Penilaian gizi sederhana: alat penilaian praktis untuk menentukan status gizi pasien rawat inap di rumah sakit

https://doi.org/10.22146/ijcn.17429

Ida Mardalena(1*), Bambang Suprapto(2), Widarto Widarto(3), Bhisma Murti(4)

(1) Jurusan Keperawatan Poltekkes Bengkulu
(2) Universitas Sebelas Maret Surakarta
(3) Universitas Sebelas Maret Surakarta
(4) Universitas Sebelas Maret Surakarta
(*) Corresponding Author

Abstract


Background: Absence of effective and efficient screening tool for assessment of nutritional status have lead to high incidence of malnutrition among hospitalized patients.

Objective: To develope practical screening tool for assessing nutritional status of hospitalized patients.

Method: A simple method of nutritional assessment, called The Simple Nutritional Assessment, was compared to albumin serum as the gold standard. This study involved 50 nurses and 50 hospitalized patients in Dr. Moewardi General Hospital, Surakarta.

Result: There was significant concordance of nutritional status assessed by the Simple Nutritional Assessment and the level of albumin serum (k=0,92). Sensitivity, specificity, and likelihood ratio of the Simple Nutritional Assessment compared to serum albumin were 92%, 67–75%, and 3.8, respectively. Internal consistence of the Simple Nutritional ssessment is high (Alpha=0.80). Average time required for doing the assessment was only 5 minutes.

Conclusion: The Simple Nutritional Assessment can be used for quick screening of nutritional status of hospitalized patients with high sensitivity and reliability.


Keywords


nutritional status; hospitalized patient; screening tool; malnutrition

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References

Mc Whirter JP, Pennington CR. Incidence and Recognition of Malnutrition in Hospital. BMJ 1994;308:945– 8.

Campbell ES, Avenell A, Walker EA. Assessment of Nutritional Status in Hospital in-Patients. QJ Med 2001;95:83–7.

Bristrian BR, Blacburn GL, Hallowell E, Heddle R. Protein Status of General Surgical Patients. JAMA 1974;230:858–60.

zad N, Murphy J, Amos S, Toppan J. Nutrition Survey in an Elderly Population Following Admission to A Tertiary Care Hospital. CMAJ 1999;161(5):511–5.

Nutrition Screening Initiative (NSI). Malnutrition. Among the Elderly: Expensive and Preventable. Am Fam Physician 2004. Available from Http://www.AAFP.

De Kruif J Th C and Vos A. An Algorithm for the Clinical Assessment of Nutritional Status in Hospitalized Patients. Br J Nutr 2003;90:829–36.

Gibson RS. Principles of Nutritional Assessment. New York: Oxford University Press; 1990.

Supariasa NDI, Bakri B, Fajar I. Penilaian Status Gizi. Jakarta: Penerbit Buku Kedokteran EGC; 2002.

Collins JP, Carthy Mc ID, & Hill GL. Assessment of Protein Nutrition in Surgical Patients-The Value of Anthropometrics. Am J Clin 1979;32:1527–30.

Corish AC. Pre-Operative Nutritional Assessment. Proc Nutr Soc 1999;58:821–9.

Stratton JR, Hackston A, Longmore D, Dixon R, Price S, Stroud M, King C, Elia M. Malnutrition in Hospital Outpatients and Inpatients : Prevalence, Concurrent Validity and Ease of Use of The ‘Malnutrition Universal Screening Tool’ (‘MUST’) for Adults. BMJ 2004;92:799–808.

Reilly HM, Martineau JK, Moran A & Kennedy H. Nutritional Screening. Evaluation and Implementation of A Simple Nutrition Risk Score. Clin Nutr 1995;14:269–73.

Nestle Nutrition Services. Mini Nutritional Assessment (MNA). @Nestle 1994, Revision 1998. N67200 12/99 10M Landis RJ and Koch GG.The Measurement of Observer Agreement for Categorical data. Biometrics 1977;33:159–74.

Murti B. Penerapan Metode Statistik Non Parametrik dalam Ilmu-Ilmu Kesehatan. Jakarta: PT Gramedia Pustaka Utama; 1996.

Lauque S, Nourhashemi F, Vellas B. Nutritional Evaluation Tools in The Elderly. Z. Gerontol Geriat 1999;32(7):S45–S54.

British Dietetic Association. Nutrition Screening & Assessment: Does it Really Work in Hospital?. Affective Practice Bulletin. Issue 33 May 2003



DOI: https://doi.org/10.22146/ijcn.17429

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