Single-institution analysis of ablations versus partial nephrectomies for small renal masses.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e17074-e17074
Author(s):  
Fionna Sun ◽  
Zachary Dreyer ◽  
Pranav Moudgil ◽  
Diane Studzinksi ◽  
Stephen Vartanian
Keyword(s):  
Recurrence Rate ◽  
Beaumont Hospital ◽  
Retrospective Chart Review ◽  
Hospital Charge ◽  
Chi Square ◽  
Renal Masses ◽  
Index Procedure ◽  
Total Hospital Charge ◽  
Multiple Comparison Test ◽  
Post Test

e17074 Background: Renal cell carcinoma (RCC) has the highest mortality rate of the genitourinary cancers with detection rising annually for small ( < 4cm) renal masses (SRM). Nephron-sparing partial nephrectomy (PN) is recommended over other approaches such as ablations (Abl). This study aims to evaluate the outcomes and costs associated with treating patients with SRM RCC that undergo PN, laparoscopic cryoablation (lcryo), or various percutaneous ablations-cryoablation (pcryo), microwave (pmv), and radiofrequency (prf). Methods: A retrospective chart review of 295 patients that had either a PN or Abl from 2010-2019 at Beaumont Hospital- Royal Oak was performed. 189 patients with SRM were analyzed. Data collected included demographics, comorbidities, pathology, 30-day ED readmission, recurrence rate, and hospital-billed costs and charges. Data was analyzed using Mann-Whitney, chi-square, unpaired t-tests, Kruskal Wallis post-test, and Dunn’s multiple comparison test. Results: 133 patients with an index Abl (6 lcryo, 73 pcryo, 44 pmv, and 10 prf) and 56 patients with an index PN were analyzed. Mean tumor size for Abl (2.34cm; 90% biopsy-confirmed RCC) and PN (2.48cm; 87% histology confirmed RCC) was comparable. The populations undergoing PN or Abl were similar for both demographics and comorbidities except for age at index procedure (PN 58, Abl 71, p < 0.01). Length of stay (LOS) following index procedure differed with an avg PN LOS = 2.74 days and Abl LOS 0.52 (p < 0.01). 55% of PN patients presented to the ED within 30 days (38% readmitted) whereas only 8% of Abl patients did (42% readmitted)(p < 0.01). The recurrence rate for PN compared to Abl was 23% to 14%, respectively (p = 0.14), with an average follow-up time of 4.95 years for PN and 2.78 years for Abl (p < 0.01). Total hospital charge analysis showed PN being 1.57 the charge of all Abl types (p < 0.01) while cost analysis demonstrated PN being more costly than Abl as a whole by 2.79x (p < 0.01). When evaluating ablation subtypes, trends were noted lcryo being comparable to PN in both charge and cost while percutaneous interventions pmv, pcryo, and prf displayed lower charge and cost when compared to both PN and lcryo. Conclusions: With treatment decisions for SRM RCC are multifactorial, this single-site study demonstrated similar populations with comparable pathologies undergo both PN and Abl procedures. Complication and readmission rates differ between PN and Abl and consideration should be made for these variables as well as the costs associated with each procedure type when managing SRM RCC.

Recurrence Rate of Lumbar Disc Herniation After Standard Discectomy and Microdiscectomy: A 5-Year Study

2019 ◽  
Vol 12 (2) ◽  
pp. 139-146
Author(s):  
Mladen E. Ovcharov ◽  
Iliya V. Valkov ◽  
Milan N. Mladenovski ◽  
Nikolay V. Vasilev
Keyword(s):  
Recurrence Rate ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Reoperation Rate ◽  
University Hospital ◽  
Recurrence Rates ◽  
Chi Square ◽  
Common Procedure

