DISFAGIA SEBAGAI FAKTOR RISIKO STATUS GIZI PASIEN STROKE DI RUANG RAWAT INAP R.S. DR. CIPTO MANGUNKUSUMO JAKARTA

Background: Stroke can cause the decline of nutrition status. Undernourished nutrition is commonly found in stroke patients during early hospitalization at the prevalence of about 16%-22%. Undernourished nutrition status in stroke patients may bring some consequences such as increased urinary tract and respiratory infection, mortality after 3 months of stroke attack, prolonged hospitalization, and decreased functional status. Risk for undernourished nutrition status will increase in stroke patients that suffer from swallowing disorder or dysphagia. Dysphagia in stroke patients often causes less food intake, dehydration, and or complications such as pneumonia that requires enteral tube feeding. Objective: To identify the dysphagia influence to nutritional status of stroke patients at inpatient ward. Method: The study used prospective cohort design. Data were obtained from 65 samples of stroke patients at Dr. Cipto Mangunkusumo Hospital that included nutrition status, dysphagia food intake and method of feeding. Assessment of nutrition status used SGA whereas food intake used Comstock and Food Recall 24 hours. To get the influencing factor was used logistic regression analysis. Result : From this study is resulted that protein intake OR 1,03 (0,99- 1,06), dysphagia of OR 0,55 (0,05-5,56), and the way of feeding OR 14,93 (1,44-154,46) influenced the nutritional status to stroke patients. While the analysis multivariate result stated that the way of feeding is the most influencing one to nutritional status of stroke patients. Conclusion: Dysphagia has 1.6 times of undernourished, energi and protein intake well-nourish prevent undernourish, and the way of feeding via naso gastric tube can cause undernourished 1.9 times