DOI: https://doi.org/10.14710/jgi.13.1.42-51

Improving nutrition knowledge and nutrient intake through nutrition education for post-stroke survivors and their families

1Department of Health Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Daerah Istimewa Yogyakarta, Indonesia

21Department of Health Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Daerah Istimewa Yogyakarta, Indonesia

3Department of Neurology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Daerah Istimewa Yogyakarta, Indonesia

Received: 20 Mar 2024; Revised: 24 Jul 2024; Accepted: 12 Nov 2024; Available online: 30 Dec 2024; Published: 30 Dec 2024.

Citation Format:
Abstract

Background: Malnutrition among post-stroke survivors is 14-52%. Nutrition knowledge reinforcement will be beneficial for the survivors and family/caregivers to maintain their nutritional status and improve quality of life.

Objectives: To examine the improvement of nutrition knowledge about nutrition management for post-stroke survivors, family, and caregivers as well as the improvement of nutrient intake and nutritional status among post-stroke survivors.

Materials and Methods: This study used pre-experimental design and was conducted in Embung Tambak Boyo, Sleman District during August 2018. The subjects were post-stroke survivors, being members of Happy Embung, and signing the informed consent. Total subjects were 27 post stroke survivors with 27 family/caregivers of them. This study consisted of a series of activities, as follows: pre-test and baseline assessment, i.e., anthropometry, blood pressure, physical function, and dietary were measured in the 1st week, a series of nutrition education in the 2nd and 3rd week, post-test and endline assessment in the 4th week. The paired sample T-test was employed to compare the differences between baseline data collected during the first week of intervention, and endline data, gathered in the final week of intervention.

Results: Most participants were male (89%) and aged 60 or older (82%). After two series of nutrition education, there were notable increases in nutritional knowledge score of the survivor and family/caregivers, body weight, BMI, HGS, and energy intake of the survivor (baseline vs. endline, mean ± SE: 6.5±0.6 vs. 7.0±0.6; 8.8±0.3 vs. 9.3±0.3; 67.8±1.9 vs. 68.6±1.9; 29.5±0.8 vs. 29.8±0.7; 26.1±2.0 vs. 26.8±2.0; and 1334.5±75.7 vs. 1389.1±95.0, all p<0.05). However, there was no significant improvement on MUAC, body fat total, protein, fat, and carbohydrate intake among the survivors.

Conclusion: Nutrition education might enforce nutrition knowledge of post-stroke survivors and family/caregivers, as well as nutritional status improvement among the survivors.

Keywords: Nutrition education; nutrient intake; nutrition status; post-stroke survivors

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Similarity Checked - Turnitin
Subject
Type Other
  Download (2MB)    Indexing metadata
 Copyright Transfer Agreement
Surat Pernyataan Persetujuan Penulis
Subject
Type Copyright Transfer Agreement
  Download (134KB)    Indexing metadata
 Cover Letter
Cover Letter
Subject
Type Cover Letter
  Download (68KB)    Indexing metadata
 Research Materials
Supplementary Table
Subject
Type Research Materials
  Download (136KB)    Indexing metadata
Keywords: Nutrition education; nutrient intake; nutrition status; post-stroke survivors

