Tesis

Pengaruh Media Booklet dalam Konseling Terhadap Perubahan Asupan Energi, Berat Badan, dan Indeks Massa Tubuh Pasien Malnutrisi di Poli Gizi RSCM = The Effect of Booklet Media in Counseling on Changes in Energy Intake, Body Weight, Body Mass Index in Malnourished Patients at the RSCM Nutrition Clinic.

Malnutrisi menyebabkan penurunan berat badan, perubahan komposisi tubuh dan gangguan fungsi fisiologis. Hal ini berakibat pada penyembuhan yang lebih lama dan peningkatan morbiditas serta mortalitas. Konseling gizi bertujuan untuk menambah pengetahuan, meningkatkan asupan makan dan status gizi. Penggunaan media booklet dapat meningkatkan keberhasilan konseling gizi. Penelitian ini bertujuan untuk mengetahui pengaruh media booklet dalam konseling di poliklinik gizi RSCM terhadap perubahan asupan energi, berat badan, dan indeks massa tubuh pasien malnutrisi setelah satu bulan pemberian konseling. Desain penelitian adalah studi quasi eksperimental dengan pre and post with control group design terhadap 58 subjek penelitian. Data yang diambil adalah asupan energi (metode food recall 1x24 jam), berat badan (BB), dan indeks massa tubuh (IMT). Hasil penelitian menunjukkan setelah intervensi rerata asupan energi pada kelompok perlakuan mengalami peningkatan yang bermakna (278,11±68,18 kilo kalori, nilai p=0,001). Rerata BB kelompok perlakuan dan kelompok kontrol mengalami penurunan, namun rerata penurunan BB kelompok perlakuan lebih sedikit dibandingkan dengan kelompok kontrol (-0,68±0,4 kg vs -1,69±0,74 kg). Rerata IMT kelompok perlakuan dan kelompok kontrol mengalami penurunan, namun rerata penurunan IMT kelompok perlakuan lebih sedikit dibandingkan dengan kelompok kontrol (-0,26±0,14 kg/m2 vs -0,35±0,28 kg/m2). Media booklet dalam konseling gizi di poli gizi RSCM secara signifikan meningkatkan asupan energi pada kelompok perlakuan. Penurunan BB dan IMT pada kelompok perlakuan lebih sedikit dibandingkan dengan kelompok kontrol.
Kata kunci: Konseling gizi, booklet, malnutrisi, berat badan, indeks massa tubuh, asupan energi


Malnutrition causes weight loss, changes in body composition, and impaired physiological function. This results in longer healing and increased morbidity and mortality. Nutrition counseling aims to increase knowledge, improve food intake, and improve nutritional status. The use of booklet media can increase the success of nutritional counseling. This study aims to determine the effect of booklet media in counseling at the RSCM nutrition clinic on changing energy intake, body weight, and body mass index of malnourished patients after one month of counseling. The research design is a quasi-experimental study with pre- and post-control group designs on 58 research subjects. The data taken is energy intake (1x24-hour food recall method), body weight (BB), and body mass index (BMI). The results showed that after the intervention, the average energy intake in the treatment group had increased significantly (278.11 ± 68.18 calories, p value = 0.001). The mean weight loss of the treatment group and control group decreased, but the average weight loss of the treatment group was less than that of the control group (-0.68 ± 0.4 kg vs. 1.69 ± 0.74 kg). The mean BMI of the treatment group and the control group decreased, but the mean decline in BMI of the treatment group was less than that of the control group (- 0.26 ± 0.14 kg/m2 vs. -0.35 ± 0.28 kg/m2). Booklet media in nutritional counseling at the RSCM nutrition clinic significantly increased energy intake in the treatment group. The decrease in weight and BMI in the treatment group was less than in the control group.
Key words: Nutritional counseling, booklet, malnutrition, body weight, body mass index, energy intake