Status Nutrisi Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Reguler Lebih Dari 5 Tahun Di Rumah Sakit Umum Pusat Sanglah Denpasar

Abstract

Malnutrition is one of the common problem in dialytic patient. It closely related to the morbidity and mortality like susceptibility to the infection, long standing fatigue and disruption of wound healing. Therefore, asesment of nutritional status and nutritional management play a central role in nephrological practice. The aim of this study to investigate the nutritional status in dialytic patient over 5 years at Sanglah Hospital. A cross-sectional study was performed on 38 maintenance dialytic patients over 5 years in Sanglah Hospital from August until September 2014. There is several method to evaluate nutritional status in chronic dialytic patients, body mass index, subjective global assessment-dialysis malnutrition score (SGA-DMS), muscle strength from dynamometer handgrip measurement and biochemical parameter laboratorium like albumin and serum total iron binding capacity (TIBC) were used. Based on body mass index; 15,8% patient was suffered from malnutrition and overweight 28,9%, meanwhile on albumin parameter 39,5% mild malnutrition; 7,9% moderate malnutrition and 2,6% severe malnutrition. Serum TIBC showed 7,9% severe malnutrition; 31,6% mild malnutrition and 31,6% moderate malnutrition. From handgrip strength, 72,7% was suffered from malnutrition. Using malnutirition score (SGA-DMS), be obtained mild malnutrition about 18,4%. Malnutrition is common among dialytic patients but majority in maintenance dialytic patients over 5 years at Sanglah Hospital include in good nutritional status and mild malnutrition. In additon, majority dialytic patients suffer from a muscle mass loss. Â