Comparison of Nutritional Status Assessment Using MST (Malnutrition Screening Tool) and SGA (Subjective Global Assessment) in Assessing Nutritional Status Against the Injury Occurrence in the Patient In the Intensive Care Unit (ICU) Room Achmad Mochtar Hospital
DOI:
https://doi.org/10.35730/jk.v8i2.332Keywords:
Nutrition Status, Wound PressAbstract
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Patients in intensive space have the right to get special attention due to metabolic changes that have an impact on nutritional status. Critical patients will experience an increase in metabolism as the body's response to disease. Assessment of nutritional status must be carried out routinely in the hospital, including in the ICU. The Council of Europe 2001, that there are no nutritional assessment standards that can be used for all patients treated. The assessment must be early, simple, based on current science and can be adapted in the clinical environment. The American Society of Parenteral and Enteral (ASPEN) recommends assessing nutritional status or nutritional screening tools in patients treated by using Subjective Global Assessment (SGA). Another measure of nutritional status assessment that can be used is the Malnutrition Screening Tools (MST). MST is a nutritional status assessment tool that has been used by the General Intensive Care Unit (ICU) in Achmad Mochtar Bukittinggi Hospital. This study aims to analyze the differences in the accuracy of MST and SGA in assessing nutritional status as well as differences in sensitivity of MST and SGA as indicators of the incidence of pressure sores in patients in the ICU of the Achmad Mochtar Bukittinggi Hospital. The type of this research is this research is quantitative research with comparative hypothesis type and cross-sectional research design. The results of this study indicate that SGA is more accurate in assessing nutritional status in patients in intensive rooms.
References
Adriyani, F. M. (2010). Status gizi berdasarkan subjective global assessment sebagi factor yang mempengaruhi lama perawatan pasien rawat inap anak. Tesis. FK UNPAD
Alderden, J., JoAnne, D., Shirley, M., Sunniva, Z. 2011. Risk profile characteristic associated with outcomes of hospital-acquired pressure ulcers: A retrospektive review. Journal of Critical Care Nurse. 31, 30-43
Anthony, P. S. (2008). Nutrition screening tools for hospitalized patients. Nutrition Clinical Practice. 23, 373-82
Atalay, B. G., Yagmur, C., Nursal, T. Z., Atalay, H., Noyan, T. (2008). Use of subjective global assessment and clinical outcomes incritically ill geriatric patients receiving nutrition support. Journal Parenter Enteral Nutr. 32, 454-9
Ayello, E. (2007). Predicting pressure ulcer risk; try this-best practice in nursing care to older adult. http://consultgerirn.org
Ayello, E & Lyder, C. H. (2008). Pressure ulcers: a patient safety issue. Chapter 12. http://www.ahrq.gov/qual/nurseshdbk/docs
Barker, L., Gout, B., Crowe, T. (2011). Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. International Journal of Environmental Research and Public Health. 8, 514-27
Baumgarten, M., Margolis, D., Localio, A., et al. 2006. Pressure Ulcers Among Elderly Patients Early in the Hospital Stay. J Gerontol A Biol Sci Med Sci. 61(70:749-754
Beghetto, M. G., Luft, V. C., Mello, E. D., Polanczyk, C. A. (2009). Accuracy of nutritional assessment tools for predicting adverse hospital outcomes. Nutr Hosp. 24, 56-62
Bell, L. Evaluation of and Caring for Patient With Pressure Ulcers. Am J of Critical Care. 2008;17(4):348
Black, J.M., & Hawks, J.H. (2005). Medical Surgical Nursing;clinical management for positif outcome. 7th Ed.St. Louis: Esvier. Inc
Braden, B. (2001). Protocols by levels of teh risk: braden scale. http://bradenscale.com/ulcers
Braden, B. J & Bergstrom, N. (2000). A conceptual schema for the study of the etiology of pressure sores. Rehabilitation nursing. 25, 105-10
Brito, P., Generoso, S., Correia, M. (2012). Prevalence of pressure ulcers in hospital brazil and association with nutritional status: a multicenter, cross sectional study. Journal Nutrition. 29, 646-9
Bryant, R. A. (2007). Acute and Chronic Wounds. St.Louis, MO: Mosby, Inc
Bryant, R. (2000). Acute and chronic wound: nursing management. Mosby: St. Louis
Cai, S., Momotazur, R., Orna, I. 2013. Obesity and Pressure Ulcers Among Nursing Home Residents. Med Care. 51(16):478-486
Claudia, G., Morin, D., St-Germain, D., Dallaire, D. 2010. Prevention and treatment of Pressure Ulcers in a University Hospital Centre: a Corrrelational Study Examining Nurses’ Knowledge and Best Practice. International Journal of Nursing Practice.16:183-187
Compas, C. (2010). Pressure ulcer prevention and management. www.afmc.org/documents
Cooper, K. L. Evidence-Based Prevention of Pressure Ulcers in the Intensive Care Unit. J Crit Care Nurs. 2013;33(6):57-66
Corwin. (2006). XXX
Cox, J. (2011). Predictors of pressure ulcers in adult critical care patients. American Journal of Critical Care. 20 (5), 364-376
Cresci, G. 2005. Nutrition support for the critically ill patient: a guide to practice. Francis: CRC Press. E-book
Crisp, J., & Taylor, C. (2006). Potter & Perry’s fundamentals of nursing. 2nd edition. St. Louis Missouri: Mosby Elsevier
Dahlan, M. S. (2013). Statistik untuk Kedokteran dan Kesehatan : Deskriptif, Bivariat, dan Multivariat. Jakarta : Salemba Medika.