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
Nutrition transition and the risk of over-nutrition among female adolescents in Indonesia: analysis of Indonesian family life survey data 2007 and 2014 Study of microwave-assisted extraction of polyphenol from Phyllanthus urinaria Effect of vitamin D3 supplementation on serum 25 (OH)D Levels, hand grip strength, blood sugar levels, and cognitive function in the elderly More recent articles
Most cited articles
Pengaruh pemberian asi eksklusif dan non eksklusif terhadap mental emosional anak usia 3-4 tahun Front Matter Back-Matter Pengaruh pendidikan gizi terhadap pengetahuan dan sikap tentang gizi anak Sekolah Dasar Efek ekstrak daun sirsak (Annona muricata Linn) terhadap profil lipid tikus putih jantan (Rattus Norvegicus) More cited articles
  1. V. Azzahra and S. Ronoatmodjo, “Faktor-Faktor yang Berhubungan dengan Kejadian Stroke pada Penduduk Usia >15 Tahun di Provinsi Daerah Istimewa Yogyakarta (Analisis Riskesdas 2018) Factors Associated with Stroke in Population Aged >15 Years in Special Region of Yogyakarta (Analysis of Basic Health Research 2018),” Jurnal Epidemiologi Kesehatan Indonesia, vol. 6, no. 2, pp. 91–96, Dec. 2022
  2. V. L. Feigin et al., “Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019,” Lancet Neurol, vol. 20, no. 10, pp. 795–820, Oct. 2021, doi: 10.1016/S1474-4422(21)00252-0
  3. S. Vermeulen et al., “Healthy Diets from Sustainable Production: Indonesia,” Jan. 2019
  4. A. C. Lieber, E. Hong, D. Putrino, D. A. Nistal, J. S. Pan, and C. P. Kellner, “Nutrition, energy expenditure, dysphagia, and self-efficacy in stroke rehabilitation: A review of the literature,” Dec. 01, 2018, MDPI AG. doi: 10.3390/brainsci8120218
  5. “Eating Difficulties in Newly-Onset Stroke Patients: A Qualitative Inquiry of Nurses’ Perceptions of the Situation,” Int Arch Nurs Health Care, vol. 4, no. 1, Mar. 2018, doi: 10.23937/2469-5823/1510089
  6. S. C. Lin, K. H. Lin, Y. C. Tsai, and E. C. Chiu, “Effects of a food preparation program on dietary well-being for stroke patients with dysphagia: A pilot study,” Medicine (United States), vol. 100, no. 25, p. E26479, Jun. 2021, doi: 10.1097/MD.0000000000026479
  7. D. Ayushinta Sani Siregar and N. Yuristrianti, “The Differences Of Nutritional Intake and Status On Hemmorrhage Stroke Patients and Ischemic At Prof. Dr. Margono Soekarjo Hospital,” J.Gipas, vol. 2, no. 1, pp. 43–50, 2018, [Online]. Available: http://jos.unsoed.ac.id/index.php/jgps
  8. L. Amalia and A. A. Putri, “Karakteristik Klinis dan Status Nutrisi pada Pasien Stroke Fase Akut Clinical Characteristics and Nutrition Status in Acute Stroke Patients,” JNI, vol. 11, no. 1, pp. 1–6, 2022
  9. H. J. Wong, S. Harith, P. L. Lua, and K. A. Ibrahim, “Prevalence and predictors of malnutrition risk among post-stroke patients in outpatient setting: A cross-sectional study,” Malaysian Journal of Medical Sciences, vol. 27, no. 4, pp. 72–84, 2020, doi: 10.21315/mjms2020.27.4.7
  10. N. C. Foley, K. L. Salter, J. Robertson, R. W. Teasell, and M. G. Woodbury, “Which reported estimate of the prevalence of malnutrition after stroke is valid?,” 2009. doi: 10.1161/STROKEAHA.108.518910
  11. H. C. Shen et al., “Impact of nutritional status on long-term functional outcomes of post-acute stroke patients in Taiwan,” Arch Gerontol Geriatr, vol. 53, no. 2, Sep. 2011, doi: 10.1016/j.archger.2010.08.001
  12. C. Groves, “A Call to Action: Nutritional Counseling of Stroke Patients by Neurology Residents Corresponding Author*,” Review Journal of Neurology & Neurophysiology, vol. 13, no. 8, pp. 001–002, Aug. 2022, doi: 10.35248/2471-268X.22.13
  13. K. Benameur, N. Gandrakota, and M. K. Ali, “Nutritional Counseling of Stroke Patients by Neurology Residents, a Call to Action,” Front Neurol, vol. 13, Jul. 2022, doi: 10.3389/fneur.2022.940931
  14. C. Eli Kosasih, B. Punthmatharith, and U. Boonyasopun, “Family support for patients with stroke: a systematic review,” J Adv Pharm Edu Res, vol. 10, no. 3, pp. 47–56, 2020, [Online]. Available: www.japer.in
  15. R. Ambarika and N. A. Anggraini, “Family Support for Prevention of Recurrent Stroke Events for Stroke Patients,” Journal of Global Research in Public Health, vol. 7, no. 1, pp. 8–16, 2022, doi: 10.30994/jgrph.v7i1.363
  16. L. Rokhmah, N. D. Kurniawati, and A. A. Nastiti, “The relationship of family support and self efficacy with diet compliance in patients with coronary heart disease,” Eurasia J Biosci, vol. 14, pp. 1669–1672, Jun. 2020, doi: 10.5543/tkda.2015.49321
