Asupan makan, status gizi, dan kualitas hidup pasien kanker payudara di RSUP DR Sardjito Yogyakarta

https://doi.org/10.22146/ijcn.18392

Susetyowati Susetyowati(1*), Retno Pangastuti(2), Sri Retna Dwidanarti(3), Hanifah Wulandari(4)

(1) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(2) Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(3) Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(4) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Breast cancer is the fifth leading cause of death due to all the type of cancer and the second leading cause of death in developing country after lung cancer. The global incidents of this disease were 43%. The cancer cells have an ability to disturb the nutrients absorbtion in the body and give an effect of decreasing nutritional status, physical performance and quality of life.

Objective: To show the relationship between nutrient intake, nutritional status and quality of life, breast cancer patients with radiotherapy at RSUP Dr Sardjito Yogyakarta.

Method: This study was an observational study with cross sectional design. Total subject of this study were 85 respondents. Intake of energy, protein, fat and carbohydrate were measured using 1x24 hours food recall. Nutritional status were measured using patient-generated subjective global assessment (PG-SGA) questionnaire. Then the quality of life were measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) questionnaire.

Results: There were significant difference in the average intake of energy (p=0.013), protein (p=0.043) and fat (p=0.016) between severe malnourished, moderate malnourished and wellnourished patients, whereas the average intake of carbohydrate was not significant (p=0.070). The lower nutrition intake, the lower nutritional status. There was also significant difference in fat intake (p=0.035) and nutritional status based on PG-SGA (p=0.002) between patients with poor and good quality of life. Patients with poor quality of life had lower nutrition intake and nutritional status.

Conclusion: Nutrient intake gave an effect to nutritional status and quality of life in breast cancer patient with radiotherapy.

Keywords


breast cancer; nutrient intake; nutritional status; quality of life

Full Text:

PDF


References


  1. Mardiana L. Kanker pada wanita. Jakarta: Niaga Swadaya; 2007.
  2. WHO. World cancer report. [series online] 2003 [cited 2016 Nov 4]. Available from: URL: http://www.iarc.fr/en/publications/pdfs-online/wcr/2003/
  3. WHO. Globocan 2012 : Estimated cancer incidence, mortality and prevalence worldwide in 2012. [series online] 2012 [cited 2016 Nov 4]. Available from: URL: http://globocan.iarc.fr/Default.aspx
  4. InfoDATIN. Situasi penyakit kanker. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.
  5. Haryanti S. Faktor-faktor yang berhubungan dengan status gizi penderita kanker payudara wanita (studi kasus pada penderita kanker payudara wanita pasca rawat inap di Rumah Sakit Dr. Kariadi Semarang Tahun 2005) [Skripsi]. Semarang: Universitas Negeri Semarang; 2006.
  6. Grant M, Kravits K. Symptoms and their impact on nutrition. Semin Oncol Nurs 2000;16(2):113-21.
  7. De Jong W, Sjamsuhidajat R. Buku ajar ilmu bedah edisi revisi. Jakarta: EGC; 2004.
  8. Gazali F. Kanker nasofaring: kenali, hindari, dan obati. Jakarta: FKUI; 2009.
  9. Isenring E, Bauer J, Capra S. The score patient-generated subjective global assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy. Eur J Clin Nutr 2003;57(2):305-9.
  10. Pressoir M, Desné S, Berchery D, Rossignol G, Poiree B, Bachmann P, et al. Prevalence, risk factor and clinical implication of malnutrition in French Comprehensive Cancer Centres. Br J Cancer 2010;102(6):966-71.
  11. Hediningrum H. Faktor-faktor yang mempengaruhi status gizi pasien kanker payudara yang menjalani terapi di Instalasi Kanker Terpadu Tulip RSUP Dr. Sardjito Yogyakarta [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2008.
  12. Prevost V, Joubert C, Heutte N, Babin E. Assessment of nutritional status and quality of life in patients treated for head and neck cancer. Eur Ann Otorhinolaryngol Head Neck Dis 2014;131(2):113-20.
  13. Djuminten. Uji reabilitas instrumen kualitas hidup pada penderita kanker payudara di RSUP Dr. Sardjito Yogyakarta [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2010.
  14. Almatsier S. Penuntun diet. Jakarta: PT Gramedia Pustaka Utama; 2010.
  15. Gibson RS. Principle of nutritional assessment, 2nd edition. New York: Oxford University Press; 2005.
  16. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentages body fat ranges: an approach for developing guideline based on body mass index. Am J Clin Nutr 2000;72(3):694-701.
  17. Wang AY, Sea MM, Ho ZS, Lui SF, Li PK, Woo J. Evaluation of handgrip strength as a nutritional marker and prognostic indicator in peritoneal dialysis patients. Am J Clin Nutr 2005;81(1):79-86.
  18. Kim HS, Lee JY, Lim SH, Cho J, Kim SJ, Kim K, et al. Patient-generated subjective global assessment as a prognosis tool in patients with multiple myeloma. Nutrition 2017;36:67-71.
  19. Suwendar S, Fudhol A, Andayani TM, Sastramihardja HS. Analisis outcome humanistik pada pasien kanker serviks rawat inap selama menjalani kemoterapi di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan menggunakan kuesioner EORTC QLQ-C30 versi 3. Prosiding SnaPP:Kesehatan 2015;1(1):169-174.
  20. Janssen S, Glanzmann C, Lang S, Verlaan S, Streller T, Studer G, et al. Hypofractionated radiotherapy for breast cancer acceleration of the START A treatment regime: intermediate tolerance and efficacy. Radiat Oncol 2014;9:165.
  21. Zeman FJ, Ney DM. Application of clinical nutrition. New Jersey: Prentice Hall; 1988.
  22. Wilkes MG. Gizi pada kanker dan infeksi HIV. (Alih bahasa: Hartono A). Jakarta: EGC; 2000.
  23. American Institute for Cancer Research. Heal, well, a cancer nutrition guide: healthy eating and activity for living. [series online] 2013 [cited 2016 Nov 4]. Available from: URL: http://www.aicr.org/assets/docs/pdf/education/heal-well-guide.pdf
  24. Ramos Chaves M, Boléo-Tomé C, Monteiro-Grillo I, Camilo M, Ravasco P. The diversity of nutritional status in cancer : new insight. Oncologist 2010;15(5):523-30.
  25. Bauer J, Capra S, Ferquson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002;56(8):779-85.
  26. Sudomo U. Experience 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.
  27. Susetyowati, Yenita, Johan K. Status gizi awal berdasarkan patient generated subjective global assessment (PG-SGA) berhubungan dengan asupan zat gizi dan perubahan berat badan pada penderita kanker rawat inap di RSUP DR Mohammad Hoesin Palembang. Jurnal Gizi Klinik Indonesia 2010;7(2):80-4.
  28. Susetyowati, Pramantara IDP, Istutiningrum D. Association of malnutrition with quality of life, mortality and readmission post hospitalization in patients with non-communicable disease. Pak J Nutr 2016;15(8):771-6.
  29. Prastiwi TB. Kualitas hidup penderita kanker. Developmental and Clinical Psychology 2012;1(1):21-7.
  30. Kurniawan A, Lugito NPH. Nutritional status and quality of life in breast cancer patients in Karawaci General Hospital. Indonesian Journal of Cancer 2016;10(1):1-4.



DOI: https://doi.org/10.22146/ijcn.18392

Article Metrics

Abstract views : 7443 | views : 14218

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 Jurnal Gizi Klinik Indonesia

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

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats