Akurasi petugas dalam penentuan sisa makanan pasien rawat inap menggunakan metode taksiran visual skala comstock 6 poin

https://doi.org/10.22146/ijcn.17351

Susyani Susyani(1*), Endy Paryanto Prawirohartono(2), Toto Sudargo(3)

(1) Jurusan Gizi Politeknik Kesehatan Palembang
(2) Bagian Anak RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Ilmu Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: bserving plate waste is categorized as a simple way but yet still needs evaluation. When many foods are wasted, a dietitian should quickly respond and know the best way how to overcome the matters. There are three accurate ways to determine plate waste: plate waste weighing, visual estimation, and 24 hours recall. The application of each method really depends on its purposes. According to previous researches there are significant and positive correlations between the visual estimation of Comstock Scale and plate waste weighing. Visual estimation, moreover, has more advantages as it is easy to apply, cheap, and less time consuming. Considering those advantages, visual estimation needs to be socialized and considered as a new accurate method besides weighing methods.

Objective: The objective of this study is to know the medical official accuracy in determining plate waste using visual estimation of 6 point Comstock Scale.

Methods: An observational study was conducted using a cross-sectional design. Subjects were nurses and meal servants from hospital wards. Before the meal served to the patient the food is weighed, than the observers officer has to observed portion sized. After the patient having meal, plate waste should be estimated using Comstock Scale by the officer after that the plate waste have to be weight to know the actual weigh. The accuracy difference between two groups in determining plate waste using Comstock Scale were analysed with t-test.

Results: There was significant differences of accuracy (p=0.01) between nurse group and meal servant in estimating wasted rice and wasted meat (p=0.02). The difference were not due to the job factor but the significant of various meal (p=0.0001). The work experience is a significant factor in the accuracy of plate waste (p=0.42). There was no correlation between kind of job and kind of meal (p=0.47), and kind of meal with the work experience (p=0.79).

Conclusion: Visual estimation of 6 point Comstock scale could be used by both nurses and meal servant in determining plate waste.


Keywords


medical offi cial accuracy; comstock scale; food weighing

Full Text:

PDF


References

Soegih R. Pola Penanganan “Kasus Gizi” di Puskesmas dan Rumah Sakit. Dalam: Daldiyono

dan Thaha AR, editors. Kapita Selekta Nutrisi Klinik. Jakarta: Perhimpunan Nutrisi Enteral dan Panenteral Indonesia; 1998. h. 37-55.

Kirks BA, Wolff HK. A Comparison of Methods for Plate Waste Determinations. J Am Diet Assoc;1985;85:328-30.

Comstock EM, Piere RG, Mackiernan YD. Measuring Individual Plate Waste in School Lunches. J Am Diet Assoc 1981;79:290-96.

Murwani R. Penentuan Sisa Makanan Pasien Rawat Inap dengan Metode Taksiran Visual Comstock di RSUP Dr. Sardjito Yogyakarta [tesis]. Yogyakarta: Pascasarjana Universitas Gadjah Mada; 2001.

Castellanos VH, Andrews YN. Inherent Flaws In a Method of Estimating Meal Intake Commonly Used in Long-Term-Care Facilities. J Am Diet Assoc. 2002;102:826-30. Chicago (on-line). Available on: http:// proquest.Umi.com/ pqdweb.. Accessed August 21, 2002.

Shatenstein DC, Ferland G. Visual Observation is a Valid Means of Assessing Dietary Consumption among Older Adults with Cognitive Defi cits in Longterm, Care Setting. J Am Diet Assoc 2002;102:250-

Chicago (on-line). Available on: http://proquest.Umi.com/ pqdweb. Accessed July 06, 2002.

Shankar AV, Githelsohn J, Stalling R, West KP, Gnywali T, Dhungel C, et al. Comparison of Visual Estimate of Children’s Portion Sizes Under Both Share-place and Individual-plat Conditions. J Am Diet Assoc 2001;101:47-52.

Gittelsohn J, Shankar AV, Pokhrel, RP, West KP. Accuracy of Estimating food Intake by Observation. J Am Diet Assoc 1994;94:1273-77.

Venter CS, MacIntyre UE, Vorster HH. The Development and Testing of a Food Portion Photograph Book For Use in an African Population. Journal Human Nutrient Diet 2000;13(3):205-18. (On-Line) Available on: www.blackwell-synergy.com/servlet/useragent?/ Accessed April 21, 2004.

Yanek LR, Taryn F, Judith VR, Diane MB. Comparison of The Effectiveness of a Telephone 24-hour Dietary Recall vs an In-Person Method Among Urban African-American Women. J Am Diet Assoc 2000;100:1172-77.

Putri SP. Hubungan Antara Ciri-ciri Pribadi, Persepsi Iklim Organisasi dan Kepuasan Kerja Tenaga Keperawatan di RS. Honoris Tangerang [tesis]. Yogyakarta: Pascasarjana Universitas Gadjah Mada; 1999.

Rusmiati T. Sikap, Prilaku dan Tanggung Jawab Perawat terhadap Penerapan Standar Asuhan Keperawatan di Instalasi Rawat Inap RSUD. Salatiga [tesis]. Yogyakarta: Pascasarjana Universitas Gadjah Mada; 2001.

Muchlas M. Prilaku Organisasi I (Organizational Behavior). Yogyakarta: Program Pendidikan Pascasarjana, Magister Manajemen Rumah Sakit Universitas Gadjah Mada; 1997.

Yuhas JA, Bolland JE, Bolland TW. The Impact of Training, Food Type, Gender, and Container Size on the Estimation of Food Portion Sizes. J Am Diet Assoc. 1989;89:1473-77.



DOI: https://doi.org/10.22146/ijcn.17351

Article Metrics

Abstract views : 1308 | views : 3227

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
 Crossref   Google Scholar Indonesian Scientific Journal Database (ISJD) Indonesia OneSearch (IOS)  CORE   

  Creative Commons License

JGKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

free
web stats View My Stats