HUBUNGAN STATUS NUTRISI DENGAN LAMA HARI RAWAT INAP BALITA DI RSUD DR. H KOESNADI BONDOWOSO
Keywords:
Lama Hari Rawat Inap, Malnutrisi, Status Nutrisi, Perawatan PediatrikAbstract
Status nutrisi merupakan parameter fisiologis fundamental yang mempengaruhi efisiensi penyembuhan klinis serta durasi perawatan pasien pediatrik di rumah sakit. Penelitian ini bertujuan untuk menganalisis hubungan antara status nutrisi dengan lama hari rawat inap anak balita di Ruang Melati RSUD Dr. H. Koesnadi Bondowoso. Rancangan penelitian menggunakan analitik observasional dengan pendekatan cross-sectional terhadap 78 rekam medis balita yang dipilih melalui teknik purposive sampling. Variabel status nutrisi dievaluasi berdasarkan indikator Berat Badan menurut Umur (BB/U) sesuai standar Permenkes No. 2 Tahun 2020, sedangkan lama hari rawat dikelompokkan menjadi Normal Length of Stay (LOS) (≤ 5 hari) dan Prolonged LOS (> 5 hari). Analisis bivariat dilakukan menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukkan bahwa mayoritas responden memiliki status nutrisi normal (56,4%) dan menjalani durasi perawatan kategori Normal LOS (71,8%). Uji hipotesis menghasilkan nilai p-value = 0,014 (p < 0,05) dengan koefisien korelasi r = -0,277, mengindikasikan adanya hubungan signifikan berarah negatif dengan kekuatan hubungan tergolong cukup. Kesimpulannya, semakin baik status nutrisi anak balita, maka masa perawatan rawat inap cenderung semakin singkat. Implikasi keperawatan menekankan pentingnya pengkajian gizi komprehensif saat admisi dan intervensi nutrisi kolaboratif untuk mencegah perpanjangan hari rawat.
Downloads
References
Almeida, A. R., Nunes, B. P., Duro, S. M. S., Facchini, L. A., & Thumé, E. (2021). Factors influencing hospital length of stay: A systematic review. BMC Health Services Research, 21(1), 269.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2022). Global trends and determinants of child malnutrition: A review of data and intervention strategies. The Lancet Global Health, 10(5), e643–e656.
Dadi, H. H., Hussen, S., Asmare, W., & Getahun, F. (2024). Length of hospital stay and associated factors among adult inpatients: A cross-sectional study. PLOS ONE, 19(3), e0291345.
De Onis, M., Borghi, E., Arimond, M., & Onyango, A. (2022). Measuring child growth to monitor progress towards the Sustainable Development Goals. Maternal & Child Nutrition, 18(S1), e13342.
Dent, E., Morley, J. E., Cruz-Jentoft, A. J., & Cederholm, T. (2023). Malnutrition in older adults. The Lancet, 402(10396), 1678–1689.
Gokhale, S., Kumari, P., Agrawal, A., & Gupta, S. (2023). Hospital length of stay prediction tools for all admissions: A systematic review. Frontiers in Medicine, 10, 1157849.
Kaya, R., Urgancı, N., & Usta, A. M. (2024). Prevalence of malnutrition in hospitalized children and its association with length of stay. Cyprus Journal of Medical Sciences, 9(3), 198–204.
Lauque, D., Ndoye, S., de Cazenove, C., Poussou, S. B., & Escourrou, G. (2022). Length-of-stay in the emergency department and subsequent outcomes: A cohort study. Journal of Clinical Medicine, 11(16), 4805.
Nielsen, M. K., Beck, A. M., & Holst, M. (2024). Nutritional status, nutritional risk, nutrition impact symptoms, and quality of life in hospitalized patients: A prospective study. Clinical Nutrition, 43(2), 532–541.
Raiten, D. J., Combs, G. F., Tanumihardjo, S. A., & King, J. C. (2021). Perspective: Nutritional status as a biological variable (NABV): Integrating nutrition science into basic and clinical research and care. Advances in Nutrition, 12(5), 1761–1773.
Shinsugi, C., Gunasekara, D., Gunawardena, N. K., & Takimoto, H. (2020). Nutrient intake and growth status among preschool children: An evaluation using dietary assessment methods. Public Health Nutrition, 23(14), 2578–2587.
Thibault, R., Seguin, P., Tamion, F., Pichard, C., & Singer, P. (2021). ESPEN guideline on hospital nutrition. Clinical Nutrition, 40(6), 5689–5721.
Topal, A., & Tolunay, O. (2021). Effect of malnutrition on length of hospital stay in children. Turkish Archives of Pediatrics, 56(1), 37–43.
Torres, A., Herrera, M., & Domínguez, E. (2023). Micronutrient deficiencies and biomarkers in children under five: Global perspectives and strategies for improvement. Nutrients, 15(6), 1398.
World Health Organization. (2021). Child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Mohammad Taufiq Arundito, Nikmatur Rohmah, Komarudin
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
