PENGARUH PEMBERIAN PUTIH TELUR TERHADAP ADEKUASI HEMODIALISIS DAN STATUS GIZI PASIEN PGK TAHAP V HEMODIALISIS
Article Sidebar
Read Counter : 0
Download : 0
Main Article Content
Abstract
ABSTRACT
Improving the nutritional status of hemodialysis patients prevents malnutrition and hyperphosphatemia, which affect hemodialysis adequacy and are predictors of morbidity and mortality in hemodialysis patients. This study aimed to analyze the influence of egg white supplementation on hemodialysis adequacy and the nutritional status of hemodialysis patients. The study employed a quasi-experimental pre-post-test with a control group design. Subjects were divided into two groups; the control group received education, while the intervention group received education and egg white supplementation of ±168 grams three times a week for two months. Energy and protein intake were controlled using the SQFFQ. Measurements of muscle mass, albumin, phosphorus, and adequacy (Kt/V) were conducted before and after the study. Statistical analysis was performed using SPSS 24.0. There were significant differences in albumin and muscle mass before and after treatment in both groups (p<0,05). There was a significant difference in Kt/V before and after treatment in the intervention (p=0,04) group but not in the control group. Albumin and muscle mass increased after treatment but remained within normal levels. Egg white supplementation of ±168 grams three times a week is beneficial in preventing malnutrition in dialysis patients.
Keywords: egg white, albumin, muscle mass, phosphorus, Kt/V
ABSTRAK
Perbaikan status gizi pasien hemodialisis mencegah malnutrisi dan hiperfosfatemia yang mempengaruhi adekuasi hemodialisis dan merupakan prediktor morbiditas, mortalitas pasien hemodialisis. Penelitian bertuhuan untuk menganalisis pengaruh pemberian putih telur terhadap adekuasi hemodialisis dan status gizi pasien hemodialisis. Desain penelitian ini quasi experimen pre-post-test with kontrol group design. Subjek dibagi 2 kelompok yaitu kelompok kontrol mendapat edukasi sesuai kebutuhan gizi sedang kelompok intervensi mendapat edukasi dan putih telur sejumlah ± 168 gr frekuensi 3x/minggu selama 2 bulan. Asupan energi dan proteinnya dikontrol menggunakan form SQ-FFQ .Pengukuran masa otot ,kadar albumin, fosfor, adekuasi (Kt/V) dilakukan sebelum dan sesudah penelitian. Analisis statistik menggunakan SPSS 24.0. Hasil penelitian menunjukkan terdapat perbedaan signifikan albumin dan massa otot sebelum dan sesudah diberikan perlakuan pada kedua kelompok (p<0,05). Terdapat perbedaan signifikan Kt/V sebelum dan sesudah diberikan perlakuan pada kelompok intervensi (p=0,04), tetapi tidak
pada kelompok kontrol. Terdapat peningkatan albumin dan massa otot sesudah diberikan perlakuan tetapi tetap dalam kadar normal. Pemberian putih telur sejumlah ±168 g 3x/ minggu bermanfaat mencegah malnutrisi pasien hemodialisis.
Kata kunci: putih telur, albumin, masa otot, fosfor, Kt/V
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with Gizi Indonesia (Journal of The Indonesian Nutrition Association) agree to the following terms:
- Authors retain copyright and grant Gizi Indonesia (Journal of The Indonesian Nutrition Association) right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgement of the work's authorship and initial publication in Gizi Indonesia (Journal of The Indonesian Nutrition Association).
