scholarly journals Penggunaan CONUT Score sebagai Prediktor Komplikasi Pasca Pem-bedahan Kanker Kolorektal di RSUP Prof. Dr. R. D. Kandou Manado

2019 ◽  
Vol 11 (1) ◽  
pp. 55
Author(s):  
Hendry Sundah ◽  
Toar Mambu ◽  
Ferdinand Tjandra ◽  
Heber B. Sapan ◽  
Winfrid M. Sumanti

Abstract: Nutritional status is one of the factors that influence the metabolic and physiological conditions. Cancer patients, especially colorectal cancer (CRCA), will suffer from decreased nutritional status during their sickness. CONUT score is beneficial to evaluate the nutritional and immunity status of the patients and has been proved to correlate with post operative complications and length of stay. This study was aimed to evaluate the relationship between CONUT score and postoperative complications in CRCA patients. This was an analytical observational study with a cross sectional design. Subjects were 38 patients of CRCA that underwent operation and were admitted at Surgery Inpatients Installation of Prof. Dr. R. D. Kandou Hospital Manado. The result of logistic regression analysis indicated that there was a significant correlation between CONUT score and the risk of complication. The higher the CONUT score, the higher the risk of complication. The determination of complication diagnostic value based on CONUT score was obtained by using ROC curve. The ROC analysis showed that the AUC of CONUT score was 0.977 >0.700 and the cutoff point of CONUT score was 5.5. Patients with CONUT score >5.50 had a tendency to get postoperative complications with the sensitivity of 86.6%, specifity of 95.6%, and accuracy of 94.74%. Conclusion: CONUT score can be used as a screening method to predict the occurence of postoperative complications in CRCA patients.Kata kunci: colorectal cancer, CONUT score, postoperative complicationsAbstrak: Salah satu faktor yang memengaruhi keadaan metabolik dan fisiologik ialah status nutrisi. Penderita kanker terlebih kanker kolorektal (KKR) akan mengalami pengurangan nutrisi selama perjalanan penyakit. CONUT score bermanfaat untuk mengevaluasi status gizi dan imunitas pasien serta terbukti berkolerasi dengan komplikasi serta jumlah hari rawat di rumah sakit pasca pembedahan. Penelitian ini bertujuan untuk mengetahui hubungan CONUT score dengan komplikasi pasca pembedahan KKR. Jenis penelitian ialah analitik obser-vasional dengan desain potong lintang. Subyek penelitian ialah 38 pasien KKR yang menjalani operasi dirawat di Instalasi Rawat Inap Bedah RSUP Prof. Dr. R. D. Kandou Manado. Hasil analisis regresi logistik menyatakan terdapat hubungan yang sangat bermakna antara CONUT score dan kejadian komplikasi. Hubungan ini menyatakan bahwa makin tinggi CONUT score makin besar risiko terjadinya komplikasi. Penentuan nilai diagnostik kom-plikasi berdasarkan CONUT score diperoleh melalui kurva ROC. Berdasarkan analisis ROC diperoleh AUC CONUT score 0,977 >0,700. Hasil analisis ROC memperoleh titik potong CONUT score = 5,5. Pasien dengan CONUT score >5,50 memiliki kecenderungan mengalami komplikasi dengan sensitivitas 86,6%, spesifitas 95,6%, dan nilai akurasi 94,74%. Simpulan: CONUT score dapat digunakan sebagai metode skrining untuk memrediksi terjadinya komplikasi pasca pembedahan kanker kolorektal.Kata kunci: karsinoma kolorektal (KKR), CONUT score, komplikasi pasca pembedahan

e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Vini Maleke ◽  
Adrian Umboh ◽  
Vivekenanda Pateda

Abstract: Nutrition is needed for growth and development, energy, thinking, and physical well-being. Selection of proper nutrition will optimize growth and brain development. This study aimed to determine the relationship of nutritional status and academic achievement of elementary school students in Modoinding. This was a descriptive analytical study with a cross sectional design. The nutritional status was based on BMI value meanwhile the academic achievement was based on school reports. Samples were 114 students. Data were analyzed by using univariate and bivariate analyses as well as ANOVA F test. The results showed that there was no significant relationship between nutritional status and academic achievement with a p value = 0.792. Conclusion: There was no significant relationship between nutritional status and academic achievement among the elementary students in Modoinding.Keywords: nutritional status, achievementAbstrak: Gizi dibutuhkan anak sekolah untuk pertumbuhan dan perkembangan, energi, berpikir, serta daya tahan tubuh. Gizi yang berkualitas akan mengoptimalisasikan pertumbuhan dan perkembangan otak. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dan prestasi belajar siswa Sekolah Dasar Kecamatan Modoinding. Penelitian ini bersifat dekriptif analitik dengan desain potong litang. Status gizi dan prestasi dilihat berdasarkan nilai IMT dan hasil rapor. Jumlah sampel sebanyak 114 siswa. Data dianalisis secara univariat dan bivariat dengan uji anova F. Hasil analisis data memperlihatkan tidak terdapat hubungan bermakna antara status gizi dan prestasi belajar siswa dengan nilai p = 0,792. Simpulan: Pada siswa Sekolah Dasar Kecamatan Modoinding tidak terdapat hubungan bermakna antara status gizi dan prestasi belajar.Kata kunci: status gizi, prestasi


