Pengaruh pendidikan gizi dalam upaya meningkatkan kepatuhan konsumsi zat besi melalui kelas ibu hamil

https://doi.org/10.22146/ijcn.23125

Siti Sulastijah(1*), Sumarni DW(2), Siti Helmyati(3)

(1) Puskesmas Gatak DKK, Sukoharjo
(2) Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Iron deficiency anemia contributed to a number of 50% in anemia and caused mortality of 841,000 every year in the world. Nutrition education before iron supplementation is needed because of low compliance in pregnant women. Gatak Sub District that is located in Sukoharjo Regency had the highest risk in pregnant women by 20.02%.

Objective: This research aimed to know the effect of nutrition education in an effort to increase compliance of  iron consumption through prenatal classes in Gatak Sub district Sukoharjo Regency.

Method: The method of this research was quasi experiment with pre test-post test with non equivalent control group design. The samples of this research were 70 pregnant women who fulfilled inclusion and exclusion criteria. A number of 33 pregnant women were in treatment group and 37 pregnant women were in control group. Treatment group received a nutrition education through anemia booklet and iron supplementation which contained 60 mg sulfas ferosus and 400 µg folic acid on a daily basis in prenatal classes for 3 months. Control group did not receive a nutrition education, but still received a daily iron supplementation for 3 months. Independent t-test and paired t-test were used to analyze data.

Results: The knowledge level (higher 12.59), compliance of iron consumption (15.16%), food intakes including energy (higher 9.24%), protein (higher 10.98%), and Fe (higher 6.68%), although those food intakes were still below the RDA, and hemoglobin level (higher 0.44 g/dl), in treatment group compared with control (p<0.05). The factors of age, education level, household expenditure, parity, ANC, nutritional status, and last birth spacing did not affect the compliance of iron consumption (p>0.05).

Conclusion: The nutrition education affected the increase in compliance of iron consumption through prenatal classes in Gatak Sub District Sukoharjo Regency.


Keywords


compliance; hemoglobin; iron; nutrition education; prenatal classes

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References

  1. Longo DL. Harrison’s hematology and oncology. USA : The McGraw-Hill Companies; 2010.
  2. Depkes RI. Riset kesehatan dasar 2007. Jakarta: Depkes RI; 2007.
  3. Cunningham FG, Whitridge J. William obstetrics. USA: The McGraw-Hill Companies 23rd Ed; 2010.
  4. Kraemer K, Zimmermann MB. Nutritional anemia. Switzerland: Sight and Life Press; 2007.
  5. Soekirman. Ilmu gizi dan aplikasinya untuk keluarga dan masyarakat. Jakarta: Direktorat Jenderal Pendidikan Tinggi Departemen Pendidikan Nasional; 2000.
  6. WHO. Guideline : Daily iron and folic acid supplementation in pregnant woman. Geneva: WHO; 2012.
  7. DKK Sukoharjo. Profil kesehatan Kabupaten Sukoharjo. Sukoharjo: DKK Sukoharjo; 2012.
  8. Puskesmas Gatak. Profil Puskesmas Gatak. Sukoharjo: Puskesmas Gatak; 2012.
  9. Kemenkes RI. Peraturan Menkes RI No. 75 Tahun 2013 tentang AKG yang dianjurkan bagi Bangsa Indonesia. Jakarta: Kemenkes RI; 2013.
  10. Depkes RI. Pedoman pemantauan wilayah setempat, kesehatan ibu dan anak (PWS KIA). Jakarta: Inspektorat Jenderal Bina Kesehatan Masyarakat, Direktorat Bina Kesehatan Ibu; 2009.
  11. Kemenkes RI. Riset kesehatan dasar 2013. Jakarta: Kemenkes RI; 2013.
  12. Pani W, Masni, Bahar B. Pengaruh penyuluhan kelas prenatal plus terhadap pengetahuan dan sikap ibu hamil di wilayah kerja Puskesmas Mamboro Kecamatan Palu Utara Kota Palu Sulawesi Tengah. [series online] 2012 [cited 30 Agustus 2013]. Available from: URL: http://www.paska.unhas.ac.id/jurnal
  13. Hastuti PS, Nugroho HSW, Usnawati N. Efektivitas pelatihan kelas ibu hamil untuk meningkatkan pengetahuan, sikap dan ketrampilan dan kunjungan antenatal care. Jurnal Penelitian Kesehatan Suara Forikes 2011;2(4):122-3.
  14. Contento RI. Nutrition education, linking research, theory, and practice. Canada: James & Bartlett, Second Edition; 2011.
  15. Susetyo D, Hakimi M, Hadi, H. Pengaruh suplementasi tablet Fe mingguan dan harian terhadap kepatuhan minum tablet Fe dan perubahan kadar hemoglobin pada ibu hamil di Kabupaten Bantul Yogyakarta. Jurnal Gizi Klinik Indonesia 2005;2(2):45-52.
  16. Gree LW, Kreuter MW. Health promotion planning, an educational and environment approach. USA: Mayfield Publishing Company, Second Edition; 1991.
  17. Fuady M, Bangun D. Hubungan pengetahuan ibu hamil tentang anemia defisiensi besi terhadap kepatuhan mengkonsumsi tablet zat besi. [series online] 2013 [cited 1 September 2014]. Available from: URL: http://www.jurnal.usu.ac.id/index.php/ejurnalfk/article/view/1425
  18. Supariasa IDN, Bakri B, Fajar I. Penilaian status gizi. Jakarta: EGC; 2002.
  19. Hapzah, Hadju V, Sirajuddin S. Pengaruh konseling gizi dan suplementasi gizi mikro dua kali seminggu terhadap peningkatan kadar hemoglobin dan asupan makanan ibu hamil. Media Gizi Masyarakat Indonesia 2013;2(2):64-70.
  20. Adi DI, Syam A, Nurrochimawati S. Edukasi gizi terhadap pola konsumsi dalam upaya perbaikan kadar Hb di Puskesmas Sudiang Raya Makassar. Media Gizi Masyarakat Indonesia 2012;2(1):17-21.
  21. Sasiyono. Pengaruh konseling gizi ibu hamil anemi terhadap kadar hb di Kabupaten Cilacap [Tesis]. Yogyakarta: Tesis, IKM FK UGM; 2003.
  22. Adriani M, Wirjatmadi B. Peranan Gizi Dalam Siklus Kehidupan. Jakarta: Penerbit Kencana Prenada Media Grup; 2012.
  23. Depkes RI. Riset kesehatan dasar 2010. Jakarta: Depkes RI; 2010.
  24. Almatsier S, Soetardjo S, Soekatri M. Gizi seimbang dalam daur kehidupan. Jakarta : Gramedia Pustaka Utama; 2011.
  25. Okon’go O, Kisia A, Odongo DO. (2012). Dietary iron status and health of third trimester pregnant women in kenya : a cross sectional study. Food Science and Quality Management 2012;4:24-8.
  26. Caballero B. Guide to nutritional supplements. USA: Elsevier; 2009.
  27. Stoltzfus R. Guidelines for the use of iron supplements to prevent and test iron deficiency anemia. Geneva: WHO; 1998.
  28. DeMaeyer EM, Dalman P, Gurney JM, Hallberg L, Sood SK, Srikantia SG. Preventing and controlling iron deficiency anemia through primary health care, a guide for health administrators and programme managers. Geneva: WHO; 1989.
  29. Habib F, Alabdin EH, Alebazy M, Nooh R. Compliance to iron supplementation during pregnancy. J Obstet Gynaecol 2009;29(6):487-92.



DOI: https://doi.org/10.22146/ijcn.23125

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