Status gizi awal berdasarkan Patient Generated Subjective Global Assessment (PG-SGA) berhubungan dnegan asupan zat gizi dan perubahan berat badan pada penderita kanker rawat inap di RSUP Dr. Mohammad Hosein Palembang
Susetyowati Susetyowati(1*), Yenita Yenita(2), Johan Kurnianda(3)
(1) Program Studi Gizi dan Kesehatan Universitas Gadjah Mada
(2) Rumah Sakit Umum Dr. Mohammad Hoesin, Palembang
(3) Instalasi Kanker Terpadu RSUP Dr. Sardjito Yogkarta
(*) Corresponding Author
Abstract
Background: Weight loss is commonly detected among cancer patients in their early stages. This presumably happens due to low calory intake and increasing energy requirements which finally lead to malnutrition in cancer patients. Early detection to identify nutrition problems of cancer patients is through screening so as to maximize nutrient intake through nutrition therapy and diet modification and to improve nutrition status as well as quality of life of cancer patients.
Objective: The study aimed to identify the relationship between nutrition status based on PS-SGA and nutrient intake and weight loss of cancer patients hospitalized at Dr. M. Hoesin Hospital of Palembang.
Methods: The study was observational with prospective cohort study design. In this study the group that had fulfilled inclusion criteria were screened during their early hospitalization (within 24 hours) using patient-generated subjective global assessment score to identify their nutrition problem. Next, the group was divided into 2 smaller groups consisting of one group with malnutrition and another group without malnutrition. Analysis of nutrient intake obtained from foods provided by the hospital and outside the hospital was made to the two groups within 2 weeks of hospitalization using visual comstock and food record. Anthropometric measurement was made to find weight loss the subject of the study.
Results: The results of the study showed that there was significant relationship between nutrition status and intake of energy and protein with p=0.000. The result of logistic regression test to nutrition status based on weight changes indicated that there was significant relationship between risk of nutrition and weight changes; patients with risk of nutrition had 7.016 times greater probability for weight loss than those without risk of nutrition (95% C5 2.896-16.997).
Conclusion: There was significant relationship between nutrition status and nutrient intake among cancer patients and there was greater probability for weight loss.
Keywords
Full Text:
PDFReferences
Hopkinson JB, Wright DNM, McDonald JW, Corner JL. The prevalence of concern about weight loss and change in eating habits in people with advanced cancer. Journal of Pain and Symptom Management 2006: 32(4).
Bauer J, Capra S, Ferguson M. Use of the score patient generated global assessment (PG-SGA) as a nutritional assessment tool in patient with cancer. Eur J Clin Nutr 2002; 56: 779-85.
A Nourissata MP, Vassonb Y, Merrouchea C, Bouteloupc M, Goutteb D, Millea JP, Jacquina O, Collarda P, Michauda F. Relationship between nutritional status and quality of life in patients with cancer. Journal of Cancer 2008; 44: 1238-42.
Mahan L, Kathleen, Stump ES. Food, nutrition & diet therapy. Philadelphia: Saunder; 2006: 40-997.
Sudomo U. Esprerience in using score PG-SGA tool for screening and assessing nutritional in hospital patient. Jurnal Ilmiah Kesehatan RSPAD Gatot Soebroto 2001; 1(2): 8-11.
Grosvenor M, Bulcavage L, Rowan T, Chlebowski R. Symptoms potentially infuencing weight loos in a cancer correlation with primary site, nutritional status and chemotherapy administration. UCLA School of Medicine 1989; 63: 330-4.
Tian J, Chen ZC, Hang LF. Effects of nutrition and psychological status in gastroenterologi cancer on tolerance of treatment. Word Journal Gastroenterologi 2007; 13 (30): 4146-0.
Suharyati. Aplikasi penilaian status gizi dengan metode subjective global assessment (SGA) di rumah sakit. Naskah Presentasi Dalam Pertemuan Ilmiah Nasional 2007. Semarang: ASDI; 2007.
Naber T. Schermer T. Bree A. Nusteling K. Eggink L. Krumel J. Bakkeren J. Heerevel H. Kantan M. Prevalence of nutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr 1997; 66:1232-9.
Nadeak D. Penilaian masalah gizi pada penderita kanker dengan menggunakan skor PG-SGA. Gizi Medik Indonesia PDGMI 2005; 4: 19-23.
Fatimah N. Malnutrisi di rumah sakit. Gizi Medik Indonesia 2002; 1(1): 4-6.
National Cancer Institute (NCI). Nutrition screening and assessment in nutrition therapy. US: National Institutes of Health; 2006.
Dwiyanti D, Hadi H, Susetyowati. Pengaruh asupan makanan terhadap kejadian malnutrisi di rumah sakit. Jurnal Gizi Klinik Indonesia 2004;1(1): 1-7.
Irmawati. Hubungan antara konsumsi makanan dengan perubahan status gizi pasien di ruang rawat inap RSUD Banyumas. [Tesis]. Yogyakarta: Program Pasca Sarjana UGM; 2000.
Rivadeneira MD, Evoy D, Fahey TJ, Liberman MD, Daly JM. Nutritional support of the cancer patient. CA Cancer J. Clin 1998; 48 (2): 69-80.
Reksodiputro H, Sukrisman L. Nutrisi pada penderita kanker. ed. Harjodisastro H. Dukungan nutrisi pada kasus penyakit dalam. Jakarta: Departemen Ilmu Penyakit Dalam FKUI; 2006.
Widjarnako A, Reksodiputro HA. Nutrisi dalam pengobatan kanker dalam: pelatihan pengelola gizi rumah sakit di bidang dietetic dan kuliner. Jakarta: BLKM Depkes RI Cilandak; 1992.
Wilkes GM. Gizi pada kanker dan HIV. Hartono A (Alih bahasa). Jakarta: Penerbit Buku Kedokteran ECG; 2000.
Subiyanto, Darwito. Peran nutrisi dalam penanganan pasien-pasien kanker. Naskah Presentasi dalam Pertemuan Ilmiah Nasional. Semarang: ASDI; 2007.
DOI: https://doi.org/10.22146/ijcn.17741
Article Metrics
Abstract views : 11610 | views : 14699Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.