Summary Lumbar disc herniation (LDH) is the most common pathology in young people, as well as people of active age. Despite sophisticated and new minimally invasive surgical techniques and approaches, reoperations for recurrent lumbar disc herniation (rLDH) could not be avoided. LDH recurrence rates, reported in different studies, range from 5 to 25%. The purpose of this study was to estimate the recurrence rates of LDH after standard discectomy (SD) and microdiscectomy (MD), and compare them to those reported in the literature. Retrospectively, operative reports for the period 2012-2017 were reviewed on LDH surgeries performed at the Neurosurgery Clinic of Dr Georgi Stranski University Hospital in Pleven. Five hundred eighty-nine single-level lumbar discectomies were performed by one neurosurgeon. The diagnoses of recurrent disc herniation were based on the development of new symptoms and magnetic resonance/computed tomography (MRI/CT) images showing compatible lesions in the same lumbar level as the primary lumbar discectomies. The recurrence rate was determined by using chi-square tests and directional measures. SD was the most common procedure (498 patients) followed by MD (91 patients). The cumulative reoperation rate for rLDH was 7.5%. From a total number of reoperations, 26 were males (59.1%) and 18 were females (40.9%). Reoperation rates were 7.6% and 6.6% after SD and MD respectively. The recurrence rate was not significantly higher for SD. Our recurrence rate was 7.5%, which makes it comparable with the rates of 5-25% reported in the literature.

PENGARUH PIJAT STIMULASI OKSITOSIN TERHADAP INVOLUSI UTERUS PADA IBU MASA NIFAS DENGAN PERSALINAN NORMAL DI BIDAN PRAKTIK MANDIRI (BPM) WILAYAH KERJA PUSKESMAS TERISI KABUPATEN INDRAMAYU TAHUN 2016

2018 ◽  
Vol 5 (2) ◽  
pp. 1-12
Author(s):  
Intan Anggita
Keyword(s):  
Control Group ◽  
Chi Square ◽  
Control Group Design ◽  
Group Design ◽  
Control Instrument ◽  
Variable Control ◽  
Post Test

ABSTRAK Penelitian ini dilatar belakangi oleh meningkatnya angka kematian ibu nifas yang disebabkan oleh perdarahan salah satu cara untuk mengatasi perdarahan itu dengan cara melakukan pijat oksitosin pijatan ini dapat merangsang hormone oksitosin yang menyebabkan kontraksi uterus sehingga proses involusi berjalan normal. Tujuan penelitian ini untuk mengidentifikasi pengaruh pijat stimulasi oksitosin pada ibu nifas yang dipijat oksitosin dan yang tidak dipijat oksitosin. Penelitian ini merupakan penelitian Quasi eksperimen dengan metode post test only control group design. Sampel dalam penelitian ini diambil dengan cara consecutive sample.sampel berjumlah 45 orang yang terdiri dari 15 orang sebagai responden yang di intervensi dan 30 orang sebagai variable control. Instrument penelitian yang digunakan berupa lembar observasi untuk mengamati penurunan TFU di hari 1,2,3 dan 5 .Hasil dari penelitian ini ada pengaruh pijat stimulasi oksitosin terhadap involusi uterus pada ibu masa nifas di BPM wilayah kerja Puskesmas Terisi Kabupaten Indramayu Tahun 2016. Melalui uji statistic Chi-Square dengan nilai p

scholarly journals Lung involvement in systemic sclerosis is associated with adverse hospital outcomes: insights from the National Inpatient Sample

2021 ◽  
pp. jim-2020-001743
Author(s):  
Jesse Osemudiamen Odion ◽  
Armaan Guraya ◽  
Chukwudi Charles Modijeje ◽  
Osahon Nekpen Idolor ◽  
Eseosa Jennifer Sanwo ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Hospital Charge ◽  
Hospital Length Of Stay ◽  
Lung Involvement ◽  
National Inpatient Sample ◽  
Inpatient Mortality ◽  
Total Hospital ◽  
Total Hospital Charge ◽  
Icd 10 ◽  
Secondary Outcomes

This study aimed to compare outcomes of systemic sclerosis (SSc) hospitalizations with and without lung involvement. The primary outcome was inpatient mortality while secondary outcomes were hospital length of stay (LOS) and total hospital charge. Data were abstracted from the National Inpatient Sample (NIS) 2016 and 2017 database. This database is the largest collection of inpatient hospitalization data in the USA. The NIS was searched for SSc hospitalizations with and without lung involvement as principal or secondary diagnosis using International Classification of Diseases 10th Revision (ICD-10) codes. SSc hospitalizations for patients aged ≥18 years from the above groups were identified. Multivariate logistic and linear regression analysis was used to adjust for possible confounders for the primary and secondary outcomes, respectively. There were over 71 million discharges included in the combined 2016 and 2017 NIS database. 62,930 hospitalizations were for adult patients who had either a principal or secondary ICD-10 code for SSc. 5095 (8.10%) of these hospitalizations had lung involvement. Lung involvement group had greater inpatient mortality (9.04% vs 4.36%, adjusted OR 2.09, 95% CI 1.61 to 2.73, p<0.0001), increase in mean adjusted LOS of 1.81 days (95% CI 0.98 to 2.64, p<0.0001), and increase in mean adjusted total hospital charge of $31,807 (95% CI 14,779 to 48,834, p<0.0001), compared with those without lung involvement. Hospitalizations for SSc with lung involvement have increased inpatient mortality, LOS and total hospital charge compared with those without lung involvement. Collaboration between the pulmonologist and the rheumatologist is important in optimizing outcomes of SSc hospitalizations with lung involvement.