Dahlan, M. S. (2013). Besar Sampel dan Cara Pengambilan Sampel dalam Penelitian Kedokteran dan Kesehatan. Jakarta : Salemba Medika.
Elia, M., Russell, C. A., Stratton, R. J. (2010). Malnutrition in the UK: policies to address the problem. Proc Nutr Soc. 69, 470-6
Elliott, R., Sharon, M., Vicki, F. (2008). Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit. American Journal of Critical Care. 17, 328-334
Era, D. K. (2009). Efektifitas skala braden dalam memprediksi kejadian luka tekan di bangsal bedah-dalam RSU Prof. Dr. W. Z Yohannes Kupang. http://www.digilib.ui.ac.id
Escalon, J., Correia, I., Paula, J. A, Echenique, M., Lamache, L. I., Rugeles, S. (2003). Total nutritional therapy: an integrated approach to patient care. Pennsylvania, USA: Abbott Laboratories European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel/
NPUAP-EPUAP. (2009). Prevention and treatment of pressure ulcers: Quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; http://www.npuap.org/Final_Quick_P evention_for_web_2010.pdf
European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel/NPUAP-EPUAP. (2007). Pressure ulcer stages revised. Diunduh dari http://www.npuap.org/pr2.htm
Fife, C., Otto, G., Capsuto, E., et al. (2003). Incidence of pressure ulcers in a neurologic intensive care unit. Diambil dari http://www.ncbi.nlm.nih.gov/pubmed/11246307? ordinalpos=1&itool/EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=2&log$=relatedarticles&logdbfrom=pubmed
Filipovic, B. F., Gajic, M., Milinic, N., Milovanovic, B., Filipovic, B. R., Cvetkovic, M., et. al. (2010). Comparison of two nutritional assessment methods in gastroenterology patients. World Journal Gastroenterol. 16, 1999-2004
Fontes, D., Generoso, S., Correia, M. (2012). Subjective global assessment: a reliable nutritional assessment tool to predict outcomes in critically ill patients. Journal Clinical Nutrition. 33, 291-295
Grupta, D., Lammersfels, C. A., Vashi, P.G., Burrows, J., Lis, C. G. Grutsch, J. F. (2005). Prognosstic significance of subjective global assessment (SGA) in advanced colorectal cancer. European Journal Clinical Nutrition. 59, 34-35
Halter. J., Ouslander, J., Tinetti, M., Studenski, S., High, K., Asthna, S., et al. (2009). Hazzard’s Geriatric Medicine & Gerontology
Heimburger, D. C., Weinsier, R. L. (1997). Handbook of clinical nutrition. 3rd Ed. St Louis: Mosby
Hudak, C. M., & Gallo, B. G. (2010). Keperawatan Kritis. Edisi VIII, Vol I, Jakarta: EGC.
