Aplikasi Telemonitoring dalam Peningkatan Status Gizi Pasien Kanker

Risky Ika Riani(1*), Sri Achadi Nugraheni(2), Farid Agushybana(3)


(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


Kanker, telenutrisi, status gizi

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References


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


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DOI: https://doi.org/10.26714/medart.5.2.2023.57-65

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