Aplikasi Telemonitoring dalam Peningkatan Status Gizi Pasien Kanker
(1) Fakultas Kesehaan Masyarakat Universitas Diponegoro
(2) Fakultas Kesehaan Masyarakat Universitas Diponegoro
(3) Fakultas Kesehaan Masyarakat Universitas Diponegoro
(*) Corresponding Author
Abstract
Latar Belakang: Peningkatan prevalensi kanker Indonesia meningkat pesat tiap tahunnya. albumin dan hemoglobin merupakan prediktor status gizi yang mudah dan cepat menilai status gizi pasien kanker. Namun seringkali kepatuhan diit terabaikan sehingga turunnya kadar albumin terjadi dan berakibat malnutrisi dan penurunan kualitas hidup. Penanganan terapi yang komperhensif seperti pengobatan dengan kemoterapi, radioterapi serta terapi gizi sangat dibutuhkan untuk mencegah perburukan. Dibutuhkan suatu solusi dalam meningkatkan kepatuhan salah satunya dengan menerapkan aplikasi pengingat diit semacam aplikasi telenutrisi kanker yang dapat diinstal ke ponsel pasien. Penelitian ini bertujuan untuk manganalisa hubungan pemberian aplikasi telenutrisi kanker terhadap albumin dan hemoglobin pada pasien kanker.
Metode: Studi menggunakan penelitian kuantitatif dengan Quasi Eksperiment Control Group Design, rancangan menggunakan pre-test and post-test group design dengan kelompok kontrol tanpa randomisasi. Jarak pengukuran data pre dan post perlakuan adalah 30 hari.
Hasil: Aplikasi telenutrisi kanker dalam bentuk pengingat diit mempunyai hubungan positif dalam meningkatkan albumin (p<0,001) dan hemoglobin pa- sien kanker (p<0,001). Kesimpulan: Pemberian aplikasi telenutrisi kanker berupa pengingat diit berhubungan dengan peningkatan albumin dan hemoglobin pasien kanker. Di- harapkan penelitian ini dapat digunakan sebagai dasar penerapan inovasi tek- nologi informasi dalam meningkatkan praktek menajemen pelayanan kanker di Rumah Sakit.
Keywords
Full Text:
PDFReferences
Wayan I, Karyasa D, Kurnianda J, Astuti H. I Wayan Dwija Karyasa, Dkk: Faktor Risiko Dan Asupan Isofl Avon Pada Pasien Kanker Payudara. Vol 10.; 2014.
Dwi Nugroho K, Sucipto U, Pengajar Prodi Ds, Tinggi Ilmu Kesehatan Panti Waluya Malang S, Pengajar Profesi Ners Sekolah Tinggi Ilmu Kesehatan Panti Waluya Malang D. Studi Fenomenologi: Dampak Pengabaian Gejala Kanker Bagi Klien Dan Keluarga Phenomenology Study: The Impact Of Cancer Symptoms For Clients And Families. Published Online 2020. Http://Jurnal.Stikespantiwaluya.Ac.Id/
World Health Organization. Handbook For National Quality Policy And Strategy: A Practical Approach For Developing Policy And Strategy To Improve Quality Of Care.
Sofi Ariani. Stop Kanker. Istana Media; 2015.
Ririn Hariani. Gizi Pasien Kanker. Indonesian Journal Of Cancer. 2007;4:140-143.
Sung H, Ferlay J, Siegel Rl, Et Al. Global Cancer Statistics 2020: Globocan Estimates Of Incidence And Mortality Worldwide For 36 Cancers In 185 Countries. Ca Cancer J Clin. 2021;71(3):209-249. Doi:10.3322/Caac.21660
Caccialanza R, De Lorenzo F, Lobascio F, Et Al. Nutritional Care In Cancer Patients: Initiatives And Perspectives Of The Italian Intersociety Working Group For Nutritional Support In Cancer Patients. Nutrition. 2021;91-92. Doi:10.1016/J.Nut.2021.111358
Knegtmans Mf, Wauben Lsgl, Wagemans Mfm, Oldenmenger Wh. Home Telemonitoring Improved Pain Registration In Patients With Cancer. Pain Practice. 2020;20(2):122-128. Doi:10.1111/Papr.12830
Mengutip C, Prasetyo :, Yumam D, Et Al. (Cetak) Faktor Kualitas Hidup Pasien Kanker. Care:Jurnal Ilmiah Ilmu Kesehatan. 2021;9(2):322-333.
West H. Telemedicine In Oncology: Delivering On An Overdue Promise In The Covid-19 Era. Front Oncol. 2020;10. Doi:10.3389/Fonc.2020.578888
Amber S.Kleckner A. The Nutritional Needs Of Older Cancer Survivors. J Geriatr Oncol. Published Online November 11, 2021.
Harris Je, Gleason Pm, Sheean Pm, Boushey C, Beto Ja, Bruemmer B. An Introduction To Qualitative Research For Food And Nutrition Professionals. J Am Diet Assoc. 2009;109(1):80-90. Doi:10.1016/J.Jada.2008.10.018
Daly B, Lauria Ts, Holland Jc, Et Al. Oncology Patients’ Perspectives On Remote Patient Monitoring For Covid-19.; 2022. Https://Doi.Org/10.
Vozzi F, Filippo P, Erina F, Et Al. Nutritional And Physical Improvements In Older Adults Through The Doremi Remote Coaching Approach: A Real-World Study. Intelligent Medicine. Published Online April 2022. Doi:10.1016/J.Imed.2022.04.001
Kementrian Kesehatan Republik Indonesia. Beban Kanker Di Indonesia.; 2019.