Ignatavicius & Workman. (2006). Medical surgical nursing; Critical Thinking for Collaborative Care. 5th edition. Philadelphia: W.B. Sounders Company
Isenring, E., Banks, M., Fergusson, M., & Bauer, J. (2012). Beyond malnutrition screening: Appropriate methods to guide nutrition care for aged care residents. Journal of The Academy of Nutrition and Dietetics. 112, 376-81
Jensen, G. L., Bistrian, B., Roubenoff, R., Heimburger, D. C. (2009). Malnutrition syndromes: a conundrum vs continuum. Journal Parenter Eternal Nutr. 33(6), 710-6
Jensen, B., Catherine, H. Quality Indicators for the Care of Pressure Ulcers in Vulnerable Elders. Journal Compilation (JAGS). 2007;55(S2):S409-S416
Lehrer, Michael. (2008). Bedsores: Decubitus Ulcer. Diakses tanggal 25 Oktober 2014, Available at
http://www.nlm.nih.gov/medlineplus/ency/article/007071.htm
LeMone, P. & Burke, K. (2008). Medical surgical nursing: Critical Thinking in Client Care. 4th edition. USA: Pearson prentice hall
Lindgren, M., Mitra, U., Mats, F., Anna, C. 2004. Immobility-a Major Risk Factor for Development of Pressure Ulcers Among Adult Hospitalized Patients: a Prospective Study. Scand J Caring Sci, 18:57-64
Lumenta, N. (2008). Lokakarya PELKESI: strategi mempersipakan dan menjaga mutu akreditasi rumah sakit. http://scribd.com
Martineau, J., Bauer, J., Isenring, E., Cohen, S. (2005). Malnutrition determined by the patientgenerated subjective global assessment is associated poor outcomes in acute stroke patients. Journal Clinical Nutrition. 24, 1073-77
Martins, C., Correia, J., & Do, A. (2005). Undernutrition risk screening and lengthof stay of hospitalized elderly. Journal Nutr Elder. 25, 5-21
Mehta, N. M., & Duggan, C. P. (2009). Nutritional deficiencies during critical illness. Pediatri Clin N Am. 56, 1143-60
Mino, Y., Shigeto, M., Kohya, O., Shoroku, S., Miyuki, O., Masashi, O. 2001. Risk Factor for Pressure Ulcers in Bedridden Elderly Subjects: Importance of Turning Over in Bed and Serum Albumin Level. Geriatric and Gerontology International.1:38-44
Moriana, M., Civera, M., Artero, A., Real, J., Caro, J., Ascaso, J., et. al. (2014). Validity of subjective global assessment as a screening method for hospital malnutrition: prevalence of malnutrition in a tertiary hospital. Endocrinol Nutrition. 61, 184-9
Nazarko, L. (2006). An overview of pressure area care and manual handling. Nursing and Residential Care. 8(1)
Nolan, J., Deakin, C., Soar, J. (2005). European resuscitation council guidelines for resuscitation. Adult advanced Life Support Resuscitation. 4, S39-86
Norman, K., Pichard, C., Lochs, H. Pirlich, M. (2007). Prognostic impact of disease related malnutrition. European society for clinical nutrition and metabolism. Philadelphia: Elsevier
Papanikolaou, P., Patricia, L., Denis, A. Risk Assessment Scales for Pressure Ulcer: A methodological Review. International journal of Nursing Studies. 2007;44:285-296 Available at http://www.elsevier.com/locate/ijnurstu
Paul, J. S., Matheny, S., Lewis, E. (2008). Current diagnosis & treatment in family medicine, second edition
Pollit, D.F & Beck, C.T. (2006). Nursing research : principles and methods, 7th edition, Lippincott William & Wilkins. A Wolters Kluwer Company. Philadelpia.