2010 ◽  
Vol 6 (3) ◽  
pp. 138
Author(s):  
Mutiara Tirta Prabandari Lintang Kusuma ◽  
Ronny Tri Wirasto ◽  
Emy Huriyati

Background: Adolescent is a transition phase from childhood to adulthood that marked by the change on physical, mental and psychosocial aspect. Adaptation on the change that people met in their life is called psychosocial stress. Stress makes a change on food habit and a disturbance on nutrition’s absorbance. Those circumstances affect people’s nutritional status.Objectives: To identify the correlation between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.Methods: This study was an observational study which used a cross sectional design. It held by quantitative approach to identify the relationship between psychosocial stress and nutritional status. Subject of the study were 85 students of SMP Stella Duce 1 Yogyakarta. Respondent’s identities were collected by using identity questionnaire. Psychosocial stress’s status was collected by using SRRS questionnaire (social readjustment rating scale) that was modified for adolescent. Respondent’s calories intakes were assessed by using the form food recall 3 x 24 h. Anthropometrics data collected were weight and height. The adjustment of psychosocial stress’s status used SRRS questionnaires. Calories intake were measured by using nutrition software (Fp2). Student’s nutritional status was measured by using Epi 2000 software. Relationship’s analysis among variables uses statistical test of SPSS 12.00, with the correlation or linear regression test.Result: From this study, 49.4% (42 people) have normal nutritional status, 4.7 % at under nutrition level, 25.9% at risk of obesity, and 20% obesity. From the measurement of psychosocial stress’s score, there were 61.2% (52 people) in a non-tress condition, while the other was on stress at different level. Statistical test showed that there was no relationship between psychosocial stress and nutritional status (p > 0.05).Conclusion: There was no significant relationship between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Murty Ekawaty M ◽  
Shirley E. S. Kawengian ◽  
Nova H. Kapantow

Abstract: This study aimed to determine the relationship between mothers' knowledge about nutrition and nutritional status of children aged 1-3 years in the Mopusi village, Lolayan Bolang Mongondow Induk. This was an analytical study with a cross sectional design. There were 90 samples that met the inclusion and exclusion criteria. Data were collected by using anthropometric measurements and questionnaires and then were analyzed by using Spearman's rho test. The results showed that there was 5.6% samples with nutritional status (BMI/A) very thin, 6.7% underweight, normal 68.9%, obese 18.9%. The nutritional status (H/A) of the samples was 38.9% very short, short 12.2 %, 45.6% normal, and tall 3.3%. There was no relationship of nutritional status of children (BMI/A) with mothers’ knowledge about nutrition with ƿ = 0.480 (p <α = 0.05) as well as there was no relationship of nutritional status of children (H/A) with knowledge of maternal nutrition in children aged 1-3 years with ƿ = 0.113 (p <α = 0.05). Conclusion: There was no relationship between nutritional status (BMI/A) as well as (H/A) of children aged 1-3 years with mothers’ knowledge about nutrition in Mopusi village, Lolayan Bolaang Mongondow Induk. Keywords: Nutritional Status, Mother’s Nutritional KnowledgeAbstrak: Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan ibu tentang gizi dengan status gizi anak umur 1-3 tahun di Desa Mopusi Kecamatan Lolayan Kabupaten Bolaang Mongondow Induk. Rancangan penelitian ini bersifat analitik dengan menggunakan pendekatan potong lintang. Sampel merupakan bagian dari populasi yang memenuhi kriteria inklusi dan eksklusi berjumlah 90 orang. Data dikumpulkan melalui pengukuran antropometri dan kuesiener pengetahuan dan dianalisis dengan menggunakan uji Spearman’s rho. Hasil penelitian memperlihatkan status gizi (IMT/U) yang sangat kurus 5,6%, kurus 6,7%, normal 68,9%, dan obes 18,9%. Status gizi (TB/U) yang sangat pendek 38,9%, pendek 12,2%, normal 45,6%, dan tinggi 3,3%. Pengetahuan ibu tentang gizi dengan kategori baik sebanyak 12,2%, cukup 42,2 %, dan kurang 45,5%. Analisis statistik menunjukkan tidak terdapat hubungan status gizi (IMT/U) dan pengetahuan gizi ibu dengan anak umur 1-3 tahun, nilai ƿ = 0,480 (p<α=0,05), dan tidak terdapat hubungan status gizi (TB/U) dan pengetahuan gizi ibu pada anak umur 1-3 tahun, nilai ƿ = 0,113 (p<α=0,05). Simpulan: Tidak terdapat hubungan antara status gizi (IMT/U) dan (TB/U) dengan pengetahuan gizi ibu dengan anak umur 1-3 tahun di Desa Mopusi Kecamatan Lolayan Kabupaten Bolaang Mongondow Induk.Kata kunci: status gizi, pengetahuan gizi ibu


Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 190
Author(s):  
Deswita Deswita ◽  
Randy Refnandes ◽  
Randy Refnandes ◽  
Mella Gustriyani Putri ◽  
Mella Gustriyani Putri

Introduction: The adolescent menarche period has shifted to a younger age because of several factors, including a girl’s nutritional status and exposure to pornographic media. The purpose of this study is to determine the relationship between pornographic media exposure and nutritional status with the age of menarche in girls in elementary school.Methods: This research used a descriptive cross-sectional design. 121 respondents were selected by proportional random sampling. Nutritional status data was collected by measuring body mass index, while the usage of media exposure and the age of menarche were both identified using questionnaires. All data was analysed using the chi-square test.Results: There was a significant relationship between the age of menarche with the exposure to mass media (p=0.000) and nutritional status (p=0.000).Conclusion: The age of menarche in adolescent girls is associated with nutritional status and media exposure.


2021 ◽  
Vol 10 (2) ◽  
pp. 282
Author(s):  
Filius Chandra ◽  
Iswanto Iswanto ◽  
Aisah Aisah

Hypertension is a non-communicable disease (PTM) which is a very serious health problem both in the world and in Indonesia. One sign of hypertension is an increase in blood pressure. Hypertension is called the silent killer, because people with hypertension often show no symptoms. The research objective was to determine the relationship between diet and obesity with the incidence of hypertension at the Rawasari Public Health Center in Jambi City in 2019.This study used a cross sectional design, which was carried out in August 2019, 64 hypertension respondents at the Rawasari Health Center were taken using purposive sampling technique. The research variables were diet and obesity  which were analyzed using the chi-square test.This study showed that most respondents had hypertension (92.2%). most of the diet frequently (51.6%). and  nutritional status (50%). Chi-square analysis showed  that there was a relationship between diet and hypertension (p= 0.016) and chi-square analysis showed that there was no relationship between obesity  and hypertension (p= 0.0162). There is no significant relationship between diet and hypertension, and there is no significant relationship between nutritional status and hypertension


2018 ◽  
Vol 3 (2) ◽  
pp. 103
Author(s):  
Rama Beka Sariy ◽  
Betty Yosephin Simanjuntak ◽  
Desri Suryani

Infants who fail to grow much occur in the third month or fourth month of early life. Early breastfeeding of the ASI causes mothers not to give breast milk and cause infectious diseases that result in stunting in infants. The purpose of this research is to find out the relationship of early breastfeeding with nutritional status (PB/U) age 4-7 months in Ratu Samban Sub-district of Bengkulu City.  This research uses analytic observational with a cross-sectional design. The results showed the nutritional status of PB / U short category 18.3% and MP ASI early 66.7% while the statistical test showed probability (p) of 0.273 (p> 0.05).  There is no correlation between early breastfeeding of MP and nutritional status of PB / U age 4-7 months in Ratu Samban Sub-district of Bengkulu City. Need to do re-research a using Cohort method and with other variables.Bayi yang gagal tumbuh banyak terjadi pada bulan ketiga atau bulan ke empat awal kehidupan. Pemberian MP ASI dini mengakibatkan ibu tidak berusaha memberikan ASI dan menyebabkan terjadinya penyakit infeksi yang mengakibatkan stunting pada balita. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian MP-ASI dini dengan status gizi (PB/U) pada bayi usia 4-7 bulan di Kecamatan Ratu Samban Kota Bengkulu. Jenis penelitian ini menggunakan observasional analitik dengan desain cross sectional. Hasil penelitian menunjukan status gizi PB/U kategori pendek 18,3% dan MP ASI dini 66,7% sedangkan uji statistik menunjukkan nilai probabilitas (p) sebesar 0,273 (p > 0,05).  Tidak ada hubungan antara pemberian MP ASI dini dengan status gizi PB/U usia 4-7 bulan di Kecamatan Ratu Samban Kota Bengkulu . Hal ini berkaitan dengan pemberian makanan pendamping ASI sementara sebagai makanan prelaktal sebelum ASI ibu keluar dan diberikan dalam jumlah sedikit. Lebih baik dilakukan penelitian lanjutan dengan menggunakan metode Kohort dan dengan variabel lain.