  17. K. K. Widjaja et al., “Knowledge of stroke and medication adherence among patients with recurrent stroke or transient ischemic attack in Indonesia: a multi-center, cross-sectional study,” Int J Clin Pharm, vol. 43, no. 3, pp. 666–672, Jun. 2021, doi: 10.1007/s11096-020-01178-y
  18. B. Devi, “Efficacy of Stroke Empowerment Program on Stroke Knowledge among Caregivers with Stroke Survivors,” Int J Nutr Pharmacol Neurol Dis, vol. 14, no. 1, pp. 118–127, Jan. 2024, doi: 10.4103/ijnpnd.ijnpnd_79_23
  19. F. J. Neves, L. Y. Tomita, A. S. L. W. Liu, S. Andreoni, and L. R. Ramos, “Educational interventions on nutrition among older adults: A systematic review and meta-analysis of randomized clinical trials,” Jun. 01, 2020, Elsevier Ireland Ltd. doi: 10.1016/j.maturitas.2020.03.003
  20. J. C. Hersey et al., “Eat Smart, Live Strong Intervention Increases Fruit and Vegetable Consumption Among Low-Income Older Adults,” J Nutr Gerontol Geriatr, vol. 34, no. 1, pp. 66–80, Jan. 2015, doi: 10.1080/21551197.2015.1007199
  21. Fatmah, “Predictive equations for estimation of stature from knee height, arm span, and sitting height in Indonesian Javanese elderly people,” International Journal of Medicine and Medical Sciences, vol. 1, no. 10, pp. 456–461, 2009, [Online]. Available: http://www.academicjournals.org/ijmms
  22. K. M. Flegal, B. K. Kit, and B. I. Graubard, “Body mass index categories in observational studies of weight and risk of death,” Am J Epidemiol, vol. 180, no. 3, pp. 288–296, Aug. 2014, doi: 10.1093/aje/kwu111
  23. G. K. Kshatriya, R. Chakraborty, N. Mondal, and K. Bose, “Validating mid-upper arm circumference (MUAC) cut off points as an indicator of nutritional status among nine tribal populations of India,” Anthropological Review, vol. 84, no. 3, pp. 301–315, Sep. 2021, doi: 10.2478/anre-2021-0018
  24. L. and B. I. (NIH-N. National Institute of Health - National Heart, “Prevention, Detection, Evaluation, and Treatment of High Blood Pressure,” New York , Dec. 2003
  25. K. S. de Souza Vasconcelos et al., “Handgrip strength cutoff points to identify mobility limitation in community-dwelling older people and associated factors,” Journal of Nutrition, Health and Aging, vol. 20, no. 3, pp. 306–315, Mar. 2016, doi: 10.1007/s12603-015-0584-y.R.Gibson,PrincipleofNutritionalAssessment,9thed.NewYork:OxfordUniversityPress,2005
  26. S. C. Lin, K. H. Lin, Y. C. Tsai, and E. C. Chiu, “Effects of a food preparation program on dietary well-being for stroke patients with dysphagia: A pilot study,” Medicine (United States), vol. 100, no. 25, p. E26479, Jun. 2021, doi: 10.1097/MD.0000000000026479
  27. Q. Liu, X. Liao, Y. Pan, X. Xiang, and Y. Zhang, “The Obesity Paradox: Effect of Body Mass Index and Waist Circumference on Post-Stroke Cognitive Impairment,” Diabetes, Metabolic Syndrome and Obesity, vol. 16, pp. 2457–2467, 2023, doi: 10.2147/DMSO.S420824
  28. L. Oesch, T. Tatlisumak, M. Arnold, and H. Sarikaya, “Obesity paradox in stroke ± Myth or reality? A systematic review,” Mar. 01, 2017, Public Library of Science. doi: 10.1371/journal.pone.0171334
  29. G. A. Quiñones-Ossa, C. Lobo, E. Garcia-Ballestas, W. A. Florez, L. R. Moscote-Salazar, and A. Agrawal, “Obesity and Stroke: Does the Paradox Apply for Stroke?,” Neurointervention, vol. 16, no. 1, pp. 9–19, Mar. 2021, doi: 10.5469/neuroint.2020.00108
  30. C. P. Phadke, J. Schwartz, H. Vuagnat, and E. Philippou, “The ABCs for Nutrition Poststroke: An Evidence-Based Practice Guide for Rehabilitation Professionals,” Arch Phys Med Rehabil, vol. 99, no. 10, pp. 2125–2127, Oct. 2018, doi: 10.1016/j.apmr.2018.05.003
  31. K. J. Pascual, E. Vlasova, K. J. Lockett, J. Richardson, and M. Yochelson, “Evaluating the Impact of Personalized Stroke Management Tool Kits on Patient Experience and Stroke Recovery,” J Patient Exp, vol. 5, no. 4, pp. 244–249, Dec. 2018, doi: 10.1177/2374373517750416
  32. H. Uhlig-Reche et al., “Description of Baseline Nutrition and Physical Activity Knowledge and Behavior in Acute Stroke/TIA Patients Enrolled in the Health Education on Information Retention and Behavior Change in Stroke (HERBS) Pilot Trial,” Nutrients, vol. 15, no. 17, Sep. 2023, doi: 10.3390/nu15173761
  33. M. Luo and M. Allman-Farinelli, “Trends in the number of behavioural theory-based healthy eating interventions inclusive of dietitians/nutritionists in 2000–2020,” Nov. 01, 2021, MDPI. doi: 10.3390/nu13114161
  34. P. Grech and R. Grech, “The role of health promotion theories in Stroke Awareness and Education,” Applied Nursing Research, vol. 58, Apr. 2021, doi: 10.1016/j.apnr.2021.151415

Last update:

No citation recorded.

Last update: 2025-01-06 17:32:10

No citation recorded.