Asuhan Keperawatan dengan Penerapan Metode Enteral Nutrition Tinggi Energi Tinggi Protein (TETP) dalam Pencegahan Risiko Infeksi pada Pasien di Ruang Intensive Care Unit (ICU) RSUD Haji Provinsi Jawa Timur

Introduction: Pasien yang dirawat di Intensive Care Unit (ICU) berisiko tinggi mengalami infeksi akibat kondisi kritis, penggunaan alat invasif, serta peningkatan kebutuhan metabolik yang dapat menyebabkan gangguan status nutrisi. Pemberian Enteral Nutrition dengan diet Tinggi Energi Tinggi Protein (TETP) merupakan salah satu intervensi untuk memenuhi kebutuhan nutrisi dan mendukung pencegahan risiko infeksi.
Objective: Mendeskripsikan asuhan keperawatan dengan penerapan metode Enteral Nutrition diet Tinggi Energi Tinggi Protein (TETP) dalam pencegahan risiko infeksi pada pasien di ruang Intensive Care Unit (ICU) RSUD Haji Provinsi Jawa Timur.
Methods: Penelitian ini menggunakan desain studi kasus pada tiga pasien ICU yang mendapatkan Enteral Nutrition diet TETP. Data dikumpulkan melalui pengkajian, observasi, pemeriksaan fisik, rekam medis, dan hasil pemeriksaan laboratorium, kemudian dianalisis berdasarkan tahapan proses keperawatan.
Result: Ketiga pasien memiliki diagnosis keperawatan risiko infeksi. Intervensi meliputi pencegahan infeksi dan manajemen nutrisi melalui pemberian Enteral Nutrition diet TETP. Evaluasi menunjukkan pasien mampu mentoleransi nutrisi enteral dengan baik, disertai kecenderungan penurunan kadar leukosit dan peningkatan kadar albumin sebagai indikator perbaikan kondisi klinis.
Conclusion: Penerapan Enteral Nutrition diet Tinggi Energi Tinggi Protein (TETP) sebagai bagian dari asuhan keperawatan mendukung pemenuhan kebutuhan nutrisi dan berkontribusi dalam pencegahan risiko infeksi pada pasien kritis di ICU.

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Introduction: Patients treated in the Intensive Care Unit (ICU) are at high risk of infection due to critical conditions, the use of invasive devices, and increased metabolic demands that can lead to impaired nutritional status. Providing enteral nutrition with a High-Energy, High-Protein diet is one intervention to meet nutritional needs and support infection risk prevention. Objective: To describe nursing care using the High-Energy, High-Protein Enteral Nutrition method to prevent infection risk in patients in the Intensive Care Unit (ICU) of Haji Hospital, East Java Province. Methods: This study used a case study design on three ICU patients receiving the High-Energy, High-Protein Enteral Nutrition diet. Data were collected through assessment, observation, physical examination, medical records, and laboratory test results, then analyzed based on the stages of the nursing process. Results: All three patients had a nursing diagnosis of infection risk. Interventions included infection prevention and nutritional management through the administration of an enteral nutrition diet. Evaluation showed that the patients tolerated enteral nutrition well, with a trend toward decreasing leukocyte levels and increasing albumin levels, indicating clinical improvement. Conclusion: Implementing a high-energy, high-protein enteral nutrition diet as part of nursing care supports the fulfillment of nutritional needs and contributes to preventing the risk of infection in critically ill patients in the ICU. Keywords: Enteral Nutrition, High-Energy, High-Protein Diet, Leukocytes, Albumin, Intensive Care Unit.