Studi komparasi beberapa metode skrining penilaian status gizi pada pasien dewasa rawat inap rumah sakit
Abstract: It is necessary to
diagnose level of malnutrition in hospitalized patient to give optimal
nutrition support. Many different nutrition screening assessment have been
developed. In Indonesia, Simple Nutrition Screening Tool (SNST) that had been
used in same hospital and the result was good enough in validity-realibility.
Objective: To assessed that SNST were simple and practical nutrition
screening tool for detecting level of malnutrition in different type of
hospitalized patient.
Method: Observational cross-sectional design with total of sampling two
hundred and eighty seven adult patients from 2nd and 3rd class of surgical,
internal, or neurology ward of RSUD Sleman. Independent variables are SNST,
Nutritional Risk Screening (NRS) 2002, Malnutrition Screening Tool (MST), and
Malnutrition Universal Screening Tool (MUST). Dependent variables are
Subjective Global Assessment (SGA), body mass index (BMI), mid upper arm
circumference (MUAC), and hemoglobin (Hb). Receive Operating Curve (ROC) were
used for measuring validity of each screening tools. The proportion difference
between at-risk group and not at-risk group was assessed by Chi-square test.
The mean difference of BMI, MUAC, and Hb between both of group was assessed by
independent sample t-test.
Results: SNST has highest validity compared to NRS-2002, MST, and MUST
with Sensitivity 99,0%, Specificity 84,5 and Area Under Curve (AUC) 0,917.
Based on SNST, the proportion difference of at-risk group and not at-risk group
between surgical patients and internal-neurology patients was statistically
significant (p<0,05); the proportion difference of at-risk group and not
at-risk group between young adult, adult, and elderly patients was
statistically significant (p<0,05); the mean difference of BMI, MUAC, and Hb
between at-risk group and not at-risk group was also statistically significant
(p<0,05).
Conclusion: All of the nutrition screening tools can be used as predictor
of malnutrition in hospitalized patients but, the SNST has the best validity as
a nutrition screening to predict malnutrition.
Keywords: hospital;
malnutrition; nutrition screening tool; validity
Penulis: Rizki Andini
Kode Jurnal: jpkesmasdd170537
