Penatalaksanaan perdarahan saluran cerna bagian atas dengan nutrisi enteral dini terhadap kadar albumin
Abstract: Patients with upper
gastrointestinal bleeding generally were decreased nutritional status that
hypoalbuminemia because of increased albumin excretion from hemorrhage and
patients fasted indefinitely until the bleeding stops. Enteral nutrition in
patients with bleeding should be given to prevent malnutrition and reduce
mortality.
Objective: To identify the differences in levels of albumin serum in the
early enteral nutrition without waiting for the results of gastric lavage is
clear (without fasting) and after 2-3 times the clear gastric lavage (fasted).
Method: The study used pre-experimental research design by static group
comparison design. The study was conducted in RS Aisyiyah Bojonegoro in March
to June 2015. The sample was 30 patients divided into 2 groups by Random
Allocation, there was the treatment group I that fasted (15 patients), and
treatment group II without fasted (15 patients). Analysis of data using
Wilcoxon test Signed Ranks Test.
Results: The research found that there were differences in the provision
of early enteral nutrition to albumin. Results showed that albumin level in
patients who fasted lower than that without fasted. Results Statistics by
Wilcoxon Signed Rank test with a 0.05 significance level values obtained 0,046,
its means that H1 was accepted.
Conclusion: Patients with upper gastrointestinal bleeding can be given
early enteral nutrition without waiting for the results gastric lavage clear
rinse.
Keywords: upper
gastrointestinal bleeding; early enteral nutrition; albumin serum
Penulis: Virgianti Nur Faridah
Kode Jurnal: jpkesmasdd170539