Racco, M., & Beverly, P. (2010). Developing a protocol for intensive care patient at high risk for pressure ulcers. Journal Critical Care Nurse. 30 (3), 77-80
Rasheed, S & Woods, R. (2013). Predictive validity of malnutrition universal screening tool (must) and short form mini nutritional assessment (mna-sf) in terms of survival and length of hospital stay. E-SPEN Journal. 8, e44-e50
Resuscitation Council (UK). (2006). Advanced Life Support. 5th ed. Resuscitation Council UK: London
Sayar, S., Sibel, T., Havva, D., Aynur, E., Sabire, Y., Ferit, D., et al. (2008). Incident of pressure ulcers in intensive care unit patients at risk according to the waterlow scale and factors influencing the development of pressure ulcers. Journal of Clinical Nursing. 18, 765-774
Schoonhoven, L., Haalboom, J. R., Bousema, M. T., Algra, A., Grobbee, D. E., Grypdonck, M. H., et al. (2002). Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. BMJ. 325: 797. http://ebscohost.com
Schueren, M., Guaitoli, P., Jansma, E., & Henrica. (2013). Nutrition screening tools: Does one size fit all?? A systematic review of screening tools for the hospital setting. Clinical Nutrition. 33, 39-58
Seres, D. S. (2005). Surrogate nutrition marker, malnutrition, and adequacy of nutrition support. Nutr Clin Pract. 20, 308-13
Shahin, E., Maijers, J., Schols, A., Tannen, A., Halfens, R., Dassen, T. (2010). The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes. Journal Nutrition. 26, 886-9
Sheean, P. M., Peterson, S. J., Chen, Y., Liu, D., Lateef, O., Braunschweig, C. (2012). Utilizing multiple methods to classify malnutrition among elderly patients admitted to the medical and surgical intensive care units (ICU). Clinical Nutrition. 32, 752-7
Sheean, P. M., Peterson, S. J., Gurka, D. P., Braunschweig, C. A. (2010). Nutrition assessment : the reproducibility of subjective global assessment in patients requiring mechanical ventilation. Eur J Clin Nutr. 64, 1358-64
Shirodkar, M., & Mohandas, K. M. (2005). Subjective global assessment: a simple and reliable screening tool for malnutrition among Indians. Indian Journal Gastroenterol. 24, 246- 50
Smeltzer, S.C., Bare., B.G., Hinkle, J.L. & Cheever, K.H.,(2008). Textbook of medical-surgical nursing: Brunner, & Suddarth’s. 11th edition.. Philadhelpia: Lippincott Williams & Wilkins
Stephen & Haynes. (2006). NICE pressure ulvers guideline: summary and implication for practice. Journal of wound care. http://www.ebscohost.com
Stratton, R. J., Ek, A. C., Engfer, M., Moore, Z., Rigby, P., Wolfe, R.., et al. (2005). Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic literature riview and meta analysis. Ageing Res Rev. 4, 422-50
Sugiyono. (2011). Metodologi penelitian kuantitatif kualitatif dan R & D. Bandung :Alfabeta
Sungurtekin, H., Sungurtekin, U., Oner, O., Okke, D. (2009). Nutrition assessment in critical ill patient. Nutr Clin Pract. 23, 635-41
Supryadi. (2014). Statistik Kesehatan. Jakarta : Salemba Medika
Suwangsih, M. (2008). Perbandingan hasil penilaian status gizi menggunakan subjective global assessment dan antropometri pada anak rawat inap. Tesis. FK Unpad
Szubski, C., Alejandra, T., Alison, K., Meng, X., Michael, W., Jorge, A., et al. 2014. Predicting Discharge to a Long-Term Acute Care Hospital After Admission to an Intensive Care Unit. American Journal of Critical Care. 23:e46-e53
Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Fanjiang, G., Zieglar, T. (2013). Critical care of nutrition in improving quality of care: n interdisciplinary call to action to address adult hospital malnutrition. Journal of The Academy of Nutrition and Dietetics. 113(9), 1219-37
Tarihoran, D. E. (2010). Pengaruh posisi miring 30 derajat terhadap kejadian luka tekan grade I (non blanchable erythema). Tesis. FIK UI
Thompson, G., & Doucette, M. (2013). Stages of pressure sores. WebMD. Diunduh tanggal 28 Oktober 2014 dari http://www.webmd.com/skinproblems-and-treatments/four-stagesof-pressure-sores
Vanderwee, K., Grypdonck., Bacquer, D., Defloor, T. (2006). Effectiveness of turning with unequl time intervals on the incidence of pressure ulcer lesions. Journal of advanced nursing. 57, 59-68
Vangilder, C., Macfarlane, G., Meyer, S., Lanchenbruch, C. (2008). Body mass index, weight, and presure ulcer prevalence: an analysis of the 2006-2007 international pressure ulcer prevalence trade mark surveys. http://www.ncbi.nlm.nih.gov/pubmed
Waspadji, S., Suyono, S., Sukardji, K., Hartati, B. (2003) Pengkajian status gizi: studi epidemiologi. Jakarta: Balai Penerbit FKUI
White, J. V., Guenter, P., Jensen, G., Malone, A., Schofield, M. (2012). Consensus statement of the academy of nutrition and dietetics/ american society for parenteral and enteral nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). Journal of The Academy of Nutrition and Dietetics.112(5), 730-8
Wolff, K., Goldsmith, L., Katz, S., Gilchrest, B., Paller, A., Leffel, D. (2008). Dermatology in general medicine. Diunduh dari http://www.accessmedicine.com
Young, A. M., Kidston, S., Banks, M. D., Mudge, A. M., Isenring, E. A. (2013). Malnutrition screening tools: comparison againts two validated nutrition assessment methods in older in medical inpatients. Nutrition. 29(1), 101-6