Follow up after burn injury is disturbingly low and linked with social factors

2021 ◽  
Author(s):  
Irina P Karashchuk ◽  
Eve A Solomon ◽  
David G Greenhalgh ◽  
Soman Sen ◽  
Tina L Palmieri ◽  
...  
Keyword(s):  
Social History ◽  
Drug Dependence ◽  
Burn Injury ◽  
Retrospective Chart Review ◽  
Burn Patients ◽  
Chi Square ◽  
Factors Associated ◽  
Ed Visits ◽  
Zip Code

Abstract For medical and social reasons, it is important that burn patients attend follow up appointments (FUAs). Our goal was to examine the factors leading to missed FUAs in burn patients. A retrospective chart review was conducted of adult patients admitted to the burn center from 2016-2018. Data collected included burn characteristics, social history, and zip code. Data analysis was conducted using chi-square, Wilcox Rank Sum tests, and multivariate regression models. A total of 878 patients were analyzed, with 224 (25.5%) failing to attend any FUAs and 492 (56.0%) missing at least one appointment (MA). Patients who did not attend any FUAs had smaller burns (4.5 (8)% vs. 6.5 (11)% median (inter quartile range)), traveled farther (70.2 (111.8) vs. 52.5 (76.7) miles), and were more likely to be homeless (22.8% vs. 6.9%) and have drug dependence (47.3% vs. 27.2%). Patients who had at least one MA were younger (42 (26) vs. 46 (28) years) and more likely to be homeless (17.5% vs. 2.6%) and have drug dependence (42.5% vs. 19.4%). On multivariate analysis, factors associated with never attending a FUA were: distance from hospital (odds ratio (OR) 1.004), burn size (OR 0.96), and homelessness (OR 0.33). Factors associated with missing at least one FUA : age (OR 0.99), drug dependence (OR 0.46), homelessness (OR 0.22), and ED visits (OR 0.56). A high percentage of patients fail to make any appointment following their injury and/or have at least one MA. Both FUAs and MAs are influenced by social determinants of health.

Incorporating practical application in graduate introductory public health courses

2015 ◽  
Vol 23 (4) ◽  
pp. 309-322
Author(s):  
Jacey A. Greece ◽  
Joanne G. Patterson ◽  
Sarah A. Kensky ◽  
Kate Festa
Keyword(s):  
Public Health ◽  
Practical Application ◽  
Multiple Perspectives ◽  
Chi Square ◽  
Content Type ◽  
Master Of Public Health ◽  
Course Content ◽  
Course Assessment ◽  
Post Test ◽  
Competency Based

Purpose – The purpose of this paper is to examine the utility of a redesigned course assessment in a required, introductory Master of Public Health (MPH) course to demonstrate competency achievement through practical application. School of public health curricula are informed by competency-based education (CBE) to prepare students for the field. This is a challenge in introductory courses as traditional assessments do not translate into practical application of knowledge. Design/methodology/approach – This retrospective post-test-only evaluation examined a practice-based, multi-disciplinary assessment utilized in Fall 2014 (n = 63 students). Web-based surveys were administered three months after the course to participating students (n = 33), the teaching team or teaching teams (n = 7) and organization representatives (n = 3) to evaluate the utility of the assessment. Questions were analyzed descriptively using chi-square tests, where applicable responses were compared across groups. Findings – Results indicate that a practice-based assessment in an introductory MPH course may enhance student learning by fostering deeper appreciation and application of course content while more closely reflecting the collaborative, multi-disciplinary and problem-solving nature of practice. The assessment may also increase the depth of competency achievement and career preparedness. Practical implications – Institutions that are guided by CBE, train students for multi-disciplinary practice and are impacted by the changing landscape of the field may want to consider course assessments that mimic practice to best prepare students. Originality/value – Course assessments should be evaluated to ensure they appropriately measure competency achievement. This evaluation provides multiple perspectives on the process and outcome of a practice-based course assessment.

