The Nutritional Status Sensitivity of the Assessment of Nutritional Status Based on Mini Nutritional Assessment (MNA) Was Compared with Patient-Generated Subjective Global Assessment (PG-SGA) in Cancer Patients Undergoing Chemotherapy in RSUP Dr Wahidin Sudirohusoda Makassar
:
Abstract
Background: Chemotherapy is highly recommended for cancer treatment, however can cause some side effects such as nausea and vomiting. This will affect food intake and nutritional status in cancer patients who undergo chemotherapy.
Aim: To describe nutritional status based on anthropometry Body Mass Index (BMI), hemoglobin (Hb), Patient-Generated Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA) in cancer patients undergoing chemotherapy in RSUP. Dr. Wahidin sudirohusodo Makassar.
Methode: This experiment uses a quantitative non-experimental research method with cross sectional approach on 1010 patients, nonprobability sampling with purposive sampling technique on 70 respondents, data collection with interview and observation techniques.
Results: Nutritional status based on Body Mass Index (BMI) shows that 39 people (55.7%) had normal BMI values. About 37 people (52.9%) had good / normal nutritional status based on Patient-Generated Subjective Global Assessment (PG-SGA) while Mini Nutritional Assessment (MNA) reveals 100% of respondents experienced nutritional status problems.
Conclusion: Mini Nutritional Assessment (MNA) is the best tool to identify nutritional status of cancer patients that undergo chemotherapy since this instrument is very sensitive and practical. Patient-Generated Subjective Global Assessment (PG-SGA) is good to assess nutritional status in subject who have lost weight drastically and shows signs of subcutaneous fat loss and muscle mass loss.
Keyword: Cancer, chemotherapy, body mass index (BMI), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA).
References
Ambarwati, W. N., & Wardani, erlinda kusuma. (2015). Respons dan koping pasien penderita kanker servik terhadap efek kemoterapi. Jurnal Ners, 10, 48–60.
Asri, D. (2017). Hubungan Indeks Massa Tubuh ( IMT ) dengan kejadian kanker pankreas di RSUP Haji Adam Malik Medan Tahun 2012-2016. Repositori Institusi USU.
Black, J. M., & Hawks, J. H. (2014). Keperawatan medikal bedah. (A. Suslia, F. Ganiajri, peni P. Lestari, & R. W. A. Sari, Eds.) (8th ed.). Singapore: Elsevier.
Corwin, E. J. (2010). Buku saku patofisiologi (handbook of pathophysiologi),. Jakarta: EGC.
Dahlan, M. . (2014). Statistik untuk kedokteran dan kesehatan deskriptif, bivariat dan multivariat dilengkapi aplikasi menggunakan spss. Jakarta: Epidemiologi Indonesia.
Darmiaty, Jafar, N., & Malasari, S. (2016). Screening and assessment of nutitional status on elderly in Pampang, Makassar. Indonesia Contemporary Nursing, 1(2), 86–93. Retrieved from http://journal.unhas.ac.id/index.php/icon/article/download/3449/1983
Dharma, K. (2011). Metodologi penelitian keperawatan. Jakarta: Trans Info Media (TIM).
Ghazi, L., Fereshtehnejad, S., Fard, S. A., Sadeghi, M., Shahidi, G. A., & Lökk, J. (2015). Mini Nutritional Assessment ( MNA ) is rather a reliable and valid instrument to assess nutritional status in iranian healthy adults and elderly with a chronic disease, 0244(November). https://doi.org/10.1080/03670244.2014.994743
Haryono, S. J., Anwar, S. L., & Salim, A. (2018). Dasar-dasar biologi molukelar kanker. (S. M. Haryana, Ed.). Yogyakarta: Gadjah Mada University press.
Health.am. (2019). Women with diabetes more likely to be diagnosed with advanced stage breast cancer _ health.
Hidayat, Y. M. (2013). Prinsip dasar kemoterapi. (A. D. Anwar, A. B. Harsono, R. M. S. Sasotya, M. N. Amarullah, & D. Hidayat, Eds.). Jakarta: CV. Sagung Seto.
