Abstract:
Background : Nutritional status plays an important role in wound healing and length of stay (LOS) in gastrointestinal surgery patients.
Objective : The study aimed to identify the relationship of nutritional status of gastrointestinal surgical patients based on Nutritional Risk Index (NRI), BMI, albumin and hemoglobin level to wound healing and length of stay.
Method : This cross-sectional study included 38 patients who undergoing gastrointestinal surgery at Wahidin Sudirohusodo Makassar Hospital. NRI was measured on admission day. BMI, TSF, MAC, albumin and hemoglobin level were measured pre and post surgery. Food intake was measured by 24 hours Food Recall. While patients wound healing was measured on the 3rd, 5th, and 7th day of surgery.
Results : The result shown significantly relationship between NRI, BMI, and albumin level to wound healing (p<0,05). The average LOS of patients with normal BMI (13.8 ± 5.6 days) was shorter than underweight patient (27.8 ± 17.7 days) and overweight patients (22.4 ± 11.6 days). There is no significant result between food intake and wound healing. In addition, patients with a good nutrition had a good wound healing than patients with undernutrtion .
Conclusion : Nutritional status, food intake, albumin and hemoglobin level patients play important role to wound healing and length of stay patient gastro intestinal surgery at hospital.