A Study to Evaluate the Effectiveness of Webinar on Knowledge Regarding the Strategies to Prevent Covid 19 among Nursing Students of SIIHS, Honavar, Uttara Kannada

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Sagaya Arockiya Mary. A ◽  
Susai Mari.A ◽  
Wincy. C ◽  
Thirumurugan. M ◽  
Verginia Dsouza ◽  
...  
Keyword(s):  
Nursing Students ◽  
Student Nurses ◽  
Sampling Technique ◽  
Knowledge Score ◽  
P Value ◽  
Sufficient Information ◽  
Knowledge Level ◽  
Chi Square ◽  
Significant Difference ◽  
Post Test

Background: The one virus stumbled the whole universe is the novel corona virus and impacted physical, emotional and social health status of almost every individual in the world irrespectively. Since the existence of Covid-19 till now it is been noticed that student nurses also affected by this fatal viral infection during their clinical practice. Objectives: The study focused on evaluating the effectiveness of webinar on knowledge regarding the strategies to prevent Covid -19 among student nurses of SIIHS, Honavar, Uttara Kannada. The study aimed at enhancing the knowledge level and influences others through effective health teaching at clinical areas and even in community settings. Methodology: An evaluative approach with pre- experimental, non-randomized, one group pre and post-test research design was adapted. The sample size was 294, purposive sampling technique was adapted. Data collected through testmoz web page and webinar was conducted by google meet app for one week. Data analysed by descriptive and statistical methods (chi-square and z-test) and interpreted by graphs. Results: The findings show that in pre-test 10(3.41%) had poor, 127(43.19%) had average, 157(53.40%) Good and 00% excellent knowledge level whereas in post-test 00% had Poor, 59(20.06%) Average, 176(59.86%) Good and 59 (20.06%) had excellent knowledge level. The pre-test mean score was 23.1 (46.2 %.) and of post-test was 35.6 (71.2%). The computed z’-test value showing significant difference in the pre (x?1=23.1) and post-test (x?2=35.6) knowledge score (p=1.18357, < z= -5.1679, critical z score=-1.6449 ? =0.05 level of significance). Hence the p value is greater than the z value (p(x?Z) = 1.18357e-7), it indicates the webinar was effective and the null hypothesis (H0) is rejected. Conclusion: The study was concluded as the webinar was highly effective and influenced the participant to gain sufficient information on prevention and the spread of Covid 19. Hopefully this enables them to apply

scholarly journals Pendidikan Kesehatan dengan Pendekatan Model Information Motivation Behavior Skill (IMB) terhadap Peningkatan Pengetahuan dan Pola Konsumsi Sayur dan Buah pada Ibu Hamil

2019 ◽  
Vol 10 (3) ◽  
pp. 320
Author(s):  
Farhati Farhati ◽  
Riska Resmana ◽  
Dian Nurhadianti
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Consumption Patterns ◽  
P Value ◽  
Chi Square ◽  
Increased Risk ◽  
Post Test ◽  
Quasi Experimental ◽  
Chi Square Test ◽  
Vegetables And Fruits

<p>Low consumption of vegetables and fruit causes an increased risk of chronic diseases such as cancer, heart disease, and diabetes. The results showed that the majority of pregnant women (52.9%) rarely consume vegetables and fruit in sufficient quantities as recommended. Therefore, it is necessary to provide education about the importance of vegetables and fruits consumption, one of which is through the Information Motivation Behavioral Skill (IMB) approach. This study aims to determine the effect of health education with the Information Motivation Behavior Skill (IMB) approach to increasing knowledge and consumption patterns of vegetables and fruits in pregnant women. This research is a quasi-experimental study with pre-post test design with control groups conducted in pregnant women in the city of Bandung with 60 samples using the observation sheet and questionnaire instruments. Data analysis used the chi-square test. The result of this study indicates that there are significant differences in knowledge and patterns of consumption of vegetables and fruit in pregnant women between the control and treatment groups with a p-value&lt;0.05. Information Motivation Behavior Skill (IMB) Health Education Model approach has a role in increasing the knowledge and consumption patterns of vegetables and fruits in pregnant women.</p>

scholarly journals Peningkatan Kebahagiaan Lansia dengan Pelatihan Relaksasi Dzikir di Rumah Pelayanan Sosial Lanjut Usia Terlantar Budhi Dharma