2016 ◽  
Vol 2 (1) ◽  
pp. 70
Author(s):  
Sarma Eko Natalia Sinaga

ABSTRAK Pendahuluan: pencegahan obesitas perlu dilakukan sejak dini karena kelebihan berat badan dapat menjadi obesitas pada saat usia dewasa. Tujuan: penelitian ini bertujuan untuk mengetahui hubungan antara jenis kelamin, umur, kebiasaan sarapan, kebiasaan makan fast food, kebiasaan jajan di sekolah/ngemil, pengetahuan tentang gizi, olahraga dengan peningkatan status gizi siswa di SMP Mardi Yuana Rangkasbitung. Metode: Penelitian deskriptif kuantitatif ini menggunakan pendekatan cross sectional dengan jumlah responden sebanyak 76 orang. Hasil: analisis bivariat dengan uji t-test menunjukkan hubungan yang signifikan antara variabel umur (P = 0.038) dengan peningkatan status gizi. Hasil uji multivariate dengan regresi  linier ganda menunjukkan variabel yang paling berpengaruh terhadap peningkatan status gizi adalah kebiasaan sarapan. ABSTRACT Introduction: Prevention of obesity needs to be done early because obesity can become obese as adult. The purpose of this study is to determine the relationship among sex, age, breakfast habits, the consumption habits fast food, habit of eating snack, knowledge, exercise  and nutritional status of the students of Junior High School (SMP) Mardi Yuana in Rangkasbitung. This descriptive quantitative study utilized cross-sectional design with 76 (seventy-six) respondents. The result of the bivariate analysis using t-test  shows a significant relationship between age ( P = 0.039) and nutritional status. The multivariate analysis using  multiple linear regression test shows that breakfast is highly correlated to the nutritional status.


e-GIGI ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Avita Aulia ◽  
Paulina N. Gunawan ◽  
Shirley E. S. Kawengian

Abstract: Caries is the presence of a cavity on the tooth caused by the activity of microorganism on fermented carbohydrate. Nutritional status is resulting from food consumption, which is one of the factors that influence the occurence of dental caries. This study was aimed to obtain the relationship between nutritional status and caries in permanent lower first molar among students of SDN 36 (elementary school) Manado. This was an analytical study using a cross sectional design. There were 48 students at SDN 36 Manado aged 6-8 years in this study obtained by using total sampling technique. We used the nutritional status based on length-for-age and BMI-for-age using the z-scores WHO anthropometrical standards for children aged 5-18 years and examined the oral cavity whether there was caries in permanent lower first molars. The results showed that caries in permanent lower first molars was found in 77.1% of subjects. Nutritional status based on length-for-age showed normal category (83.3%) and short stature/stunted (16.7%). The nutritional status based on BMI-for-age showed obese category (22.9%), overweight (8.3%), normal (60.5%), wasted (8.3%), and severely wasted (0.0%). The Fisher’s Exact test and the Chi-Square test showed that the relationship between length-for-age and the occurence of caries had a p-value of 1,000 meanwhile the relationship between nutritional status based on BMI-for-age and the occurence of caries had a p-value of 0.024. Conclusion: There was a significant relationship between nutritional status based on BMI-for-age and caries in the permanent lower first molars in children aged 6-8 years at SDN 36 Manado.Keywords: dental caries, permanent lower first molar, nutritional status Abstrak: Karies adalah adanya rongga pada yang disebabkan oleh aktivitas jasad renik terhadap karbohidrat yang dapat diragikan. Status gizi merupakan keadaan tubuh sebagai akibat konsumsi makanan, yang menjadi salah satu faktor yang dapat memengaruhi proses terjadinya karies gigi. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Pengambilan sampel menggunakan teknik total sampling terhadap seluruh siswa di SDN 36 Manado berusia 6-8 tahun pada tahun 2019 yang berjumlah 48 orang. Pada penelitian ini dilakukan pengukuran status gizi TB/U dan IMT/U berdasarkan SD dengan standar baku antropometri WHO untuk anak usia 5-18 tahun serta pemeriksaan rongga mulut untuk melihat ada tidaknya karies pada gigi molar pertama bawah permanen. Hasil pemeriksaan menunjukkan terdapatnya karies pada gigi molar pertama bawah permanen sebesar 77,1% subyek. Status gizi berdasarkan TB/U didapatkan subyek kategori normal (83,3%) dan pendek/stunted (16,7%). Status gizi berdasarkan IMT/U didapatkan kategori obesitas (22,9%), gemuk (8,3%), normal (60,5%), kurus (8,3%), serta sangat kurus (0,0%). Hasil uji Fisher’s Exact dan uji Chi-Square menunjukkan untuk TB/U nilai p=1,000 sedangkan untuk IMT/U nilai p=0,024. Simpulan: Terdapat hubungan bermakna antara status gizi berdasarkan IMT/U dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado.Kata kunci: karies gigi, molar pertama bawah permanen, status gizi


