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Hasil penelitian menunjukkan prevalensi anemia pada ibu hamil di Wilayah Kerja Puskesmas Merdeka Kota Bogor tahun 2017 sebesar 24,1 %. Berdasarkan hasil analisis didapatkan faktor yang berhubungan dengan kejadian anemia pada kehamilan adalah umur kehamilan (nilai P: 0,048) dan kekurangan energi kronik (nilai P: 0,013). Sedangkan faktor umur ibu, paritas dan jarak kelahiran tidak berhubungan dengan kejadian anemia pada kehamilan. Berdasarkan penelitian ini, perlu peningkatan pengetahuan ibu hamil mengenaik kebutuhan zat gizi terutama zat besi selama kehamilan dan pembentukan program pengawasan minum tablet tambah darah untuk memantau semua ibu hamil mengkonsumsi tablet tambah darah sesuai dengan kebutuhan selama kehamilan.
Kata kunci: Anemia, Ibu hamil, Faktor-faktor
Nutrition problems such as anemia in pregnant women are still the focus of attention in health development in Indonesia. 40% of maternal deaths in the world are associated with anemia in pregnancy. The Riskesdas report of 2013 states that the prevalence of anemia in pregnancy in Indonesia is 37.1%. This study aims to determine the prevalence of anemia and factors affecting the incidence of anemia in pregnant women in the Working Area of Merdeka Healt Centers 2017. This research is a quantitative research using cross sectional design. Sources of data in this study were maternal cohorts and maternal registers. The sampling technique used was total sampling with the number of 195 pregnant women.
The results showed that the prevalence of anemia in pregnant women in the Work Area of Merdeka Health Center Bogor City in 2017 was 24.1%. Based on the analysis results obtained factors associated with the incidence of anemia in pregnancy is the age of pregnancy (P value: 0.048) and chronic energy deficiency (P value: 0.013). While the maternal age, parity and birth spacing factors were not associated with the incidence of anemia in pregnancy. Based on this research, it is necessary to increase the knowledge of pregnant mother about requirement of nutrient especially iron during pregnancy and establishment of supervision program of tablet consumption to all pregnant woman consume tablets added blood as needed during pregnancy.
Keywords: Anemia, pregnant women, factors
Tujuan penelitian ini adalah mengetahui prevalensi dan faktor penentu terjadinya anemia pada ibu hamil. Desain penelitian menggunakan cross sectional. Sampel penelitian ini adalah ibu hamil yang berada di wilayah kerja UPT Puskesmas Kecamatan Sukmajaya dan sudah mendapatkan tablet penambah darah, berjumlah 210 ibu hamil. Pengambilan sampel dilakukan secara probability sampling melalui cluster sampling. Waktu penelitian April-Mei 2011, dengan teknik wawancara dan menggunakan kuesioner. Penelitian ini menggunakan analisis univariat, bivariat (chi square), dan multivariat (regresi logistik model prediksi). Dari hasil penelitian diketahui bahwa prevalensi kejadian anemia ibu hamil di wilayah kerja UPT Puskesmas Kecamatan Sukmajaya sebesar 52,9%. Hipotesis tentang perbedaan proporsi ibu hamil yang bermakna terdapat pada variabel pendidikan, jarak kelahiran, kelompok heme, dan suplementasi tablet. Variabel yang paling dominan menentukan kejadian anemia adalah kelompok bahan heme setelah dikontrol oleh pendidikan, suplementasi tablet Fe, pendapatan, pekerjaan, pengetahuan dan jarak. Saran pada penelitian ini adalah perlu koordinasi lintas sektor dan program untuk menanggulangi anemia ibu hamil, peningkatan kemampuan petugas tentang upaya promotif dan preventif serta konseling tentang gizi, mengembangkan kartu monitoring tablet Fe serta menetapkan pemeriksaan kadar Hb sebagai standar pelayanan yang wajib pada ibu hamil kunjungan pertama untuk deteksi resiko anemia. Kata Kunci: Anemia, Ibu Hamil
This study aims to describe the prevalence and determinants of anemia in pregnant women. Design of the study is cross-sectional. The sample in this study is 210 pregnant women residing in the region of UPT Puskesmas Kecamatan Sukmajaya and had iron tablet. The sampling technique is probability sampling with cluster sampling. The time of research is from April to May 2011, with interview techniques and using questionnaires. The analysis uses univariate, bivariate (chi square) and multivariate (logistic regression prediction model). The results are the prevalence of anemia pregnant women in the region UPT Puskesmas Kecamtan Sukmajaya 52.9%. Hypotheses about differences in the proportion of pregnant women are significantly present in the variable education, birth spacing, the heme group, and supplemental tablets. The most dominant variable determining the incidence of anemia is the heme group that is controlled by education, iron supplementation tablets, income, employment, knowledge and spacing of pregnancy. This research suggests the need of coordination across sectors and programs to combat anemia of pregnancy, increased the ability of officers on promotive and preventive as well as counseling on nutrition, developing a monitoring card Fe tablets, and to set examination Hb as the standard of antenatal care that must be check on the first visit of pregnant women for the detection of the risk of anemia. Keywords: Anemia, Pregnant Women
