien Sirosis Hepatis Melalui Regimen Nutrisi Di Rsu Sari Mutiara Medan. Idea Nurs J. 2018;9(2):1–6.
Downloads
Published
How to Cite
License
Copyright (c) 2020 Indonesian Journal of Human Nutrition
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a
Creative Commons Attribution-NonCommercial 4.0 International License
Most read articles by the same author(s)
- Wulan Sari Nur Azkiyah, Dian Handayani, Holipah -, Validitas Estimasi Tinggi Badan berdasarkan Tinggi Lutut pada Lansia di Kota Malang (Validity of Height Estimation based on Knee Height in the Elderly in Malang) , Indonesian Journal of Human Nutrition: Vol. 3 No. 2 (2016)
- Dian Handayani, Nurrika Azizah, Hanifa Setiyawan, Widya Rahmawati, Densitas Energi dan Sajian Karbohidrat Makanan Tradisional dan Modern di Kota Malang (Energy Density and Carbohydrate Serving on Traditional and Modern Food in Malang) , Indonesian Journal of Human Nutrition: Vol. 3 No. 1 (2016)
- Anggun Faradhita, Dian Handayani, Inggita Kusumastuty, HUBUNGAN ASUPAN MAGNESIUM DAN KADAR GLUKOSA DARAH PUASA PASIEN RAWAT JALAN DIABETES MELITUS TIPE 2 (CORRELATION BETWEEN MAGNESIUM INTAKE AND FASTING BLOOD GLUCOSE LEVEL IN OUTPATIENTS WITH TYPE 2 DIABETES MELLITUS) , Indonesian Journal of Human Nutrition: Vol. 1 No. 2 (2014)
- Shinta Anggraini, Dian Handayani, Inggita Kusumastuty, Tingkat Pengetahuan Cara Membaca Label Informasi Gizi Mahasiswa Status Gizi Normal Lebih Baik dibandingkan Mahasiswa Obesitas , Indonesian Journal of Human Nutrition: Vol. 5 No. 2 (2018)
- Ellen Ernesta B. Sappu, Dian Handayani, Yosfi Rahmi, PENGARUH SUBSTITUSI TEPUNG TERIGU DENGAN TEPUNG DAUN TURI (Sesbania grandiflora) TERHADAP MUTU DAGING NABATI (EFFECT OF SUBSTITUTING WHEAT FLUOR WITH TURI LEAVE FLUOR (Sesbania grandiflora) ON MEAT ANALOGUE QUALITY) , Indonesian Journal of Human Nutrition: Vol. 1 No. 2 (2014)
- Inggita Kusumastuty, Dian Handayani, Yeni Intan Kusuma Dewi Affandy, Nora Attamimi, Alma Maghfirotun Innayah, Diah Ayu Puspitasari, Kepatuhan Diet Berbasis Beras Coklat terhadap Glukosa Darah dan Lemak Tubuh Pasien Diabetes Mellitus , Indonesian Journal of Human Nutrition: Vol. 8 No. 2 (2021)
- Cynthia Herdiana Safitri, Catur Saptaning Wilujeng, Dian Handayani, PERBEDAAN METODE TEAM GAME TOURNAMENT DAN CERAMAH TERHADAP PENINGKATAN PENGETAHUAN PEMILIHAN JAJANAN SEHAT (THE DIFFERENCE BETWEEN TEAM GAME TOURNAMENT AND LECTURE IN INCREASING THE KNOWLEDGE OF CHOOSING HEALTHY SNACKS) , Indonesian Journal of Human Nutrition: Vol. 1 No. 2 (2014)
- Olga Callista, Dian Handayani, Kanthi Permaningtyas Tritisari, Pengaruh Pemberian Tepung Daun Katuk terhadap Penebalan Dinding Aorta Tikus Wistar , Indonesian Journal of Human Nutrition: Vol. 2 No. 2 (2015)
- Faradita Anggun, Dian Handayani, HUBUNGAN ASUPAN MAGNESIUM DAN KADAR GLUKOSA DARAH PUASA PASIEN RAWAT JALAN DIABETES MELITUS TIPE 2 , Indonesian Journal of Human Nutrition: Vol. 1 No. 2 (2014)
- Etik Sulistyowati, Dian Handayani, Achmad Rudijanto, Asupan Magnesium Hubungannya dengan Kontrol Glukosa Darah pada Penderita DM Tipe 2 Setelah Diberi Intervensi Beras Putih dan Beras Coklat , Indonesian Journal of Human Nutrition: Vol. 9 No. 2 (2022)