KECUKUPAN ZAT GIZI DAN PERUBAHAN STATUS GIZI PASIEN SELAMA DIRAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR

Abstract

NUTRIENTS ADEQUACY AND CHANGES OF NUTRIRIONAL STATUS INDICES OF PATIENTS DURING HOSPITALIZED CARE IN CENTRAL GENERAL HOSPITAL OF SANGLAH DENPASAR

Malnourished in hospitalized patients was reported relatively high (30-50%). It was occurred during
hospital care (iatrogenic malnutrition). It was potentially decrease the curing process, prolong length
of stay, and rose up the cost of care. A prospective study was conducted in General Central Hospital
of Sanglah Denpasar, included 42 male and female of hospitalized patients during period of February
- Mart 2006 aged 18 to 70 years. The aim of the study was to assess the change of nutritional status
index and nutrient adequacy of the subjects. The parameter of nutritional status (body weight and
body mass index) in the first and last day of care, average of food and nutrient intake during
hospitalized, estimate nutrient requirement and adequacy, was measured. The average length of stay
was varied (6.5±5.25 days). The average macro nutrient intake of the subjects during hospitalized
were less than the requirement level: energy (78%), protein (68%), carbohydrate (78%), but not in fat
(99%). Macro nutrient adequacy in males were less than females subject. Indexes of nutritional status
decreased; body weight (BW) (P 0.016), body mass index (BMI) (P0.019). It was higher decreasing in
males ( BW P0.029, BMI P0.027) than females (BW and BMI P>0.05). In conclusion, decreasing of
nutritional status of patients was occurred in hospitalized patients. The adequacy of nutrient intake
was lower than the requirement level. There are a complex nutritional problems in hospitalized
patients. Nutritional service should be performed comprehensively in order to maintain nutritional
status and increase curing process of the patients. It should be performed systematically and
integrated through the team approach, which is play role in (1) define the diagnosis in term of clinical,
biochemical, and nutritional status, (2) measure nutrient requirement and decide the feeding method,
(3) carry out the nutritional support intervention, and (4) undertake the monitoring and evaluating as
an impact of intervention.

Keywords: Hospitalized patients, Hospital of Sanglah, index of nutritional status, nutrient
adequacy.