Author(s):  
Dita Perwitasari ◽  
Abdul Rohim Tualeka

Fatigue is a subjective feeling that different for everyone, which leads to loss of efficiency, decreases work capacity, health problem and the body's ability to survive resulting in work accident. The purpose of this research was examining the factors associated with subjective work fatigue on nurses working in dr. Mohamad Soewandhie hospital in Surabaya.This research was an observational study with cross sectional design. The respondents were nurses of emergency, outpatient, and inpatient units in dr.Mohamad Soewandhie hospital. The variables were individual factors were consisting of age, years of working life, nutritional status, gender, and occupational factors were consisting of the workload and the monotony condition of work toward work fatigue. Spearman correlation test was using to test the relationship of each factors, except the relationship of gender and the monotony condition were using  Mann-Whitney.The results showed that the most of the respondentss were 25-30 years old, female, 1-10 years of working life, had better nutritional status, had a moderate heavy workload and felt the monotony condition in her work. The result of fatigue measurement used the checklist which indicated that the most of the respondents experienced no relationship between age, gender, years of working life, workload, and the monotony condition the results also proved the existence of a relationship between nutritional status with p=0,00. It could be concluded that the nutritional status of nurse in dr.Mohamad Soewandhie hospital had a risk of causing fatigue.  Keywords: Individual factors, occupational factors, and work fatigue


2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Qi Xiao ◽  
Xiaoqing Li ◽  
Baojun Duan ◽  
Xiaofan Li ◽  
Sida Liu ◽  
...  

AbstractThe stomach is the main digestive organ in humans. Patients with gastric cancer often develop digestive problems, which result in poor nutrition. Nutritional status is closely related to postoperative complications and quality of life (QoL) in patients with gastric cancer. The controlling nutritional status (CONUT) score is a novel tool to evaluate the nutritional status of patients. However, the relationship of the CONUT score with postoperative complications, QoL, and psychological status in patients with gastric cancer has not been investigated. The present follow-up study was conducted in 106 patients who underwent radical gastrectomy in our hospital between 2014 and 2019. The CONUT score, postoperative complications, psychological status, postoperative QoL scores, and overall survival (OS) of patients with gastric cancer were collected, and the relationship between them was analyzed. A significant correlation was observed between the CONUT score and postoperative complications of gastric cancer (P < 0.001), especially anastomotic leakage (P = 0.037). The multivariate regression analysis exhibited that the CONUT score (P = 0.002) is an independent risk factor for postoperative complications. The CONUT score was correlated with the state anxiety questionnaire (S-AI) for evaluating psychological status (P = 0.032). However, further regression analysis exhibited that the CONUT score was not an independent risk factor for psychological status. Additionally, the CONUT score was associated with postoperative QoL. The multivariate regression analysis exhibited that the CONUT score was an independent risk factor for the global QoL (P = 0.048). Moreover, the efficiency of CONUT score, prognostic nutrition index, and serum albumin in evaluating complications, psychological status, and QoL was compared, and CONUT score was found to outperform the other measures (Area Under Curve, AUC = 0.7368). Furthermore, patients with high CONUT scores exhibited shorter OS than patients with low CONUT scores (P = 0.005). Additionally, the postoperative complications (HR 0.43, 95% CI 0.21–0.92, P = 0.028), pathological stage (HR 2.26, 95% CI 1.26–4.06, P = 0.006), and global QoL (HR 15.24, 95% CI 3.22–72.06, P = 0.001) were associated with OS. The CONUT score can be used to assess the nutritional status of patients undergoing gastric cancer surgery and is associated with the incidence of postoperative complications and QoL.


Sign in / Sign up

Export Citation Format

Share Document