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
Nelm Marcia, Sucher Kathryn P, Lacey Karen, Long Roth Sara. Nutrition Therapy and pathophysiologi. Second Edition. Wadsworth; Cengage Learning. 2011
Kementerian Kesehatan RI. Hasil Utama RISKESDAS 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI.2018
Pernefri. 11 th Report Of Indonesian Renal Registry 2018
Muller Clotilde, Knoerr Fabienne, Kolb Isabelle, Garstk Antoine, Fumaroli JeanVale` re, Richte Sarah. Impact of the adjunction of boiled-egg during the chronic hemodialisis session on the nutrition state (Online).2018. https://doi.org/10.1016/j.nephro.2018.02.022
Tuyen Van Duong , Pei-Yu Wu , Te-Chih Wong , Hsi-Hsien Chen, Tso-Hsiao Chen, Yung-Ho Hsu,
et.al. Mid-arm circumference, body fat, nutritional and inflammatory biomarkers, blood glucose, dialysis adequacy influence all-cause mortality Online). in hemodialysis patients Medicine (Baltimore). 2019; 98(12). https://doi:10.1097/MD.0000000000014930
Weiner Daniel E, Tighiouart Hocine, Ladik Vladimir, Meyer Klemens B., Zager Philip G.,Johnson, Douglas S. Oral Intradialytic Nutritional Supplement Use and Mortality in Hemodialisis Patients (Online). Am J Kidney Dis. 2014;63(2):276-285. http://dx.doi.org/10.1053/j.ajkd.2013.08.007
Koppe Laetitia, Fouque Denis. Intradialytic oral nutrition—the ultimate conviction (Online). Nature Reviews Nephrology. 10, 11–12 (2014); published online 19 November 2013. http://dx.doi:10.1038/nrneph.2013.253
Lopes M B., Silva L. F., Lopes G. B., Penalva M.A., Matos C.M., Robinson, B.M.,et.al. Additional Contribution of the Malnutrition–Inflammation Score to Predict Mortality and Patient Reported Outcomes as Compared With Its Components in a Cohort of African Descent Hemodialisis Patients (Online).Journal of Renal Nutrition. 2017; 27(1), 45–52. https://doi.org/10.1053/j.jrn.2016.08.006
Webster, A. C., Nagler, E. v., Morton, R. L., & Masson, P. Chronic Kidney Disease (Online). Lancet. 2017; 389, (Issue 10075;1238–1252). https://doi.org/10.1016/S01406736(16)32064-5
Guida B., Parolisi S., Coco M., Ruoppo T., Veccia R., di Maro M.,et.al. The impact of a nutritional intervention based on egg white for phosphorus control in hemodialyis patients (Online). Nutrition, Metabolism and Cardiovascular Diseases, 2019; 29(1), 4550. https://doi.org/10.1016/j.numecd.2018.09.010
PERSAGI. Tabel Komposisi Pangan Indonesia. Elex Media Komputindo. Jakarta. Edisi 1.2008; 42
M Sopiyudin Dahlan. Statistik untuk Kedokteran dan Kesehatan. Jakarta: Salemba; 2011
National Kidney Foundation KDOQI Clinical Practice Gudelines for Nutrition in Chronic Renal. Failure. Update (Online). Am J Kidney Dis. 2020;76(3)(suppl 1):S1-S107
Prosiding Widyakarya Nasional Pangan dan Gizi (WNPG) X 2012 : Pemantapan Ketahanan Pangan dan Perbaikan Gizi Masyarakat Berbasis Kemandirian dan Kearifan Lokal ; 2012 ; Jakarta : LIPI. p 2012
M Sopiyudin Dahlan. Statistik untuk Kedokteran dan Kesehatan. Jakarta: Salemba; 2011
Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 Tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019
Rayati Mojtaba, Jadid Milani Maryam, Hosein Pishgooei, Amir Pakfetrat, Maryam. Evaluation of the effect of integrated trainings on nutritional status and dialysis adequacy in hemodialisis patients (Online) Medical - Surgical Nursing Journal. 2016; 5(2); 19-26.
