Hubungan Status Gizi, Kadar Albumin, Asupan Energi, dan Protein dengan Lama Hari Rawat pada Pasien Pneumonia: (Studi di Ruang Paru RSUD Brigjend. H. Hasan Basry Kandangan)

Ibnu Prakoso; Magdalena; Rosihan Anwar

doi:10.71456/jik.v4i2.1602

Authors

Ibnu Prakoso* Politeknik Kesehatan Banjarmasin
Magdalena Politeknik Kesehatan Banjarmasin
Rosihan Anwar Politeknik Kesehatan Banjarmasin

DOI:

https://doi.org/10.71456/jik.v4i2.1602

Keywords:

Albumin, Energi, Protein, Pneumonia

Abstract

Penelitian ini bertujuan mengetahui hubungan status gizi, kadar albumin, asupan energi, dan asupan protein dengan lama hari rawat pasien pneumonia di Ruang Paru RSUD Brigjend H. Hasan Basry Kandangan. Penelitian menggunakan desain observasional analitik dengan pendekatan Cross Sectional. Sampel berjumlah 41 responden yang dipilih melalui teknik total sampling. Penelitian dilaksanakan pada Oktober-November 2025. Data dikumpulkan melalui wawancara menggunakan kuesioner, pengukuran antropometri, dan studi dokumentasi rekam medis. Analisis dilakukan secara univariat dan bivariat menggunakan uji korelasi Rank Spearman. Hasil penelitian menunjukkan sebagian besar responden berstatus gizi sangat kurus (41,5%), memiliki kadar albumin rendah (70,7%), asupan energi defisit berat (31,7%), dan asupan protein defisit berat (41,5%), serta mengalami lama hari rawat yang panjang (78,0%). Terdapat hubungan signifikan antara status gizi, kadar albumin, asupan energi, dan asupan protein dengan lama hari rawat (p = 0,001 < α). Kesimpulannya, keempat faktor tersebut berhubungan erat dengan lama hari rawat pasien pneumonia sehingga intervensi gizi diperlukan untuk mempercepat penyembuhan. Disarankan agar dilakukan skrining status gizi dan pemberian intervensi gizi secara tepat sejak awal perawatan sebagai bagian dari tatalaksana pasien pneumonia.

References

Abdjul, R. L., & Herlina, S. (2020). Asuhan Keperawatan Pada Pasien Dewasa Dengan Pneumonia : Study Kasus. Indonesian Jurnal of Health, 2(2), 102–107.

Abqariah, Mukhlis, & Masri. (2024). Faktor - Faktor Yang Berhubungan dengan Lamanya Hari Rawat Pada Pasien Di Ruang Bedah Rumah Sakit Umum Daerah Tgk Chik Ditiro Sigli. Jurnal Sains Riset (JSR), 14(April), 508–515.

Aldecoa, C., Llau, J. V, Nuvials, X., & Artigas, A. (2020). Role of albumin in the preservation of endothelial glycocalyx integrity and the microcirculation: a review. Annals of Intensive Care, 10(1), 85.

Amouzandeh, M., Sundström, A., Wahlin, S., Wernerman, J., Rooyackers, O., & Norberg, rAke. (2023). Albumin and fibrinogen synthesis rates in advanced chronic liver disease. American Journal of Physiology-Gastrointestinal and Liver Physiology, 325(5), G391–G397.

Atmojo, C. Y., Elasari, Y., Surmiasih, S., & Nugroho, T. A. (2024). Faktor-Faktor yang Berhubungan Dengan Lama Hari Rawat Pasien BPJS Kesehatan di Rumah Sakit Mardi Waluyo Kota Metro. Journal of Nursing Invention, 5(2), 79–87.

Bannigidad, D. B., Nulvi, D. V. S., Seetaram, D., Gayathri, D., & Khatawkar, D. A. V. (2025). Journal of Population Therapeutics & Clinical Pharmacology BLOOD UREA NITROGEN / ALBUMIN RATIO IN PREDICTING. 32(10), 982–989.

Barbagelata, E., Cillóniz, C., Dominedò, C., Torres, A., Nicolini, A., & Solidoro, P. (2020). Gender differences in community-acquired pneumonia. Minerva Medica, 111(2), 153–165.

Blaauw, L., Schoonees, A., Robertson, N., & Visser, J. (2024). The impact of guideline recommended protein intake on mortality and length of intensive care unit and hospital stay in critically ill adults: A systematic review. Clinical Nutrition ESPEN, 61, 356–368.

Caçador, C., Teixeira-Lemos, E., Martins, S., & Ramos, F. (2021). The Role of Nutritional Status on Polypharmacy, Cognition, and Functional Capacity of Institutionalized Elderly: A Systematic Review. Nutrients, 13.

Corica, B., Tartaglia, F., D’Amico, T., Romiti, G. F., & Cangemi, R. (2022). Sex and gender differences in community-acquired pneumonia. Internal and Emergency Medicine, 17(6), 1575–1588.

De Simone, G., Pasquadibisceglie, A., di Masi, A., Buzzelli, V., Trezza, V., Macari, G., Polticelli, F., & Ascenzi, P. (2021). Binding of direct oral anticoagulants to the site of human serum albumin. 34(3), e2877.