Hsu, H. C., Tsai, S. Y., Wu, S. L., Jeang, S. R., Ho, M. Y., Liou, W. S., … Chang, T. H. (2017). Longitudinal perceptions of the side effects of chemotherapy in patients with gynecological cancer. Supportive Care in Cancer, 25(11), 3457–3464. https://doi.org/10.1007/s00520-017-3768-7
Iacono, C., Merlano, M., Gori, S., Rubino, D., Lorusso, V., Maiorana, L., … Chiurazzi, B. (2017). Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget, 8(45), 79884–79896. https://doi.org/10.18632/oncotarget.20168
IARC. (2018). Latest global cancer data, 2018. World Health Organization, (September), 13–15. Retrieved from http://www.who.int/cancer/PRGlobocanFinal.pdf
Indonesia, Y. K. (2018). Yayasan kanker indonesia.pdf. Jakarta: YKI Pusat.
Institute, N. C. (2018). Cancer Classification. National Cancer Institute.
Jager-Wittenaar, H., & Ottery, F. D. (2017). Assessing nutritional status in cancer: Role of the Patient-Generated Subjective Global Assessment. Current Opinion in Clinical Nutrition and Metabolic Care, 20(5), 322–329. https://doi.org/10.1097/MCO.0000000000000389
Kar, A. S. (2008). Pengaruh anemia pada kanker terhadap kualitas hidup dan hasil pengobatan. Usu e.Repository.
Kementerian Kesehatan. (2018). Hari kanker sedunia 2019. Kementerian Kesehatan Republik Indonesia.
Kesehatan, K. (2014). Peraturan Menteri Kesehatan republik indonesia nomor 41 tahun 2014. Permenkes RI, 1–96.
Lubis, H. M. L. L., & Agussalim. Peran sitologi aspirasi jarum halus dalam mendiagnosis pembesaran kelenjar salivari (2015).
Mothoneos, J. (2018). Understanding chemotherapy. Australia: Cancer Cauncil Australia.
Ningrum, D. A. R. (2015). Pengaruh kemoterapi terhadap asupan makan dan status gizi penderita kanker nasofaring di ruang rawat inap RSUD Dr. Moewardi di Surakarta.
Notoatmodjo, S. (2012). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2014). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Nursalam. (2015). Metodologi penelitian ilmu keperawatan (4th ed.). Jakarta Selatan: Salemba medika.
Par’i, Holil M, Wiyono, S., & Harjatmo, T. P. (2017). Penilaian status gizi. Bahan Ajar Gizi (Cetakan Pe). Jakarta: Kementerian Kesehatan Republik Indonesia.
Par’i, Holil Muhammad. (2017). Penilaian status gizi. Jakarta: EGC.
Prasetyo, W. H., Pramantara, I. D. P., & Budiningsari, R. D. (2017). Pengaruh hasil skrining berdasarkan metode MNA ( Mini Nutritional Assestment ) terhadap lama Rawat Inap dan status pulang pasien lanjut usia di RSUP Dr . Sardjito Yogyakarta. Jurnal Gizi Dan Dietetik Indonesia, 2(2), 75–84.
Ramli, M. (2015). Update Breast Cancer Management. Majalah Kedokteran Andalas, 38, 28–52.
Sahana, O. N., & Sumarmi, S. (2015). Hubungan asupan mikronutrien dengan kadar hemoglobin pada wanitausia subur. Media Gizi Indonesia, 10(2), 184–191.
Shinta, N., & Surarso, B. (2016). Terapi mual muntah pasca kemoterapi. Jurnal THT - KL, 9(2), 74–82.
Shiroyama, T., Tamiya, M., Minami, S., Takata, S., Masuhiro, K., Futami-Nishijima, Kijima, T. (2017). Carboplatin plus weekly nanoparticle albumin-bound paclitaxel in elderly patients with previously untreated advanced squamous non-small-cell lung cancer selected based on Mini Nutritional Assessment short-form scores: a multicenter phase 2 study. Cancer Chemotherapy and Pharmacology, 80(3), 461–467. https://doi.org/10.1007/s00280-017-3385-7
Society, A. C. (2018a). Cancer facts and figures 2018. American Cancer Society, 1–76. https://doi.org/10.1182/blood-2015-12-687814
Society, A. C. (2018b). Signs and symptoms of cancer. American Cancer Society.
Sugiono, P. D. (2015). Metode penelitian tindakan komprehensif. Bandung: Alfabeta.
Sukamti, A. T. (2016). Pengaruh pemberian booklet kemoterapi kanker payudara pasca kemoterapi di ruang bedah. Jurnal Keperawatan, 26–33.
Supariasa, I. D. N., Bakri, B., & Fajar, I. (2017). Penilaian status gizi. Jakarta: EGC.
