Tesis

Korelasi Frekuensi Kunjungan Ke Poliklinik Gizi Dengan Berat Badan Dan Kekuatan Genggaman Tangan Pasien Kanker Kepala Leher Yang Menjalani Kemoradiasi = Correlation of Frequency of Visits to Clinical Nutrition Outpatient Clinic with Body Weight And Handgrip Strength Of Head And Neck Cancer Patients Undergoing Chemoradiation.

Latar belakang: Pasien kanker kepala leher yang mendapatkan kemoradiasi berisiko mengalami malnutrisi dan peningkatan malnutrisi hingga 88 % saat akhir kemoradiasi. Efek samping kemoradiasi berupa xerostomia, mukositis, mual atau muntah menambah penurunan status nutrisi dan kapasitas fungsional. Monitoring status nutrisi salah satunya dilakukan dengan cara penilaian berat badan (BB) dan kekuatan genggam tangan (KGT). Penilaian BB dan KGT merupakan cara sederhana dan minimal invasif bagi penderita kanker kepala leher (KKL) dibandingkan alat pemeriksaan lain seperti alat pengukur komposisi tubuh, Dual Energy X-Ray Absorptiometry (DEXA), serta membutuhkan biaya tinggi. Belum diketahui frekuensi kunjungan optimal pasien KKL ke poli gizi selama menjalani kemoradiasi. Metode: Penelitian ini menggunakan metode potong lintang, dilakukan di Radioterapi RSCM (IPTOR RSUPNCM).Penelitian ini bertujuan melihat korelasi tentang frekuensi kunjungan pasien KKL yang menjalani kemoradiasi terhadap BB dan KGT. Subjek yang masuk sebagai kriteria inklusi adalah pasien KKL dewasa, usia 19 hingga 59 tahun, yang menjalani kemoradiasi pada 10 fraksi terakhir, dan bersedia masuk dalam penelitian akan diambil. Pengukuran BB menggunakan timbangan merk Omron® Karada-HBF-375, kekuatan genggam tangan menggunakan Jamar® handgrip pada tangan kanan dominan subjek. Hasil: Berat badan subjek memiliki rerata 55,65±12,34 kg, KGT memiliki rerata 29,24±10,74 kg, dan frekuensi rerata 1 kali. Rerata asupan energi 1225,96±501,22 kkal, protein median 41 g, rerata lemak 33,5±18,8g dan KH 182,2±78,3g. Korelasi antara frekuensi kunjungan terhadap BB (r= 0,61, p= 0,66) dan KGT (r=0,06, p= 0,64). Kesimpulan: Tidak terdapat korelasi antara frekuensi kunjungan terhadap BB dan KGT.
Kata kunci : kanker kepala leher; kekuatan genggam tangan; berat badan; frekuensi kunjungan.


Background: Head and neck cancer patients who get chemoradiated are at risk of malnutrition and an increase in malnutrition of up to 88% at the end of chemoradiation. Side effects of chemoradiation in the form of xerostomia, mucositis, nausea or vomiting add to the decrease in nutritional status and functional capacity. Monitoring nutritional status, one of which is carried out by assessing body weight (BW) and hand-holding strength (HGS). BW and HGS assessments are a simple and minimally invasive way for people with head and neck cancer (HNC) compared to other examination tools such as body composition measuring devices, Dual Energy X-Ray Absorptiometry (DEXA), and require high costs. It is not yet known the frequency of optimal visits of HNC patients to the nutrition poly during the moradiation period. Methods: This study used the cross section method, conducted in RSCM Radiotherapy (IPTOR RSUPNCM). This study aims to see a correlation between the frequency of visits by HNC patients undergoing morbidity to BW and HGS. Subjects included as inclusion criteria were adult HNC patients, ages 19 to 59, who underwent chemoradiation in the last 10 fractions, and were willing to enter the study to be taken. BW measurements using omron® Karada-HBF-375 brand scales, hand grip strength using Jamar® handgrip on the dominant right hand of the subject. Result: The weight of the subjects had an average of 55.6 5±12.34 kg, HGS had an average of 29.24±10.74 kg, and an average frequency of 1 time. Average energy intake 1225.96±501.22 kcal, median protein 41 g, average fat 33.5±18.8g and KH 182.2±78.3g. Correlation between the frequency of visits to BW (r= 0.61, p= 0.66) and HGS (r=0.06, p= 0.64). Conclusion: There was no correlation between the frequency of visits to BB and KGT
Keywords : head of neck cancer; the strength of the hand grip; weight gain; frequency of visits.