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Nadia Dwi Karisna ◽  
Pihasniwati Pihasniwati
Keyword(s):  
Social Services ◽  
Relaxation Training ◽  
Test Design ◽  
Religious Activities ◽  
Chi Square ◽  
Design Data ◽  
Friedman's Test ◽  
Post Test ◽  
Religious Factor

Elderly happiness can be influenced by the religious factor. Participation in religious activities is also an important factor to improve elderly happiness. The aim of this research is to investigate the effect of Dzikir Relaxation Training to increase happiness at derelict elderly social services home Budhi Dharma Yogyakarta. The hypothesis of this research is Dzikir Relaxation Training can increase elder happiness at derelict elderly social services home Budhi Dharma Yogyakarta. The participants of this research were 10 elders who are 61-86 years old and have low until a medium score of happiness. This research uses one group pre-test post-test design. Data were collected using the Likert scale made by the researchers. The intervention consists of three sessions with 60 minutes for every session. Data were analyzed by Friedman’s technique through SPSS (version). Data analysis shows score Chi-square 15.80 (p<0.0001), it is indicated the dzikir relaxation training to improve elderly happiness.      Kebahagiaan lansia salah satunya dapat dipengaruhi oleh faktor agama. Partisipasi dalam kegiatan keagamaan juga menjadi faktor penting untuk meningkatkan kebahagiaan lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui pengaruh relaksasi dzikir dalam meningkatkan kebahagiaan lansia di Rumah Pelayanan Sosial Lanjut Usia Terlantar (RPSLUT) Budhi Dharma Yogyakarta. Hipotesis penelitian ini adalah pelatihan relaksasi dzikir mampu meningkatkan kebahagiaan lansia di Rumah Pelayanan Sosial Lanjut Usia Terlantar Budhi Dharma Yogyakarta. Partisipan dalam penelitian ini adalah 10 orang lanjut usia yang berusia antara 61-86 tahun dan memiliki skor kebahagiaan dalam tingkat sedang hingga rendah. Desain penelitian yang digunakan dalam penelitian ini adalah one group pre-test post-test. Pengumpulan data dalam penelitian ini menggunakan skala likert yang disusun oleh peneliti. Intervensi dalam penelitian ini terdiri dari tiga sesi dengan waktu 60 menit setiap sesinya. Analisis data penelitian menggunakan teknik Friedman’s test untuk menguji perbedaan skor antara pre-test, post-tes dan follow up. Hasil analisis menunjukkan skor Chi-square sebesar 15.80 (p<.0001) mengindikasikan bahwa pelatihan relaksasi dzikir terbukti dapat meningkatkan kebahagiaan lansia.

scholarly journals Pengaruh Pijat Oksitosin Terhadap Pengeluaran Dan Produksi Asi Pada Ibu Nifas

2020 ◽  
Vol 5 (2) ◽  
pp. 61-70
Author(s):  
Resna Litasari ◽  
Yeni Mahwati ◽  
Adjat Sedjati Rasyad
Keyword(s):  
Control Group ◽  
Chi Square ◽  
Probability Sampling ◽  
Purposive Sampling ◽  
Post Test ◽  
Kolmogorov Smirnov

Terlambatnya pengeluaran ASI dapat disebabkan oleh terhambatnya pengeluaran oksitosin yang sangat berperan dalam kelancaran pengeluaran dan produksi ASI. Kombinasi antara Inisiasi menyusu dini (IMD) dan pijat oksitosin merupakan salah satu cara yang efektif untuk merangsang pengeluaran oksitosin. Tujuan penelitian ini adalah menganalisis pengaruh pijat oksitosin terhadap pengeluaran dan produksi ASI pada ibu nifas. Metode penelitian yang digunakan adalah Quasi Eksperiment dengan pendekatan post test only design with control group dengan jumlah sampel 28. Penelitian dilaksanakan bulan Nopember 2017-Januari 2018. Pengambilan sampel penelitian ini menggunakan teknik non probability sampling dengan jenis purposive sampling sehingga terbagi dalam kelompok perlakuan sebanyak 14 sampel dan kelompok kontrol sebanyak 14 sampel. Teknik analisa univariat menggunakan distribusi frekuensi dan analisa bivariat dilakukan Pengujian normalitas data menggunakan uji Kolmogorov Smirnov dengan hasil data tidak berdistribusi normal sehingga pengujian variabel pengeluaran ASI menggunakan uji Mann Whitney sedangkan variabel produksi ASI menggunakan uji statistik Chi-Square (?2) Hasil penelitian menunjukkan pengeluaran ASI pada kelompok intervensi lebih cepat (mean=38,29 menit) daripada kelompok kontrol (mean=124,86 menit). Hasil uji Mann Whitney didapatkan pvalue =0,000 (p<0,05), artinya ada pengaruh pijat oksitosin terhadap pengeluaran ASI. Hasil penelitian tentang produksi ASI dengan uji statistik ?2 diperoleh nilai pvalue sebesar =0,049 (p<0,05) yang berarti terdapat pengaruh pijat oksitosin terhadap produksi ASI. Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat pengaruh pijat oksitosin terhadap pengeluaran dan produksi ASI pada ibu nifas.

