Pengaruh pendidikan gizi kepada ibu terhadap konsumsi makanan dan status gizi anak balita penderita tuberkulosis primer di rawat jalan RSUP. Dr. Kariadi Semarang

MULYATI, Tatik, dr. Endy Parjanto P., SpA(K).,MPH

2002 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Tuberkulosis merupakan penyakit infeksi yang masih menjadi masalah kesehatan di Indonesia. Anak balita yang menderita tuberkulosis atau disebut sebagai tuberkulosis primer dapat menurunkan daya tahan tubuhnya, bahkan menyebabkan kematian. Kondisi kesehatan pada anak balita penderitan tuberkulosis primer sangat ditentukan oleh konsumsi makanannya secara kualitas maupun kuantitasnya. Konsumsi yang baik akan berperan untuk meningkatkan dan mempertahankan status gizi. Melalui pemberian pendidikan gizi, ibu-ibu diharapkan dapat merubah perilaku dalam menyediakan dan memperbaiki konsumsi makanan anak balita. Tujuan penelitian: Penelitian ini bertujuan untuk menguji pengaruh pemberian pendidikan gizi terhadap konsumsi makanan dan status gizi anak balita penderita tuberkulosis primer. Metode Penelitian: Penelitian ini merupakan penelitian experiment dengan rancangan randomized controlled trial. Subjek penelitian adalah anak umur 1-5 tahun yang menderita tuberkulosis primeL di Unit Rawat Jalan RSUP Dakter Kariddi Semarang. Dua kelgmpok dipilih secara random dan mendspatkan perlakuan yang berbeda yaitu ada dan tidaknya pendidikar, gizi. Masing-masing kelompok diminta datang ke Poliklinik Paru Anak sebanyak 4 kali selama 2 minggu sekali. Data konsumsi makanan dikumpulkan secara multiple recall sebelum perlakuan dan setelah penelitian, status gizi ditentukan bermsarkan Z-Score BB/U dan BB/TB WHO NCHS. Hasil: Hasil penelitian mcnunjukkan rata-rata konsumsi energi anak balita meningkat 16.78% aari kebutuhan dan konsumsi protein anak baiita meningkat 22,59% dari kebutuhan setelah diberikan pendidikan gizi, secara statistik bermakna pada status qizi baik (p<0,05). Z-Score BB/U dan BB/TB anak balita perlakuan peningkatannya lebih tinggi dari kelompok kontrol. Kesimpulan: adz pcngaruh pendidikan yizi yany bermakna terhad3p peningkatan konsumsi energi dan protein pada anak balita yang mempunyai status gizi baik (p

Background: Tuberculosis is an infectious disease that persists as a public health problem in Indonesia. The tuberculosis infected to the under 5-years old-children namely primary tuberculosis. Condition of children‘s health were deeply depending on the quality and quantity of their food consumption. An adequate consumption is needed to increase their nutrition status. To improve the maternal behavior of children’s food consumption, it is necessary to give nutritional education. Purpose: The purpose of this study is to examine the effect of nutritional education on the food consumption and nutrition status of the under 5-years old-children that infected by primary tuberculosis. Research Method: The research was an experimental research using randomized controlled trial method. The subject was 1 to 5-year (s) old-children those who infected by primary tuberculosis at Unit Rawat Jalan RSUP Dokter Kariadi Semarang. Two groups chosen by randoxized got different treatments, i.e. availability and unavailability of nutritional education. Each group was asked to come to Poliklinik Paru -hak every two-weeks for two months (4 times). The food consumption data was collected by multigde recall before treatment and after research. The nutrition status was determined by weight per age and weight per height of 2-Score WHO NCHS. ResuLt: The result of this study showed that after the nutritional education issued, the energy consumption median value of children has increase 16.78% and the protein consumption median value average of children has increase about 22,59%. There was a significant effect of nutritional education on normal nutritional status (p<0,05). It was also showed that the 2-Score increasing (weighr per age and weight per height) of children in treatment-group was higher than the control-group. Conclusion: Nutritional education has a significant effect on increasing energy and protein consumption (p

Kata Kunci : Gizi Anak Balita,TBC Primer,Konsumsi Makanan,Pendidikan Gizi Ibu, Nutritional Education, Primary Tuberculosis, Food Consumption, Nutrition Status