Hubungan Status Gizi Dengan Lama Hari Rawat Inap Pasien Anak Diare Akut

Abstract

Good nutritional status can reduce the risk of diarrhea, while children with less or poor nutritional status enables more frequent and more susceptible to diarrhea. The worse the nutrition of a children, the frequency of diarrhea increases. This situation may have a relationship with length of stay. Length of stay of childhood diarrhea is influenced by the child's physical condition (good nutritional status, less, or worse). The purpose of this study is analyzing the relationship between nutritional status and length of stay of pediatric patient on acute diarrhea in Ulin General Hospital Banjarmasin 2014. This study was done by observational analytic with cross sectional approach. Total of 50 samples were obtained by purposive sampling; 2 patients with excess nutritional status, 37 patients with good nutritional status, 8 patients with less nutritional status, and 3 patients with poor nutritional status. Data was analyzed using the Kruskal-Wallis test with a confidence level of 95% showed that the average length of stay in each nutritional status have no significant value difference (p=0,193). It was concluded that there is no relationship between nutritional status and length of stay of pediatric patient on acute diarrhea in Ulin General Hospital Banjarmasin 2014. Keywords: nutritional status, length of stay, acute diarrhea Abstrak: Status gizi anak yang baik dapat mengurangi risiko terkena penyakit diare, sedangkan anak dengan status gizi kurang atau buruk memungkinkan lebih sering dan lebih mudah terkena diare. Makin buruk gizi seorang anak, ternyata frekuensi diare semakin banyak. Keadaan ini mungkin memiliki hubungan dengan lama hari rawat inap. Hari rawat diare anak salah satunya dipengaruhi oleh kondisi fisik anak (status gizi baik, kurang, atau buruk). Tujuan penelitian ini adalah untuk menganalisis hubungan antara status gizi dengan lama hari rawat inap pasien anak diare akut di RSUD Ulin Banjarmasin tahun 2014. Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Sebanyak 50 sampel didapat secara purposive sampling sesuai kriteria inklusi, 2 pasien status gizi lebih, 37 pasien status gizi baik, 8 pasien status gizi kurang, dan 3 pasien status gizi buruk. Analisis data menggunakan uji Kruskal Wallis dengan tingkat kepercayaan 95% menunjukkan bahwa rerata lama hari rawat inap di setiap status gizi tidak memiliki perbedaan nilai yang bermakna (p=0,193). Hal ini berarti bahwa tidak terdapat hubungan antara status gizi dengan lama hari rawat inap pasien anak diare akut di RSUD Ulin Banjarmasin Tahun 2014. Kata-kata kunci: status gizi, lama hari rawat inap, diare akut

Etiology Based on Clinical Manifestation of Acute Diarrhea Incidence of Children Hospitalized in Dr. Soetomo General Hospital Surabaya Period 2011-2013

“…However, a study conducted in RSUD Ulin Banjarmasin and Desi Primayani (2009) also showed no correlation between nutritional status and the length of hospitalization of patients. 13,14 Malnutrition caused structural changes such as mucosal villi atrophy, disruption of enzyme disaccharide activities, the disorder of monosaccharide absorption, abnormal intestinal motility, and changing the intestinal flora. Malnutrition involved several mechanisms including; suppression of immune factors, changing the structure of the intestinal mucosa, and micronutrient deficiencies of zinc and vitamin A.…”

Analisis Luaran Pasien Malnutrisi yang Mendapat Terapi Gizi di RS Ibnu Sina Makassar Tahun 2015-2016

“…Terapi gizi yang tepat akan meningkatkan indikator klinis dan biokimia sehingga pasien mempunyai ketahanan tubuh yang baik dan risiko komplikasi yang rendah. 5,6 Penelitian yang sudah pernah dilaksanakan yaitu penelitian mengenai hubungan antara status gizi awal dengan status pulang dan lama rawat inap pasien dewasa yang dilakukan di 3 (tiga) Rumah…”

“…The advantages of implementing TGM are reducing the Length of Stay (LOS), helping to accelerate healing, preventing further risk factors, improving quality of life, and saving costs. Objective: To analyze the outcome of malnutrition patients who received nutritional therapy in Ibnu Sina Hospital Makassar in 2015-2016 This study is an analytical study with a cross-sectional approach, using consecutive sampling techniques. The research sample is the medical record of malnutrition patients according to inclusion and exclusion criteria who were treated at Ibnu Sina Makassar Hospital in [2015][2016].…”

“…Telah ditunjukkan oleh penelitian Chandra, malnutrisi menyebabkan menurunnya jumlah limfosit. Bagaimana malnutrisi menyebabkan penurunan jumlah limfosit belum diketahui secara pasti, diperkirakan akibat penurunan massa tubuh termasuk atropi thymus.Peningkatan interleukin dan defisiensi zink juga berperan dalam penurunan jumlah limfosit pada malnutrisi 6,7. Berdasarkan penelitian-penelitian yang ada, peneliti tertarik untuk menganalisis luaran(perubahan kadar albumin, kadar limfosit dan lamanya perawatan) pasien malnutrisi yang mendapat terapi gizi di RS Ibnu Sina Makassar pada tahun 2015-2016.…”

The Effect of Glutamine Supplementation on Ileum Histopathology of Rats with Acute and Chronic EPEC-Induced Diarrhea

“…As a result of changes in shape to be like bound piles, EPEC can form a microcolony which produces a localized adherence pattern. This damaged epithelial structure results in the decreased absorptive capacity of the intestinal mucosa and loss of tight junction integrity that leads to reduced epithelial resistance, increased membrane permeability, disruption of Na + K + pumps, and inhibition of water and electrolyte absorption which causes diarrhea [7]. This mechanism of inflammation caused by EPEC renders damage to the small intestine's histopathology [7].…”