Nutritional Intake And Affecting Factors Of Edelry People Living At Nursing Home
The incidence of malnutrition in elderly at nursing homes has reached 20%. Malnutrition is caused by inadequate nutritional intake which is affected by multiple factors, including internal factors and external factors. The purpose of this study was to determine the nutritional intake and affecting factors which support nutritional intake adequacy of elderly people living at Tresna Werdha Budi Pertiwi Nursing Home. The design of study was descriptive mixed method with sequential explanatory approach. The quantitative analysis was conducted to determine the amount nutritional intake, while the qualitative analysis was performed to explore the internal and external factors which involved adequate nutritional intake of the elderly people. The subjects were 20 elderly people recruited by a total sampling method living at the Tresna Werdha Budi Pertiwi Nursing Home, who met the inclusion and exclusion criteria. The nutritional intake was assessed using 24 hours food recall by nutritionist and its comparison with the Indonesian nutrition recommendation. Meanwhile, the internal and external factors were explored through in-depth interviews . The average nutritional intake of the elderly people was insufficient to meet the RDA standards, except for vitamin A. The internal affecting factors included early satiety, xerostomia or dry mouth and poor chewing ability. The external affecting factors included unbalanced portion sizes, poor food variety and eating alone. The elderly people living at the nursing home had inadequate nutritional intake, except for vitamin A. The internal factors which had negative effects were early satiety and xerostomia, while the external factors included unbalanced portion sizes, poor food variety and eating alone.
Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. Journal of Clinical Gerontology and Geriatrics. 2015;6(3):78–84.
Bolmsjö BB, Jakobsson U, Mölstad, S, Östgren CJ, Midlöv P. The nutritional situation in Swedish nursing homes - a longitudinal study. Archives of Gerontology and Geriatrics. 2015;60(1):128–33.
Boy E. Prevalensi malnutrisi pada lansia dengan pengukuran mini nutritional assessment (MNA) di puskesmas. Herb-Medicine Journal. 2019;2(1):5-9.
Bourke CD, Berkley JA, Prendergast AJ. Immune Dysfunction as a Cause and Consequence of Malnutrition. Trends in Immunology. 2016;37(6):386–98.
Farid RI, Nurviyandari D. Optimization of family scheduling as elderly caregivers in Senior Care Center. UI Proceedings on Health Medicine. 2017;1.
Guyton AC, Hall JE. Textbook of medical physiology. 13th ed. Philadelphia: Elsevier Ltd; 2016. pp1096.
Halter JB, Ouslander JG, Studenski S, High KP, Asthana S, Supiano MA, et al. editors. Hazzard’s geriatric medicine and gerontology. 7th ed. New York: McGraw-Hill Education Medical; 2017. pp 2096.
Harris RBS, editor. Appetite and food intake: central control. 2nd edition. Boca Raton (FL): CRC Press/Taylor & Francis. 2017.
Julius M, Kresevic D, Turcoliveri M, Cialdella-Kam L, Burant CJ. Malnutrition as a fall risk factor. Federal Practitioner. 2017;34(2):27-30.
Kementerian Kesehatan RI. Jaminan kesehatan nasional dan kesehatan lansia adalah prioritas Indonesia. 2017.
Kim SE, Kim N, Lee JY, Park KS, Shin JE, Nam K, et al. Prevalence and risk factors of functional dyspepsia in health check-up population: a nationwide multicenter prospective study. Journal of Neurogastroenterology and Mortality. 2018;24(4):603-13.
Lee KA, Park J-C, Park YK. Nutrition intake and medication use in elderly individuals with and without dr mouths. Nutrition Research and Practice. 2020;14(2):143-51
Mahan LK, Raymond JL, editors. Krause’s food and the nutrition care process. St. Louis: Elsevier; 2017.
Nazemi L, Skoog I, Karlsson I, Hosseini S, Mohammadi MHR, Hosseini M, et al. Malnutrition, prevalence and relation to some risk factors among elderly residents of nursing homes in Tehran, Iran. Iranian Journal of Public Health. 2015;44(2):218–27.
Nurfantri N, Yuniar D. Identifikasi status nutrisi dan risiko malnutrisi pada lanjut usia di Panti Sosial Tresna Werdha Minaula Kota Kendari. Dunia Keperawatan. 2017;4(2):93.
Pölönen S, Tiihonen M, Hartikainen S, Nykänen I. Individually tailored dietary counseling among old home care clients - effects on nutritional status. Journal of Nutrition, Health and Aging. 2017;21(5):567–72.
Pratono AH, Maharani A. Long-term care in Indonesia: the role of integrated service post for elderly. Journal of Aging and Health. 2018;30(10):1556–73.
Pusat Data Informasi Kementrian Kesehatan Republik Indonesia. Situasi Lanjut Usia (Lansia) di Indonesia. Jakarta. 2016.
Rocha C, Jaime PC, Rea MF. How Brazil’s political commitment to nutrition took shape. In Global Nutrition Report - from promise to impact: ending malnutrition by 2030. 2016.
Serra-Prat M, Papiol M, Vico J, Palomera E, Sist X, Cabré M. Factors associated with frailty in community-dwelling elderly population. A cross-sectional study. European Geriatric Medicine. 2016;7(6):531–37.
Sheppard KD, Ford CR, Sawyer P, Foley KT, Harada CN, Brown, CJ, et al. The interprofessional clinical experience: Interprofessional education in the nursing home. Journal of Interprofessional Care. 2015;29(2):170–72.
Smith KM, Thomas KS, Johnson S, Meng H, Hyer K. Dietary service staffing impact nutritional quality in nursing homes. Journal of Applied Gerontology. 2019;38(5):639–55.
Sudiantara K, Githa IW, Antara IGNPJ. Faktor – faktor yang memengaruhi status gizi pada lansia. Jurnal Keperawatan Politeknik Denpasar. 2015.
Talley NJ, Goodsall T, Potter M. Functional dyspepsia. Australian Prescriber. 2017;40(6):209-13.
Wongrakpanich S, Wongrakpanich A, Melhado K, Rangaswami J. A comprehensive review of non-steroidal anti-inflammatory drug use in the elderly. Aging and Disease. 2018;9(1):143-50.
Whitney E, Rolfes SR. Understanding nutrition. 15th ed. Boston, USA. Cengage. 2019.
Wulandari D. Peran kader dalam meningkatkan kesejahteraan lansia melalui posyandu lansia Bhakti Ananda di Dusun Pengkol Desa Gulurejo Kecamatan Lendah Kabupaten Kulon Progo. Jurnal Pendidikan Lura Sekolah. 2018;6(6):708-20
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