De Luca R, Torrisi M, Bramanti A, Et Al. A Multidisciplinary Telehealth Approach For Community Dwelling Older Adults. Geriatr Nurs (Minneap). 2021;42(3):635-642. Doi:10.1016/J.Gerinurse.2021.03.015
Rossi La, Melstrom Lg, Fong Y, Sun V. Predicting Post-Discharge Cancer Surgery Complications Via Telemonitoring Of Patient-Reported Outcomes And Patient-Generated Health Data. J Surg Oncol. 2021;123(5):1345-1352. Doi:10.1002/Jso.26413
De Cola Mc, Maresca G, D’aleo G, Et Al. Teleassistance For Frail Elderly People: A Usability And Customer Satisfaction Study. Geriatr Nurs (Minneap). 2020;41(4):463-467. Doi:10.1016/J.Gerinurse.2020.01.019
Kim H, Yoo S, Park Ys, Park Sg. Low Dietary Energy Intake Is Associated With Sarcopenia In Cancer Survivors: An Analysis Based On The Korean National Health And Nutrition Examination Survey 2008–2011. Nutrition Research. 2018;53:15-22. Doi:10.1016/J.Nutres.2018.01.004
Van Den Berg N, Schumann M, Kraft K, Hoffmann W. Telemedicine And Telecare For Older Patients - A Systematic Review. Maturitas. 2012;73(2):94-114. Doi:10.1016/J.Maturitas.2012.06.010
Sulistya Kusuma H. Gambaran Kadar Albumin, Limfosit, Asupan Protein Dan Vitamin A Pada Pasien Kanker Payudara. Vol 7.; 2016.
Soeters Pb, Wolfe Rr, Shenkin A. Hypoalbuminemia: Pathogenesis And Clinical Significance. Journal Of Parenteral And Enteral Nutrition. 2019;43(2):181-193. Doi:10.1002/Jpen.1451
Qaderi Sm, Vromen H, Dekker Hm, Stommel Mwj, Bremers Aja, De Wilt Jhw. Development And Implementation Of A Remote Follow-Up Plan For Colorectal Cancer Patients. European Journal Of Surgical Oncology. 2020;46(3):429-432. Doi:10.1016/J.Ejso.2019.10.014
Prinz L, Cramer M, Englund A. Telehealth: A Policy Analysis For Quality, Impact On Patient Outcomes, And Political Feasibility. Nurs Outlook. 2008;56(4):152-158. Doi:10.1016/J.Outlook.2008.02.005
Rasschaert M, Vanclooster P, Mertens T, Et Al. The Tele-Transition Of Toxicity Management In Routine Oncology Care During The Severe Acute Respiratory Syndrome (Sars-Cov-2) Pandemic. Br J Cancer. 2021;124(8):1366-1372. Doi:10.1038/S41416-020-01235-3
Jonker Lt, Lahr Mmh, Festen S, Oonk Mhm, De Bock Gh, Van Leeuwen Bl. Perioperative Telemonitoring Of Older Adults With Cancer: Can We Connect Them All? J Geriatr Oncol. 2020;11(8):1244-1249. Doi:10.1016/J.Jgo.2020.08.008
Maguire R, Mccann L, Kotronoulas G, Et Al. Real Time Remote Symptom Monitoring During Chemotherapy For Cancer: European Multicentre Randomised Controlled Trial (Esmart). The Bmj. 2021;374. Doi:10.1136/Bmj.N1647
Mella-Abarca W, Barraza-Sánchez V, Ramírez-Parada K. Telerehabilitation For People With Breast Cancer Through The Covid-19 Pandemic In Chile. Ecancermedicalscience. 2020;14. Doi:10.3332/Ecancer.2020.1085
Offodile Ac, Dibrito Sr, Finder Jp, Et Al. Active Surveillance Of Chemotherapy-Related Symptom Burden In Ambulatory Cancer Patients Via The Implementation Of Electronic Patient-Reported Outcomes And Sensor-Enabled Vital Signs Capture: Protocol For A Decentralised Feasibility Pilot Study. Bmj Open. 2022;12(4). Doi:10.1136/Bmjopen-2021-057693
Jonker Lt, Lahr Mmh, Festen S, Oonk Mhm, De Bock Gh, Van Leeuwen Bl. Perioperative Telemonitoring Of Older Adults With Cancer: Can We Connect Them All? J Geriatr Oncol. 2020;11(8):1244-1249. Doi:10.1016/J.Jgo.2020.08.008
Muscaritoli M, Arends J, Bachmann P, Et Al. Espen Practical Guideline: Clinical Nutrition In Cancer. Clinical Nutrition. 2021;40(5):2898-2913. Doi:10.1016/J.Clnu.2021.02.005
Gusdiani I, Studi Keperawatan P, Kedokteran F, Tanjungpura Pontianak U. Pengaruh Penggunaan Aplikasi Reminder Terhadap Kepatuhan Diet Dan Kadar Gula Darah Pasien Diabetes Melitus Tipe Ii.
Kim Hs, Lee Kh, Kim H, Kim Jh. Using Mobile Phones In Healthcare Management For The Elderly. Maturitas. 2014;79(4):381-388. Doi:10.1016/J.Maturitas.2014.08.013
Saha Sk, Jha A. Impact Of Reminder On Medication Adherence: A Structural Equation Model, Based On Study In Sikkim, India. Bioscience Journal. 2022;38. Doi:10.14393/Bj-V38n0a2022-59087
Article Metrics
Abstract view : 258 timesPDF - 53 times
DOI: https://doi.org/10.26714/medart.5.2.2023.57-65
Refbacks
- There are currently no refbacks.
Contact
Faculty of Medicine, Universitas Muhammadiyah Semarang
Jl. Kedungmundu Raya No. 18, Semarang, Indonesia
Email: medica.arteriana@unimus.ac.id