Effects of High Calories High Protein Intake to Nitrogen Balance in end Stage of Nasopharyngeal Carcinoma Patient

ABSTRACT Nasopharyngeal carcinoma is a malignant tumor that grows in nasopharynx with Rosenmuller fossae and nasopharyngeal roof as its predilection area. Early high calorie high protein intake administration, since the patient is diagnosed with cancer, might diminish the protein catabolism that could be simply observed through body weight loss, decreased urea secretion in urine, and faster rate of positive nitrogen balance.This is an experimental research with cross-over design. Purpose: To know the effect of high calorie high protein intake and education on nitrogen balance which are done to end stage nasopharyngeal carcinoma whose have been treated and agreed to be included in the research for 2 weeks. The study samples are 30 to 65 years old. Samples are obtained with consecutive sampling method until it achieves the sample amount. Total samples are 20 samples.Results: in the patients whose given education and high calorie high protein intake there is an increased rate in energy intake (2224±219-2753±329,32), protein intake, (89,80±10,24-110,67±13,61), UUN (8,73-8,28), and nitrogen balance (1,9-5,2). Conclusion: Giving education and high calorie high protein intake will increase energy intake, protein intake, and nitrogen balance. Keywords: End stage nasopharyngeal carcinoma, high calorie high protein, nitrogen balance.