Pemberian ekstra jus putih telur terhadap kadar albumin dan Hb pada penderita hipoalbuminemia

https://doi.org/10.22146/ijcn.22919

Nurul Huda Syamsiatun(1*), Tri Siswati(2)

(1) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(2) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Background: Hospitals malnutrition has been reported to occur in almost 40% of patients hospitalized. Hypoalbuminemia is one of sign of malnutrition. Hypoalbuminemia can be resolved with intravenous albumin and a high albumin diet can be done by administering an extra egg white (albumin) on diet. By feeding in the form of a refreshing juice will hopefully can increase the food intake, which is expected to help improve albumin and hemoglobin (Hb) in blood level.

Objective: The aim of this research is knowing the effect of egg white juice of the albumin and Hb levels in patients hipoalbumin.

Method: This type of research is experimental approach with pretest-posttest control group design. While the treatment effect assessed from differences in measurement results (albumin and Hb level) between the 2 groups. The study was conducted in Sardjito and P. Senopati Bantul Hospital. The  treatment group will be given a hospital standard diet and given extra egg white juice 3x/day for 7 consecutive days. The control group was given a hospital standard diet and extra egg white as a side dish. Data were analyzed using t-test with 95% CI.

Results: The mean of albumin increase in the treatment group was higher (0.5215 ± 1.6852) than the control group (0.007 ± 0.4522) (p=0.001). The mean of Hb increase in treatment group (1.685 ± 1.5898) was higher than the control group (0.929 ± 2.3169), but not statistically significant (p=0.163).

Conclusion: Giving extra egg white juice 3x/day for 7 days it can be used as an alternative to high-protein diets, they are inexpensive (low cost) and easily administered to the patient, and can increase in albumin levels.


Keywords


egg white; hemoglobin; hypoalbuminemia

Full Text:

PDF


References

  1. Barker, Lisa A, Gout, Belinda S, Crowe, Timothy C. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health 2011;8(2):514-27.
  2. Murray RK, Granner DK, Mayes PA, Rodwell VW. Harper’s ilustrated biochemistry. New York: McGraw-Hill Inc; 2003.
  3. Punch MD. Asked question about albumin division of transplantation. Michigan: Universiity of Michigan; 2003.
  4. Gibson RS. Principles of nutritional assessment. New York: Oxford University Press; 1990.
  5. PERSAGI. Tabel Komposisi Pangan Indonesia. Jakarta: PT. Alex Media Komputindo; 2009.
  6. Kemenkes dan Kementan. Tanya jawab seputar telur sumber makanan bergisi. Jakarta: Kemenkes; 2010.
  7. Gaw A, Murphy MJ, Cowan RA, O’reilly DSJ, Stewaetet. Biokimia klinis, edisi 4. Jakarta: EGC; 2011.
  8. Prastowo A, Lestariana W, Nurdjanah S, Sutomo R. Keefektifan ekstra putih telur terhadap peningkatan albumin dan penurunan IL-1β pada pasien tuberkulosis dengan hipoalbuminemia. Jurnal Gizi Klinik Indonesia 2014;10(3):111-8.
  9. Boirie Y, Gachon P, Cordat N, Ritz P, Beaufrère B. Differential insulin sensitivities of glucosa, amino acid and albumin metabolis, in elderly men and women. J Clin Endocrinol Metab 2001;86(2):638-44.
  10. Notoadmojo S. Prinsip-prinsip dasar ilmu kesehatan masyarakat. Jakarta: Rineka Cipta; 2003.
  11. Lassen KO, Olsen J, Grinderslev E, Kruse F, Bjerrum M. Nutritional care of medical in patients: a health technology assessment. BMC Health Serv Res 2006;6:7.
  12. Moehyi S. Penyelenggaraan makanan institusi dan jasa boga. Jakarta: Bhatara; 1997.
  13. Almatsier S. Penuntun diet, Ed 2. Jakarta: Gramedia Pustaka Utama; 2005.
  14. Peters JT. All about albumin. Biochemistry, Genetics, ans Medical Applicqtion. New York: Academic Press; 1996.
  15. Suprayitno. Pengantar ilmu gizi. Yogyakarta: Garata yudha; 2003.
  16. Jensen H, Rossing N, Andersen SB. Albumin metabolism in the neprotic syndromein adults. Clinical Sciense 1967;33:445-57.
  17. Stump SE. Nutrition and diagnosos-reklated care. USA: Liponcott WW Philadhelpia; 2008.
  18. Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia Pustaka Utama; 2004.
  19. Insel P, Turner RE, Ross D. Discovering nutrition. Canada: Jones ans Bartlett Publishers; 2006.
  20. Gill HS, Calder PC, Field CJ. Nutrition and immune function. New York: CABI Publishing; 2006.
  21. Thalacker MAE, Johnson CA, Yarasheski KE, Carnell NS, Campbell WW. Nutrition ingestion, protein intake, and sex but not age, affect the albumin synthesis rate in humans.  J Nutr 2007;137(7):1734-40.
  22. Kee JL. Pemeriksaan laboratorium dan diagnostik. Jakarta: EGC; 2000.
  23. Hill GL, Gologher JC. Buku ajar nutrisi bedah disorder of nutrition ans metabolis in clinical surgery. understanding and management. Jakarta: EGC; 2000.
  24. Rahayu W, Effendi C, Akhmadi. Gambaran status gizi pasien pra dan pasca bedah di RS dr Sardjito, Yogyakarta. Yogyakarta: Program Studi Ilmu Keperawatan, FK UGM; 2006.
  25. Senthil K, Wong PF, Leaper DJ. What is new in wound healing?.Turk J Med Sci 2004;34:147-160.
  26. MacKay D, Miller AI. Nutritional support for wound healing. Altern Med Rev 2003;8(4):359-77.
  27. Sediaoetama AD. Ilmu nutrisi untuk mahasiswa dan profesi. Jakarta: PT Dian Rakyat; 2004.
  28. Saryono, Prastowo A, Mekar D. Perbedaan kadar albumin plasma pada pasien sebelum dan sesudah menjalani rawat inap di RSUD Margono Soekarjo Purwokerto. The Soedirman Journal of Nursing 2006;(1)2.
  29. Guyton AC, Hall JE. Buku ajar fisiologi kedokteran. Jakarta: EGC; 2006.
  30. Straus DS, Takemoto CD. Effect dietary protein deprivation on insulin like growth factor (IGF)-I and II, IGF binding protein-2, and serum albumin expression in rat. Endocrinology 1990;127(4):1849-60.
  31. Sullivan DH, Sun S, Walls RC. Protein-energi undernuytrition among elderly hospitalized patients. JAMA 1999;281(21):2013-9.



DOI: https://doi.org/10.22146/ijcn.22919

Article Metrics

Abstract views : 1825 | views : 10086

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 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:
 
 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