scholarly journals HUBUNGAN PERUBAHAN STANDAR PORSI MAKAN DENGAN SISA MAKANAN PASIEN RUMAH SAKIT HOLISTIK TAHUN 2016 (STUDI SISA NASI PADA MENU MAKAN SIANG DIET DI RS HOLISTIK)

2017 ◽  
Vol 40 (1) ◽  
pp. 1
Author(s):  
Fatkhurohman Fatkhurohman ◽  
Yanesti Nuravianda Lestari ◽  
Dian Titis Torina
Keyword(s):  
Food Waste ◽  
Food Service ◽  
Wilcoxon Test ◽  
Test Design ◽  
High Food ◽  
Chi Square ◽  
Hospital Patients ◽  
Post Test ◽  
Weighing Method

The high food waste in a hospital showed the quality of food service was not optimal. The Holistic Hospital of Purwakarta that used small, medium, and lage portion standards in its food service faced some problems regarding high  food  waste. This study aimed to find out the effect of meal’s portion standard changes on the food waste in  Holistic Hospital patients. Pre-experimental study using one group pre-post test design was done on 29 patients using convenient sampling technique.The changing of meal’s portion was done for rice from medium portion (150 g) to small (0.5 or 0.25 portion). Measurement of food waste used weighing method. Data analysis used Wilcoxon test continued with Kendall-Tau correlation test. The results showed that 65.5 percent of patients were aged around 42-68 years old receiving positive diet and 34.5 percent were non-positive diets. At the beginning of diet, the food waste of rice of all patients was high (27.4-64.9% waste of rice) and it was significantly decreased after small portion was given, even though there were still 27.6 percent of patients with > 20 percent waste of rice. There was a significant influence between the change in diet portion of patients toward food  waste of rice (r=0.804; p<0.05). It was concluded that the changes in diet portion of patients were able to reduce the food  waste.ABSTRAK  Tingginya sisa makanan pasien di Rumah Sakit menunjukkan kualitas penyelenggaraan makanan yang belum optimal. Rumah Sakit Holistic Purwakarta yang menggunakan standar porsi small, medium, dan large dalam penyelenggaraan makanan masih mengalami kendala berupa tingginya sisa makanan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh perubahan standar porsi terhadap sisa makanan pasien di Rumah Sakit Holistic Purwakarta. Penelitian pre-eksperimen dengan one group pre-post test design ini dilakukan pada 29 orang pasien dengan teknik convenient sampling. Perubahan porsi makanan dilakukan pada nasi putih dari porsi medium (150 g) menjadi small (0,5 porsi atau 0,25 porsi). Pengukuran sisa makanan menggunakan metode penimbangan. Analisis data menggunakan uji Chi-Square dan uji Wilcoxon yang dilanjutkan uji korelasi Kendall-Tau. Hasil penelitian menunjukkan bahwa sebanyak 65,5 persen pasien berusia 42-68 tahun menerima diet positif dan 34,5 persen menerima diet non-positif. Sisa porsi nasi di awal pemberian diet pada seluruh pasien masih tinggi (27,4-64,9% sisa nasi) dan menurun secara signifikan setelah porsi nasi diberikan dalam porsi small (p<0,05) meskipun masih terdapat 27,6 persen pasien dengan sisa nasi > 20 persen. Terdapat pengaruh yang signifikan antara perubahan porsi diet pasien terhadap sisa nasi (r=0,804; p<0,05). Dapat disimpulkan bahwa perubahan porsi nasi pada diet pasien mampu menurunkan sisa makanan. Kata kunci: standar porsi, sisa makanan

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