Liver Cirrhosis :

Impact of
Nutritional
Regimen On
Patients Outcome
IOSR Jurnal of Nursing and Health Science. (2015)
 Rizki Restiyani (P1337420216002)
Tria Vita Ningrum (P1337420216003)
Reyna Agnes Awalia (P1337420216004)
Sulamatul Anisa (P1337420216005)
Hestafia Pertiwi A.A.S (P1337420216006)
Ririn Saputri (P1337420216007)
Kartika Dwi Ananda (P1337420216008)
Tiara Rosa Dhamayanti (P1337420216009)
Sumaizi Indriyani (P1337420216011)
Anggun Meta Wulandari (P1337420216012)
Nadya Lisa Arum Ryanto (P1337420216013)
 Introduction
Liver cirrhosis is a chronic hepatic disease characterized by diffuse destruction and fibrotic
regeneration of hepatic cells. As necrotic tissue yields to fibrosis, this disease alters liver structure and
normal vasculature, impairs blood and lymph flow, and ultimately causes hepatic insufficiency. The
incidence of cirrhosis is increasing in the developed world, mainly because of the life style factors which
lead to its development.
According to the World Health Organization, there is about 3% of the world's population is
infected with Hepatitis C virus (HCV) and that there are more than 170 million chronic carriers who
are at risk of developing liver cirrhosis and/or liver cancer. More than 240 million people have chronic
(long-term) liver infections. More than 780 000 people die every year due to the acute or chronic
consequences of hepatitis B. Available studies indicated that liver cirrhosis developed in 4 % to 24% of
persons after 20 years of infection with HCV. These estimates of cirrhosis risk are influenced strongly
by the population studied and cohort recruitment methods. Hepatitis C virus (HCV) is recognized as a
major threat to global public health, especially in Egypt which has possibly the highest HCV prevalence
in the world; 10% - 20% of the general populations are infected. HCV is the leading cause of liver
cirrhosis, hepatocellular carcinoma (HCC) and chronic liver disease in this country.
Evaluation
I think Liver Cirrhosis Impact of Nutritional Regimen Patient Outcome is very
useful for the reader including me. In the journal explains a lot about cirrhosis of the liver
from the beginning of understanding, signs and symptoms, the study also describes the
population of developing countries affected by cirrhosis of the liver, and which is primarily
in terms of nutrition. The authors also write about common factors that occur in patients
with liver cirrhosis, one of which is the lack of food intake and the application of catabolic
levels. The authors also tell how the right diet for liver cirrhosis patients and described also
the benefits, as well as what is the vitamin. The authors also wrote the role of nurses in
dealing with patients with cirrhosis of the liver by knowing the subjective data. In the
journal I think it is quite good and complete and very useful for readers, especially in
patients with liver cirrhosis or family of patients who are suffering from liver cirrhosis.
Interpretation
In my opinion, the journal about Liver Cirrhosis: Impact Of Nutritional
Regimen On Patients Outcome, the contents are quite complete. In this paper,
the authors add research results from various studies such as the World Health
Organization, and make their own research that gets the result that most of the
patients are women in their fifties, such as on marital status, the majority are
married. The results of this study are supported by the assessment sheet and
the socio-demographic characteristic table listed in the journal. In this journal
also added images so that readers understand how anthropometric
measurement. It's just that this journal does not explain about the liver, such as
liver function and structure that exist in other journals namely Assessment of
Dietary Management of Patients with Cirrhosis Liver of Shadia Mohamed Idris
and Ebtesam AL Ali which includes the structure and function of the liver.
Summary
Liver cirrhosis is a chronic hepatic disease characterized by diffuse destruction
and fibrotic regeneration of hepatic cells. As necrotic tissue yields to fibrosis, this
disease alters liver structure and normal vasculature, impairs blood and lymph flow,
and ultimately causes hepatic insufficiency . The most common risk factors for
malnutrition are dry mouth, taste alteration, food allergies or intolerance, multiple
medications and the presence of ascites. Application of the nutritional regimen for
patients with liver cirrhosis showed an improvement in patient's nutritional status.
The majority of patients with decompensate liver cirrhosis were malnourished
regardless the etiology of liver cirrhosis, however, the minority of patients were at risk
for developing malnutrition the results show the numbers of patients who didn't
suffer from malnutrition increased post implication of the nutritional regimen one
and three months later.
 Reference
Abdelmalek, M. O., Khalil, S. S., Mekkawy, M. M., Youseff, M.
K. E. (2015). Liver Cirrhosis : Impact of Nutritional Regimen on
Patients Outcome. IOSR Jurnal of Nursing and Health Science, 4
(3) : 22-35. Retrieved Sept 25, 2017
fromhttps://www.google.co.id/url?sa=t&source=web&rct=j&url
=http://www.iosrjournals.org/iosr-jnhs/papers/vol4-
issue2/Version-
3/D04232235.pdf&ved=0ahUKEwiQt8novb7WAhXCUZQKHb
QpAaIQFggnMAE&usg=AFQjCNGbThzoTlk4leVX9qRONyJ
W3XVeBA