Tallman, Dina A., Sahathevan, Sharmela, Karupaiah, Tilakavati, and Khosla, Pramod. Egg Intake in Chronic Kidney Disease (Online). Journal Multidisciplinary Digital Publishing Institute. Nutrients 2018, 10, 1945; https://doi.org/10.3390/nu10121945
Kalantar-Zadeh Kamyar, Joshi Shivam, Schlueter Rebecca, Cooke Joanne, BrownTortorici Amanda, Donnel Meghan, et.al. Plant-Dominant Low-Protein Diet for Conservative Management of Chronic Kidney Disease (Online). Journal Multidisciplinary Digital Publishing Institute. Nutrients 2020, 12, 1931; https://doi:10.3390/nu12071931
Guyton, Arthur C MD. Text book of Medical Physiology. Elevent Edition. Philadelphia, Pennsylvania; Elsevier Inc 19103-2899; 2006
Susetyowati, Rizqi Farah. Association among Plant-based Proteins to Albumin and Handgrip Strength in Maintenance Hemodialysis Patients Universitas Gadjah Mada (UGM) Hospital-Indonesia. The Korean Society of Nephrology. 2020; PO1302
John StephenG., Sigrist MhairiK., Taal MaartenW. , .McIntyre ChristopherW. Natural History of Skeletal Muscle Mass Changes in Chronic Kidney Disease Stage 4 And 5 Patients: Anobservational study (Online). Plose One. 2013;8(5);
https://doi.org/10.1371/journal.pone.0065372
Leal, V. O., Stockler-Pinto, M. B., Farage, N. E., Aranha, L. N., Fouque, D., Anjos, L. A., & Mafra, D. Handgrip strength and its dialysis determinants in hemodialysis patients (Online). Nutrition Journal. 2011; 27(11–12); 1125–1129. https://doi.org/10.1016/j.nut.2010.12.012
Taylor MS, Lynn M, Zadeh K, Kamyar, Markewich Theodore BA, et.al. Dietary Egg Whites for Phosphorus Control in Maintenance Haemodialysis Patients: A Pilot Study. European Dialysis and Transplant Nurses Association/European Renal Care Association (Online). 2011. https://doi.org/10.1111/j.17556686.2011.00212.x
Jeloka T K , Dharmatti G, Jamdade T, Pandit M. Are oral protein supplements helpful in the management of malnutrition in dialysis patients? (Online). Indian Journal of Nephrology.2013; 23(1): https://doi.org/10.4103%2F09714065.107185 1–4.
Rezaiee O, Shahgholian N, Shahidi S. Assessment of hemodialisis adequacy and its relationship with individual and personal factors (Online). Iran J Nurs Midwifery Res. 2016 ;21(6):577-582. https://doi/10.4103/1735-9066.197673
Barzegar Hengameh, Moosazadeh Mahmood, Jafari Hedayat, Esmaeili Ravanbakhsh. Evaluation of Dialysis Adequacy in Hemodialisis Patients: A Systematic Review (Online). Urology Journal. 2016; 13(4); 274
Shariati AR, Asayesh H, Nasiri H, Tajbakhsh R, Hesam M, Mollaee E, et al. To compare dialysis adequacy in patient’s that referred to Golestan province hemodialysis centers. Health Inf Manage 2012; 1:56‑64.
Tentori F, Zhang J, Li Y, Karaboyas A, Kerr P, Saran R, et al. Longer dialysis session length is
associated with better intermediate outcomes and survival among patients on in-center three times per week hemodialysis: results from the Dialysis Outcomes and Practice Patterns Study
(DOPPS). Nephrol 2012;11:4180–8. Dial Transpl.
Rayati Mojtaba, Jadid Milani Maryam, Hosein Pishgooei, Amir Pakfetrat, Maryam. Evaluation of the effect of integrated trainings on nutritional status and dialysis adequacy in hemodialisis patients (Online) Medical - Surgical Nursing Journal. 2016; 5(2); 19-26
Reddy V, Symes F, Sethi N, Scally AJ, Scott J, Mumtaz R, et al. Dietitian-led education program to improve phosphate control in a single-center hemodialysis population. Journal of Renal Nutrition 2009; 19(4): 314-20.
Esmaili Hossein, Majlessi Fereshteh, Montazeri Ali, Sadegh Roya, Nedjat Saharnaz, Zeinali Javad. Dialysis adequacy and necessity of implement health education models to its promotion in Iran (Online) International Journal of Medical Research & Health Sciences. 2016; 5 (10);
-121