Devaraj, S. (2022). Albumin: Reference Range, Interpretation, Collection and Panels (J. Teruya (ed.)).

DJSN BPJS Kesehatan. (2022). Statistik JKN 2016-2021. In Dewan Jaminan Sosial Nasional.

Fatimah, N., & Fayasari, A. (2024). ASUPAN GIZI MAKRO DAN STATUS GIZI BERHUBUNGAN DENGAN LAMA RAWAT PADA PASIEN RAWAT INAP DI RUMAH SAKIT TUGU IBU DEPOK. 1(1), 33–41.

Febronia Melania Woi, Lewi Jutomo, & Toy, S. M. (2025). Kajian Masalah Kesehatan, Tingkat Konsumsi Energi dan Protein, Serta Status Gizi Lansia di Kota Ende. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(1), 91–103.

Fitriyah, Saraheni, & Kurniati. (2022). Hubungan Status Gizi Dengan Lama Hari Rawat Inap Pasien Diabetes Mellitus Tipe 2. Jurnal Gizi Kerja Dan Produktivitas, 3(1), 40–44.

Georgakopoulou, V., Lempesis, I., Tarantinos, K., Sklapani, P., Trakas, N., & Spandidos, D. (2024). Atypical pneumonia (Review). Experimental and Therapeutic Medicine, 28(5), 1–14.

Gradel, K. (2023). Interpretations of the Role of Plasma Albumin in Prognostic Indices: A Literature Review. Journal of Clinical Medicine, 12.

Hruby, A., & Jacques, P. (2020). Protein Intake and Human Health: Implications of Units of Protein Intake. Advances in Nutrition, 12, 71–88.

Hsu, C.-C., Sun, C.-Y., Tsai, C.-Y., Chen, M.-Y., Wang, S.-Y., Hsu, J.-T., Yeh, C.-N., & Yeh, T.-S. (2021). Metabolism of Proteins and Amino Acids in Critical Illness: From Physiological Alterations to Relevant Clinical Practice. Journal of Multidisciplinary Healthcare, 14, 1107–1117.

Irawan, R., Reviono, R., & Harsini, H. (2020). Correlation Between Copeptin and PSI with Intravenous to Oral Antibiotic Switch Theraphy and Length of Stay in Community-Acquired Pneumonia. Jurnal Respirologi Indonesia, 39(1), 44–53.

Kementerian Kesehatan Republik Indonesia. (2024). Survei Kesehatan Indonesia 2023 (SKI). Kemenkes, 235.

Khan, J., Chattopadhyay, A., & Shaw, S. (2023). Assessment of nutritional status using anthropometric index among older adult and elderly population in India. Scientific Reports, 13.

Kim, E.-J., Sok, S., & Won, C. (2020). Factors affecting frailty among community-dwelling older adults: A multi-group path analysis according to nutritional status. International Journal of Nursing Studies, 115, 103850.

Krzymińska-Siemaszko, R., Deskur-Śmielecka, E., Kaluźniak-Szymanowska, A., Kaczmarek, B., Kujawska-Danecka, H., Klich-Rączka, A., Mossakowska, M., Małgorzewicz, S., Dworak, L., Kostka, T., Chudek, J., & Wieczorowska-Tobis, K. (2021). Socioeconomic Risk Factors of Poor Nutritional Status in Polish Elderly Population: The Results of PolSenior2 Study. Nutrients, 13.

Lamichhane, S. (2023). The Relationship between the Nutritional Status and Intelligence among the Children in Selected Schools, Bengaluru. Journal of Advanced Academic Research, 10(1), 47–62.

Latifah, L., & Ngalimun, N. (2023). Pemulihan Pendidikan Pasca Pandemi Melalui Transformasi Digital Dengan Pendekatan Manajemen Pendidikan Islam Di Era Society 5.0. Jurnal Terapung: Ilmu-Ilmu Sosial, 5(1), 41-50.

Latifah, L., Zwagery, R. V., Safithry, E. A., & Ngalimun, N. (2023). Konsep dasar pengembangan kreativitas anak dan remaja serta pengukurannya dalam psikologi perkembangan. EduCurio: Education Curiosity, 1(2), 426-439.

Lin, Y.-W., Chen, H.-C., Pan, P.-J., Tsao, H.-M., Chiang, H.-P., Chou, P., & Hsu, N.-W. (2025). Direct and Indirect Effects of Nutritional Status on Subjective Well-Being in Community-Dwelling Older Adults-the Yilan Study, Taiwan. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 7334648251338304.

Masrikhiyah, R. (2025). Hubungan Tingkat Pengetahuan Gizi terhadap Tingkat Kecukupan Asupan Gizi Makro Anak Sekolah Dasar. Jurnal Bidang Ilmu Kesehatan, 15(1), 51–58.

Meure, C. M., Steer, B., & Porter, J. (2023). Nutritional Intake, Hospital Readmissions and Length of Stay in Hospitalised Oncology Patients. Cancers, 15(5).

