Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2

Yunita Yunita; Ahmad Husein Asdie; Susetyowati Susetyowati

doi:10.22146/ijcn.18850

Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2

https://doi.org/10.22146/ijcn.18850

Yunita Yunita^(1*), Ahmad Husein Asdie⁽²⁾, Susetyowati Susetyowati⁽³⁾

(1) Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto Direktorat Kesehatan Angkatan Darat (Ditkesad), Jakarta
(2) Bagian Penyakit Dalam, Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
(3) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: Food planning is a basis of diabetes mellitus (DM) therapy. Proper diet is essential for effective control of blood glucose level. Diet therapy through the care of nutrition team in a hospital can increase nutrient intake of patients in a hospital. In 2003 the American Diabetes Association recommended a model of standardized nutrition care process (SNCP).

Objective: To find out the effect of SNCP implementation to nutrient intake and blood glucose level of DM type 2 inpatients.

Method: The study was a quasi-experiment. Nutrient intake variable was measured in post-test and blood glucose level variable was the pre-post test. Samples were divided into two groups; one group was treated with SNCP and the other with conventional nutrition care. The population of the study consisted of all new patients with DM type 2 diagnosis. Samples were those that met inclusion and exclusion criteria. Data were analyzed by using t-test.

Results: Average nutrient intake was found high in the group with SNCP. Nutrient intake comprised energy intake (97.8%), protein intake (95.1%), fat intake (95.6%), and carbohydrate intake (94.9%). The result of the statistical test showed that nutrient intake (energy, protein, fat, carbohydrate) in SNCP was higher than that of conventional nutrition care. Decreasing blood glucose level before and after SNCP intervention was 109.4 mg/dL whereas in conventional nutrition care was 105.5 mg/dL. Decreasing blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care but statistically was not significant.

Conclusion: Nutrient intake (energy, protein, fat and carbohydrate) of DM type 2 in the patient with SNCP were higher than those with conventional nutrition care. Decreased blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care, which was not statistically significant.

Keywords

standardized nutrition care process; nutrient intake; blood glucose

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References

PERKENI. Konsensus pengelolaan dan pencegahan diabetes melitus di Indonesia. Jakarta: Perkumpulan Endokrinologi Indonesia; 2011.

Depkes RI. Laporan hasil riset dasar kesehatan (Riskesdas) 2007. Jakarta: Departemen Kesehatan Republik Indonesia; 2008.

Syahbudin S. Diabetes melitus dan pengelolaannya. Dalam: Pedoman diet diabetes melitus. Jakarta: Balai Penerbit FKUI; 2009.

Dwijayanthi L. Ilmu gizi menjadi sangat mudah, nutritional made incredibly easy. ed 2. Jakarta: EGC; 2011.

Soegondo S. Diagnosis dan klasifikasi diabetes melitus terkini. Dalam: Penatalaksanaan diabetes melitus terpadu. Jakarta: Balai Penerbit FKUI; 2009.

Waspadji S. Diabetes melitus mekanisme dasar dan pengelolaannya yang rasional. Dalam: Penatalaksanaan diabetes melitus terpadu. Jakarta: Balai Penerbit FKUI; 2009.

Sumapradja MG, Fayakun YL, Widyastuti D. Proses asuhan gizi terstandar (PAGT). Jakarta: Abadi Publishing & Printing; 2011.

Lacey K, Pritchett E. Nutrition care process and model: ADA adopt road map to quality care and outcomes management. J Am Diet Assoc 2008;103(8):348-58.

Siagian A. Epidemiologi gizi. Jakarta: Penerbit Erlangga; 2010.

Harun SR, Putra ST, Chair I, Sastoasmoro S. Uji klinis. Dalam: Dasar-dasar metodologi penelitian klinis. Jakarta: Sagung Seto; 2011.

Lemeshow S, Hosmer DWJr, Klar J, Lwanga. Besar sampel dalam penelitian kesehatan. Terjemahan Pramono D. Yogyakarta: Gadjah Mada University Press; 1997.

Pakaya AA, Wachid DN, Budiningsari RD. Pengaruh pelaksanaan asuhan gizi dengan pendekatan terapi gizi medis (TGM) terhadap intake makan dan status gizi pasien rawat Inap RSUD M.M Dunda dan RSUD Prof Dr. Aloe Saboe Gorontalo [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2009.

Norman K, Pichard, C, Lochsa H, Pirlicha M. Prognostic impact of disease-related malnutrition. Clinical Nutrition 2008;27:5-15.

Saunders J, Smith T, Stroud M. Malnutrition and undernutrition. Medicine 2011;3(1):45-50.

Kusumayanti I, Hadi H, Susetyowati. Faktor-faktor yang mempengaruhi kejadian malnutrisi pasien dewasa di ruang rawat inap. Jurnal Gizi Klinik Indonesia 2004;1(1):9-17.

Syamsiatun NH, Hadi H, Julia M. Hubungan antara status gizi awal dengan status pulang dan lama rawat inap pasien dewasa di rumah sakit. Jurnal Gizi Klinik Indonesia 2004;1(1):27-32.

Depkes RI. Pedoman penyelenggaraan tim terapi gizi di rumah sakit. Jakarta: Depkes RI; 2009.

American Dietetic Association International dietetics and nutrition terminology (IDNT) reference manual: Standardized language for nutrition care process. Third edition. USA: ADA; 2011.

Braunschweig C, Gomez S, Sheean PM. Impact of decline in nutritional status of outcome in adult patient hospitalized for more than 7 days. J Am Diet Assoc 2000;100(13):1316-22.

Depkes RI. Pedoman pelayanan gizi rumah sakit. Jakarta: Depkes RI; 2003.

Lassen KO, Kruse F, Bjerru M, Jensen L, Hermansen K. Nutritional care of Danish medical inpatients: effect on dietary intake and dietary intake and the occupational groups perspectives of intervention. Nutrition Journal 2004;3:1-13.

Chasbullah IY, Gunawan IMA, Budiningsari RD. Pelaksanaan asuhan gizi dengan pendekatan terapi gizi medis (TGM) berpengaruh terhadap asupan gizi pasien di RSUD Kota Bekasi. Jurnal Gizi Klinik Indonesia 2008;5(1):1-8.

Fayakun YL. Peranan proses asuhan gizi terstandar terhadap asupan zat gizi, status gizi dan lama rawat inap di RSUP Dr. Hasan Sadikin Bandung tahun 2011 [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2011.

Salman, Hadi H, Julia M. Pengaruh standar diet terhadap pengendalian glukosa darah pasien diabetes melitus tipe 2 rawat jalan di RSUP Manado. Berita Kedokteran Masyarakat 2002;XVIII(4):185-94.

Norris SL, Engelgau MM, Narayan KMV. Effectiveness of self management training intipe 2 diabetes. A systematic review of RCT. Diabetes Care 2001;24:561-87.

DOI: https://doi.org/10.22146/ijcn.18850