Kecemasan dan status gizi berhubungan dengan lama rawat inap pada pasien jantung di RSUD Jenderal Ahmad Yani, Metro, LampungDOI : 10.21927/ijnd.2015.3(2).98-104 | Abstract views : 655 times

[摘要] Background : Anxiety is one of the most common psychological problem occurred in hospitality patient. The prevalence of anxiety in chronic heart failure patients was 11-45%. Anxiety in heart failure patients could worsening patient’s condition that lead to increased ischemic event, morbidity, negative effects on quality of life, and mortality. Despite anxiety, nutritional status is also one of the most important thing in mantaining patient’s health. Malnutrition has association with increased morbidity, complication, length of stay (LOS), medical therapy, and hospital fees. Objectives : To know the impact of nutritional status and anxiety on LOS in chronic heart failure patients at Jenderal Ahmad Yani General Hospital, Metro, Lampung. Methods : This was an observational quantitative study with cohort prospective design. The research was conducted on July 2014. Subjects were 70 patients who full fi lled the inclusive requirement, patients with anxiety as exposed group and patients without anxiety as non-exposed group. Anxiety was assessed with Hospital Anxiety and Depression Scale (HADS), while nutritional status was assessed by upper-arm circumference. Data were analyzed with chi-square and logistic regression test. Results : Bivariate test showed that there was significant association between anxiety with LOS (p<0.05). Subjects without anxiety tended to have shorter LOS than that of with anxiety (RR=5.5). There was significant association between nutritional status and LOS (p<0.05). Subjects with normal nutritional status tended to have shorter LOS than that of with undernutrition (RR=2.28). Multivariate test showed that there was an association between anxiety and LOS (p<0.05) with OR=11.22. Conclusions : There was an association between anxiety and LOS. Patients without anxiety had shorter LOS than that of with anxiety. There was association between nutritional status and LOS. Patients with normal nutritional status had shorter LOS than undernutrition patients.

[关键词] anxiety;heart failure patients;length of stay;nutritional status;kecemasan;pasien jantun;lama rawat;status gizi