| Summary: | Background: Stroke can cause the decline of nutrition status.
Undernourished nutrition is commonly found in stroke patients during early
hospitalization at the prevalence of about 16%-22%. Undernourished
nutrition status in stroke patients may bring some consequences such as
increased urinary tract and respiratory infection, mortality after 3 months of
stroke attack, prolonged hospitalization, and decreased functional status.
Risk for undernourished nutrition status will increase in stroke patients that
suffer from swallowing disorder or dysphagia. Dysphagia in stroke patients
often causes less food intake, dehydration, and or complications such as
pneumonia that requires enteral tube feeding.
Objective: To identify the dysphagia influence to nutritional status of
stroke patients at inpatient ward.
Method: The study used prospective cohort design. Data were obtained
from 65 samples of stroke patients at Dr. Cipto Mangunkusumo Hospital
that included nutrition status, dysphagia food intake and method of
feeding. Assessment of nutrition status used SGA whereas food intake
used Comstock and Food Recall 24 hours. To get the influencing factor
was used logistic regression analysis.
Result : From this study is resulted that protein intake OR 1,03 (0,99-
1,06), dysphagia of OR 0,55 (0,05-5,56), and the way of feeding OR 14,93
(1,44-154,46) influenced the nutritional status to stroke patients. While
the analysis multivariate result stated that the way of feeding is the most
influencing one to nutritional status of stroke patients.
Conclusion: Dysphagia has 1.6 times of undernourished, energi and
protein intake well-nourish prevent undernourish, and the way of feeding
via naso gastric tube can cause undernourished 1.9 times.
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