Tsilika, E., Parpa, E., Panagiotou, I., Roumeliotou, A., Kouloulias, V., Gennimata, V. Mystakidou, K. (2015). Reliability and Validity of the Greek Version of Patient Generated-Subjective Global Assessment in Cancer Patients. Nutrition and Cancer, 67(6), 899–905. https://doi.org/10.1080/01635581.2015.1055364
Wahyuni, D., Huda, N., & Utami, G. T. (2015). Studi fenomenologi : pengalaman pasien kanker stadium lanjut yang menjalani kemoterapi. Jurnal Jom, 2(2), 1041–1047.
Widiawaty, A., Rihatmadja, R., & Djurzan, A. (2016). Metode
Asri, D. (2017). Hubungan Indeks Massa Tubuh ( IMT ) dengan kejadian kanker pankreas di RSUP Haji Adam Malik Medan Tahun 2012-2016. Repositori Institusi USU.
Black, J. M., & Hawks, J. H. (2014). Keperawatan medikal bedah. (A. Suslia, F. Ganiajri, peni P. Lestari, & R. W. A. Sari, Eds.) (8th ed.). Singapore: Elsevier.
Corwin, E. J. (2010). Buku saku patofisiologi (handbook of pathophysiologi),. Jakarta: EGC.
Dahlan, M. . (2014). Statistik untuk kedokteran dan kesehatan deskriptif, bivariat dan multivariat dilengkapi aplikasi menggunakan spss. Jakarta: Epidemiologi Indonesia.
Darmiaty, Jafar, N., & Malasari, S. (2016). Screening and assessment of nutitional status on elderly in Pampang, Makassar. Indonesia Contemporary Nursing, 1(2), 86–93. Retrieved from http://journal.unhas.ac.id/index.php/icon/article/download/3449/1983
Dharma, K. (2011). Metodologi penelitian keperawatan. Jakarta: Trans Info Media (TIM).
Ghazi, L., Fereshtehnejad, S., Fard, S. A., Sadeghi, M., Shahidi, G. A., & Lökk, J. (2015). Mini Nutritional Assessment ( MNA ) is rather a reliable and valid instrument to assess nutritional status in iranian healthy adults and elderly with a chronic disease, 0244(November). https://doi.org/10.1080/03670244.2014.994743
Haryono, S. J., Anwar, S. L., & Salim, A. (2018). Dasar-dasar biologi molukelar kanker. (S. M. Haryana, Ed.). Yogyakarta: Gadjah Mada University press.
Health.am. (2019). Women with diabetes more likely to be diagnosed with advanced stage breast cancer _ health.
Hidayat, Y. M. (2013). Prinsip dasar kemoterapi. (A. D. Anwar, A. B. Harsono, R. M. S. Sasotya, M. N. Amarullah, & D. Hidayat, Eds.). Jakarta: CV. Sagung Seto.
Hsu, H. C., Tsai, S. Y., Wu, S. L., Jeang, S. R., Ho, M. Y., Liou, W. S., … Chang, T. H. (2017). Longitudinal perceptions of the side effects of chemotherapy in patients with gynecological cancer. Supportive Care in Cancer, 25(11), 3457–3464. https://doi.org/10.1007/s00520-017-3768-7
Iacono, C., Merlano, M., Gori, S., Rubino, D., Lorusso, V., Maiorana, L., … Chiurazzi, B. (2017). Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget, 8(45), 79884–79896. https://doi.org/10.18632/oncotarget.20168
IARC. (2018). Latest global cancer data, 2018. World Health Organization, (September), 13–15. Retrieved from http://www.who.int/cancer/PRGlobocanFinal.pdf
Indonesia, Y. K. (2018). Yayasan kanker indonesia.pdf. Jakarta: YKI Pusat.
Institute, N. C. (2018). Cancer Classification. National Cancer Institute.
Jager-Wittenaar, H., & Ottery, F. D. (2017). Assessing nutritional status in cancer: Role of the Patient-Generated Subjective Global Assessment. Current Opinion in Clinical Nutrition and Metabolic Care, 20(5), 322–329. https://doi.org/10.1097/MCO.0000000000000389
Kar, A. S. (2008). Pengaruh anemia pada kanker terhadap kualitas hidup dan hasil pengobatan. Usu e.Repository.
Kementerian Kesehatan. (2018). Hari kanker sedunia 2019. Kementerian Kesehatan Republik Indonesia.
Kesehatan, K. (2014). Peraturan Menteri Kesehatan republik indonesia nomor 41 tahun 2014. Permenkes RI, 1–96.