Mi-Ae, K., Jae, S. P., Choong, W. L., & Won-Il, C. (2020). Pneumonia severity index in viral community acquired pneumonia in adults. PLoS ONE, 14(3), 1–12.

Muresan, B. T., Núñez-Abad, M., Artero, A., Rios Rios, J., Cunquero-Tomás, A. J., Iranzo, V., Garrido, J., Jiménez-Portilla, A., Camps Herrero, C., & Sánchez Juan, C. J. (2022). Relation of Malnutrition and Nosocomical Infections in Cancer Patients in Hospital: An Observational Study. Journal of Nutrition and Metabolism, 2022, 5232480.

Natasya, F. A. (2022). Tatalaksana Pneumonia. Jurnal Medika Hutama, 03(02), 2392–2399.

Ngalimun, H. (2017). Ilmu Komunikasi Sebuah Pengantar Praktis. Banjarmasin: Pustaka Banua.

Ngalimun, N. (2022). Bahasa Indonesia Untuk Penulisan Karya Ilmiah. EduCurio: Education Curiosity, 1(1), 265-278.

Nguyen, D. T., Ho, P. D., Nguyen, T. C., & Nguyen, V. T. C. (2021). Statistical analysis on length of stay in hospital. Science & Technology Development Journal - Engineering and Technology, 3(SI3), first.

Nishak Laila Khoirotun, D. (2025). Gambaran Pengelolaan Bersihan Jalan Napas Tidak Efektif dengan Fisioterapi Dada dan Inhalasi Oleum Cajeputi pada Pasien Pneumonia. Jurnal Keperawatan Berbudaya Sehat, 3(1), 2986–8548.

Nuha, M. A., & Airlangga, U. (2024). Proses Asuhan Gizi Terstandar pada Pasien Pneumonia dengan Hipertensi. 8, 30585–30591.

Rippe, J. M. (2022). Lifestyle Medicine. In Integrating Lifestyle Medicine in Cardiovascular Health and Disease Prevention (3rd Editio).

Rusdi, W. E. M., & Farindra, I. (2022). Buku Ajar Kedokteran Tropis. Unusa Press.

Sari, L. W., Susiana, S., & Hardianti, A. (2021). Hubungan Pola Makan Dengan Status Gizi pada Wanita Usia Subur (Wus) Pranikah Di Kabupaten Bantul Yogyakarta. Paper Knowledge: Toward a Media History of Documents, 2(3), 6.

Senee, A., Ishnoo, Y. B., & Jeewon, R. (2022). An Analysis of the Contributors and Factors Influencing Dietary Patterns Among the Elderly Population. Current Research in Nutrition and Food Science Journal.

Sheinenzon, A., Shehadeh, M., Michelis, R., Shaoul, E., & Ronen, O. (2021). Serum albumin levels and inflammation. International Journal of Biological Macromolecules.

Stratidaki, E., Mechili, E., Ouzouni, C., Patelarou, A., Giakoumidakis, K., Laliotis, A., & Patelarou, E. (2024). A Study of Factors Contributing to the Nutritional Status of Elderly People Receiving Home Care. Nutrients, 16.

Tang, W., Ni, X., Yao, W., Wang, W., Li, Y., Lv, Q., Ding, W., & He, R. (2024). Glucose-albumin ratio (GAR) as a novel biomarker for predicting postoperative pneumonia (POP) in older adults with hip fractures. Scientific Reports, 14(1), 26637.

Tang, W., Shao, X., Chen, Q., Zhu, L., He, Y., & Lu, E. (2021). Nutritional status of protein intake in severe pneumonia patients based on dietary nutrition information system. Journal of Infection and Public Health, 14(1), 66–70.

Viasus, D., Pérez-Vergara, V., & Carratalà, J. (2022). Effect of Undernutrition and Obesity on Clinical Outcomes in Adults with Community-Acquired Pneumonia. Nutrients, 14(15).

Wang, D., Willis, D. R., & Yih, Y. (2022). The pneumonia severity index: Assessment and comparison to popular machine learning classifiers. International Journal of Medical Informatics, 163.

Wang, J., Yu, H., Xu, X., & Guo, J. (2025). Bidirectional Relationship Between Hypoalbuminemia and Postoperative Pneumonia in Elderly Hip Fracture Patients: A Retrospective Cohort Study. Clinical Interventions in Aging, 20, 1205–1221.

Wang, Z, H., Y, H., Y, C., H, Z., HC, L., J, M., G, W., & J, Z. (2020). Comparison of severity classification of Chinese protocol, pneumonia severity index and CURB-65 in risk stratification and prognostic assessment of coronavirus disease 2019. Zhonghua Jie He He Hu Xi Za Zhi, 43, 834–838.

Wiedermann, C. J. (2021). La hipoalbuminemia como causante y responsable de infecciones. International Journal of Molecular Sciences, 22(9).

Zheng, Zhang, Yuan, J., & Yi, L. T. (2025). Prevalence, risk factors, and outcomes of malnutrition in older adults hospitalized with community-acquired pneumonia: a retrospective study. Frontiers in Medicine, 12, 1522261.