#63 - Optimization of Nutrition Care Process to Maintain Nutritional Status and Transferrin Level Serum of Adult Patient with Surgery in Dr. Cipto Mangunkusumo General Hospital. Fitri Hudayani

BACKGROUND : Surgery patients may have malnutrition risk due to the changes of metabolism and appetite after the surgery. In order to prevent malnutrition, a proper nutrition care needs to be performed to help patients meet their adequate nutrients intake. The objectives of this research were to understand of nutritional status indicators and energy intake also their influence to the pre and post-surgery condition.

METHODE: This research is conducted using cohort prospective method on 52 adult patients with surgery. Variables observed in this research are body weight, body mass index, transferrin level serum, and energy intake. After seven days of surgery, nutritional status indicators were measured. Energy intake was calculated using 24-hour recall on one day before the surgery and 3x24 hours average intake after the optimum diet were prescribed and nutrition education for post-surgery patients were delivered. 

RESULTS: Test of significance were performed to observe the changes of nutritional status indicators and energy intake on pre and post-surgery, meanwhile the correlation test were performed to know the relationship of variables. Result showed that there were significant change on body weight (P = 0,037), body mass index (P = 0,003), and energy intake (P= 0,003). In addition, energy intake on post-surgery had significant correlation with serum transferrin level on post-surgery (P = 0,013). To summarize, this study showed that adult surgery patients surgery may experience in altered nutritional status from pre to post surgery, and their energy intake need to be observed because its related with serum transferrin level as related nutrition laboratory indicator