Lubis, H. M. L. L., & Agussalim. Peran sitologi aspirasi jarum halus dalam mendiagnosis pembesaran kelenjar salivari (2015).
Mothoneos, J. (2018). Understanding chemotherapy. Australia: Cancer Cauncil Australia.
Ningrum, D. A. R. (2015). Pengaruh kemoterapi terhadap asupan makan dan status gizi penderita kanker nasofaring di ruang rawat inap RSUD Dr. Moewardi di Surakarta.
Notoatmodjo, S. (2012). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2014). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Nursalam. (2015). Metodologi penelitian ilmu keperawatan (4th ed.). Jakarta Selatan: Salemba medika.
Par’i, Holil M, Wiyono, S., & Harjatmo, T. P. (2017). Penilaian status gizi. Bahan Ajar Gizi (Cetakan Pe). Jakarta: Kementerian Kesehatan Republik Indonesia.
Par’i, Holil Muhammad. (2017). Penilaian status gizi. Jakarta: EGC.
Prasetyo, W. H., Pramantara, I. D. P., & Budiningsari, R. D. (2017). Pengaruh hasil skrining berdasarkan metode MNA ( Mini Nutritional Assestment ) terhadap lama Rawat Inap dan status pulang pasien lanjut usia di RSUP Dr . Sardjito Yogyakarta. Jurnal Gizi Dan Dietetik Indonesia, 2(2), 75–84.
Ramli, M. (2015). Update Breast Cancer Management. Majalah Kedokteran Andalas, 38, 28–52.
Sahana, O. N., & Sumarmi, S. (2015). Hubungan asupan mikronutrien dengan kadar hemoglobin pada wanitausia subur. Media Gizi Indonesia, 10(2), 184–191.
Shinta, N., & Surarso, B. (2016). Terapi mual muntah pasca kemoterapi. Jurnal THT - KL, 9(2), 74–82.
Shiroyama, T., Tamiya, M., Minami, S., Takata, S., Masuhiro, K., Futami-Nishijima, Kijima, T. (2017). Carboplatin plus weekly nanoparticle albumin-bound paclitaxel in elderly patients with previously untreated advanced squamous non-small-cell lung cancer selected based on Mini Nutritional Assessment short-form scores: a multicenter phase 2 study. Cancer Chemotherapy and Pharmacology, 80(3), 461–467. https://doi.org/10.1007/s00280-017-3385-7
Society, A. C. (2018a). Cancer facts and figures 2018. American Cancer Society, 1–76. https://doi.org/10.1182/blood-2015-12-687814
Society, A. C. (2018b). Signs and symptoms of cancer. American Cancer Society.
Sugiono, P. D. (2015). Metode penelitian tindakan komprehensif. Bandung: Alfabeta.
Sukamti, A. T. (2016). Pengaruh pemberian booklet kemoterapi kanker payudara pasca kemoterapi di ruang bedah. Jurnal Keperawatan, 26–33.
Supariasa, I. D. N., Bakri, B., & Fajar, I. (2017). Penilaian status gizi. Jakarta: EGC.
Tsilika, E., Parpa, E., Panagiotou, I., Roumeliotou, A., Kouloulias, V., Gennimata, V. Mystakidou, K. (2015). Reliability and Validity of the Greek Version of Patient Generated-Subjective Global Assessment in Cancer Patients. Nutrition and Cancer, 67(6), 899–905. https://doi.org/10.1080/01635581.2015.1055364
Wahyuni, D., Huda, N., & Utami, G. T. (2015). Studi fenomenologi : pengalaman pasien kanker stadium lanjut yang menjalani kemoterapi. Jurnal Jom, 2(2), 1041–1047.
Widiawaty, A., Rihatmadja, R., & Djurzan, A. (2016). Metode
Published
2020-02-19
How to Cite
ANAM, Khoirul; TAHIR, Takdir; ILKAFAH, Ilkafah.
The Nutritional Status Sensitivity of the Assessment of Nutritional Status Based on Mini Nutritional Assessment (MNA) Was Compared with Patient-Generated Subjective Global Assessment (PG-SGA) in Cancer Patients Undergoing Chemotherapy in RSUP Dr Wahidin Sudirohusoda Makassar.
NurseLine Journal, [S.l.], v. 4, n. 2, p. 76-83, feb. 2020.
ISSN 2541-464X.
Available at: <https://jurnal.unej.ac.id/index.php/NLJ/article/view/11234>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.19184/nlj.v4i2.11234.
Section
Articles
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
