TERAPI NUTRISI PADA STROKE METABOLIK AKUT DISERTAI HIPERTENSI II DAN ALODENIA
DOI:
https://doi.org/10.31004/jkt.v4i3.18288Keywords:
proses asuhan gizi, stroke, hipertensiAbstract
Pasien stroke memerlukan asuhan gizi khusus untuk menurunkan asupan kolesterol yang dapat menjadi penyebab stroke, namun mampu mencukupi asupan gizi lainnya. Terlebih pada kasus pasien dengan hipertensi dan gangguan ginjal. Proses asuhan gizi terstandar dilakukan dengan pemberian diet rendah protein untuk membantu mengurangi kinerja ginjal dan lemak cukup untuk mengurangi risiko penurunan berat badan pada pasien. Studi kasus dilakukan pada bulan Oktober 2022 pada pasien rawat inap di RS X Gresik. Setelah pemberian intervensi gizi, kondisi pasien tidak terdapat perubahan yang signifikan ditandai dengan asupan yang berhasil dikonsumsi pasien masih dibawah target (>80%) dan gejala yang dialami pasien dari MRS masih dialami oleh pasien, namun terdapat peningkatan asupan pada hari intervensi ke-3. Pada kasus ini, pemulihan kondisi pasien belum terlihat hingga pemberian intervensi hari ke-3. Hal ini disebabkan pasien masih lemas dan kesulitan menelan sehingga target asupan masih belum memenuhi target (>80%).References
Almatsier, S. (2004). Penuntun Diet Edisi Baru. Jakarta: Gramedia Pustaka Utama.
American Diabetes Association. (2014). Diagnosis and classification of diabetes mellitus. Diabetes Care. 37 (Suppl 1): s81-s90.
American Heart Association. (2015). Let’s talk about stroke: Complications after stroke. American Heart Association, Inc.
Boehme, A.K., Esenwa, C., Elkind, M.S.V. (2017). Stroke risk factors, genetics, and prevention. Circulation Research American Heart Association, Inc, 120 (3): 472-495.
Chrisna, Fatmisua, F., & Martini, S. (2016). Hubungan Antara Sindroma Metabolik Dengan Kejadian Stroke. Jurnal Berkala Epidemiologi. 4(1): 25-36.
ESH and ESC. (2013). ESH/ESC Guidelines for the Management of Arterial Hypertension. Journal Of hypertension 2013. 31(3): 1281-1357.
Kim, B., Lee, J., Sohn, M.K., Kim, D.Y., Lee, S., Shin, Y., Oh, G. (2017). Risk Factors and Functional Impact of Medical Complication in Stroke. Ann Rehabil Med, 41(5): 753-760.
Mitra, P.K. (2009). Handbook of practical neurophysiotherapy. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.
Mohammad Yogiantoro. (2009). Buku Ajar Ilmu Penyakit. Dalam: Hipertensi Esensial. Perhipunan Dokter Spesialis Penyakit Dalam Indonesia.
National Cholesterol Education Program Adult Treatment Panel III. (2004).
Available from: http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=5503&nbr=3746#s23
PERSAGI, dan ASGI. (2019). Penuntun Diet dan Terapi Gizi Edisi 4. Jakarta: EGC.
Sakakibara, B.M., Kim, A.J., Eng, J.J. (2017). A systematic review and meta-analysis on self-management for improving risk factor control in stroke patients. International Journal of Behavioral Medicine, 24 (1), 42-53.
Stokes, M., Stack, E. (2011). Physical management for neurogical conditions. British: Elsevier.
Sugondo, S., & Gustavani, R. (2007). Sindrom Metabolik. Dalam: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S. Buku ajar ilmu penyakit dalam jilid III edisi IV.
The Eight Joint National Commitee. (2014). Evidence based guideline for the management of high blood pressure in adults-Report from the panel members appointed to the eight joint national commitee.
Tjokroprawiro, A. (2004). Basic Principles of Parenteral Nutrition For Diabetic Patients (Introduction with Several Empirical Formulas). Folia Medica Indonesiana. 40 (4): 193-199.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Novia Arifini
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
