PENGARUH SUPLEMENTASI ZAT BESI, VITAMIN C DAN BISKUIT TERHADAP KADAR HEMOGLOBIN IBU HAMIL TRIMESTER III ANEMIA DAN KURANG ENERGI KRONIS

EKAWATI, FITRIANI (2017) PENGARUH SUPLEMENTASI ZAT BESI, VITAMIN C DAN BISKUIT TERHADAP KADAR HEMOGLOBIN IBU HAMIL TRIMESTER III ANEMIA DAN KURANG ENERGI KRONIS. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    ABSTRAK Latar Belakang: Anemia dan kurang energi kronis (KEK) pada ibu hamil dapat berdampak perdarahan post partum, berat badan ibu tidak bertambah, penyakit infeksi, persalinan sulit dan bayi berat lahir rendah (BBLR). Ibu hamil trimester III anemia dan KEK membutuhkan asupan zat gizi lebih tinggi dan suplementasi tablet tambah darah. Tujuan penelitian ini untuk menganalisis pengaruh suplementasi zat besi, vitamin C dan biskuit terhadap kadar hemoglobin ibu hamil trimester III anemia dan KEK. Metode: Jenis penelitian ini adalah kuasi-eksperimental dengan pretest and posttest control group design. Kelompok kontrol sebanyak 17 orang dan kelompok perlakuan sebanyak 20 orang ditentukan dengan consecutive sampling. Intervensi dilakukan selama 60 hari. Pengukuran kadar hemoglobin menggunakan metode cyanmethemoglobin dan penentuan KEK menggunakan LILA. Data suplementasi zat besi, vitamin C dan biskuit serta asupan zat gizi sebelum dan sesudah intervensi diperoleh dari food recall 1x24 jam. Analisis data menggunakan uji paired sample t-test, independent t-test, dan uji regresi linier ganda dengan taraf signifikansi p<0,05. Hasil: Pendapatan keluarga subjek penelitian pada kelompok perlakuan lebih rendah secara signifikan daripada subjek penelitian kelompok kontrol dengan p=0,046. Kelompok kontrol mempunyai selisih rerata kadar hemoglobin (0,22 ± 0,64 g/dL) lebih rendah dibandingkan kelompok perlakuan (0,70 ± 0,72 g/dL) dengan nilai p = 0,044. Asupan energi (B = -0,001 ; p = 0,039), asupan protein (B = 0,026 ; p = 0,011), asupan lemak (B = 0,015 ; p = 0,026), asupan asam folat (B = 0,004 ; p = 0,021) dan asupan vitamin C (B = 0,006 ; p = 0,042) berpengaruh terhadap kadar hemoglobin. Kesimpulan : Suplementasi zat besi, vitamin C dan biskuit dapat meningkatkan kadar hemoglobin ibu hamil trimester III anemia dan KEK. Kata Kunci : Biskuit, Ibu Hamil Trimester III Anemia dan KEK, Suplementasi Zat Besi, Vitamin C, Kadar Hemoglobin ABSTRACT Background: Anemia and chronic energy deficiency (CED) in pregnant women lead to post-partum hemorrhage, no weight gain, infectious diseases, difficult delivery and low birth weight (LBW). Anemia and CED in the 3rd trimester pregnant women need high nutrition intake and iron supplementation. The objective of this study was to analyze the effect of iron supplementation, vitamin C and biscuit on the hemoglobin levels of the 3rd trimester pregnant women with anemia and CED. Methods: This was a quasi-experimental study with pretest and posttest control group design. Control group consisted of 17 women and treatment group consisted of 20 women, which were determined using consecutive sampling. Intervention was conducted for 60 days. Hemoglobin levels were measured using the cyanmethemoglobin method and CED was determined using Mid Upper Arm Circumference (MUAC). Data of iron supplementation, vitamin C and biscuit and nutrition intake before and after intervention was obtained from food recall 1x24 hour. Data analysis was carried out using paired sample t-test, independent t-test, and multiple linear regression with p<0.05. Results: Family income of treatment group was significantly lower than that of control group (p=0.046). Control group had lower average of hemoglobin levels (0.22 ± 0.64 g/dL), compared with treatment group (0.70 ± 0.72 g/dL) with p = 0.044. Energy intake (B = -0.001 ; p = 0.039), protein intake (B = 0.026 ; p = 0.011), fat intake (B = 0.015 ; p = 0.026), folic acid intake (B = 0.004 ; p = 0.021) and vitamin C intake (B = 0.006 ; p = 0.042) influenced hemoglobin levels. Conclusion: Supplementation of iron, vitamin C, and biscuit could increase hemoglobin levels of the 3rd trimester pregnant women with anemia and CED. Keywords: Biscuit, The 3rd Trimester Pregnant Women with Anemia and CED, Iron Supplementation, Vitamin C, Hemoglobin Levels

    Item Type: Thesis (Masters)
    Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
    Divisions: Pasca Sarjana > Magister > Ilmu Gizi
    Depositing User: Adhika Pri Ardhana
    Date Deposited: 29 Mar 2017 21:10
    Last Modified: 29 Mar 2017 21:10
    URI: https://eprints.uns.ac.id/id/eprint/32769

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