ABSTRAK Nama : Debby Rosita Program Studi : Ilmu Kesehatan Masyarakat Judul : Pengaruh Pemberian Tablet Zat Besi ( Fe ) Terhadap Kejadian Anemia Pada Ibu Hamil di Puskesmas Karang Asam Kota Samarinda Tahun 2015 - 2017 Salah satu masalah gizi yang banyak terjadi pada ibu hamil adalah anemia gizi, yang merupakan masalah gizi mikro terbesar dan tersulit diatasi di seluruh dunia. Anemia pada wanita hamil dapat menimbulkan dampak sejak kehamilan, setelah lahir, usia sekolah hingga masa dewasa. Tujuan dari penelitian ini untuk mengetahui pengaruh pemberian tablet zat besi ( Fe ) pada ibu hamil terhadap kejadian anemia pada ibu hamil di Puskesmas karang Asam Kota Samarinda Tahun 2015 – 2017. Penelitian dilakukan dengan metode kualitatif dan kuantitatif (mix method). Adapun penelitian kuantitatif menggunakan desain penelitian Kohort Retrospektif penelitian kuantitatif difokuskan pada pengambilan data pemberian tablet zat besi (Fe), kejadian anemia, usia, pendidikan, pekerjaan, paritas dan kunjungan ANC. Sedangkan jenis penelitian kualitatif yang digunakan adalah penelitian eksplanatory sekuensial. Dalam penelitian ini data penelitian kualitatif melengkapi data kuantitatif. Pengolahan dan analisis data menggunakan uji chisquare (bivariat). Hasil uji statistik variabel umur, pendidikan, pekerjaan, paritas dan kunjungan ANC menunjukkan hasil tidak berhubungan dengan anemia secara statistik. Sedangkan secara kualitatif hal tersebut mempengaruhi anemia. Dari hasil terlihat gambaran kejadian anemia pada ibu hamil setelah diberikan Tablet Fe berdasarkan pemeriksaan HB 2 menunjukkan proporsi ibu yang masih anemia setelah di beri tablet Fe adalah 26,9%. Saran: diharapkan petugas meningkatkan mutu pelayanan KIA dan pemantauan minum tablet Fe. Kata kunci: Pemberian Tablet Fe, anemia, Ibu Hamil
ABSTRACT Name : Debby Rosita Study Program: Magister Of Public Health Title : The Influence of Iron Tablet (Fe) on Anemia in Pregnant Women at Puskesmas Karang Asam of Samarinda City 2015 – 2017 One of the most common nutritional problems in pregnant women is nutritional anemia, which is the largest and most difficult micronutrient problem resolved worldwide. Anemia in pregnant women can have an impact from pregnancy, after birth, school age to adulthood. The purpose of this research is to know the effect of giving iron tablet (Fe) on pregnant mother to the occurrence of anemia in pregnant woman at Puskesmas Kayu Asam Samarinda in 2015 - 2017. The research is done by qualitative and quantitative method (mix method). The quantitative research using the research design Cohort Retrospective quantitative research focused on taking data of iron tablet (Fe), anemia, age, education, occupation, parity and ANC visit. While the type of qualitative research used is sequential eksplanatory research. In this study qualitative research data complement the quantitative data. Processing and data analysis using chi-square test (bivariate). The result of statistic test of ANC age, education, work, parity and visit variables showed that the results did not correlate with anemia statistically. While qualitatively it affects anemia. From the results seen the picture of the incidence of anemia in pregnant women after given Fe tablet based on HB 2 examination showed the proportion of anemic mothers after giving Fe tablet was 26,9%. Suggestion: it is expected that the officer will improve the quality of KIA service and monitor the drinking of Fe tablets. Keywords: Giving of tablet Fe, anemia, Pregnant mother
Kata Kunci: bising, keluhan gangguan pendengaran
Noise Induced Hearing Loss (NIHL) is the most event that happen in industrial ofmanufacture. This event mostly associated by noise exposure. Many noise hazardin PT. NGK Busi Indonesia, Jakarta that sourced from machinery and otherworking equipment. This study designed by cross-sectional method againts dailynoise dose exposure and hearing loss complaints that there are confoundingfactors such as working period, ear protective equipment, smoking, shootinghobby, listening music with head-set, watching rock concert, discotic, history ofhearing illness, neurotoxic drugs, and degenerative illness. This study was usingtools such as result of daily noise dose exposure measurement and fullfillmentquestionaire. According to relationship analysis of two variable there is onlyfactor of smoking habit that have strongly associated with hearing loss complaintswith p-value <0,05. This should be improvement of Hearing Loss PreventionProgram Implementation such as initial audit, identification and analize noisesource, supervise enhancement of ear protective equipment utilization, periodicalaudiometry, education and motivation programs, documentation and programaudit of hearing loss prevention program.
Keywords: Noise, Hearing Loss Complaints
DARI HASIL PENELITIAN INI DIDAPAT ANGKA 55,5% (95% CI: 47%-67%). TEMUAN INI MENUNJUKKAN BAHWA PROPORSI ANEMIA MASIH TETAP TINGGI DI WILAYAH KERJA PUSKESMAS SINDANG BARANG. DALAM PENELITIAN INI FAKTOR PENYEBAB TIDAK LANGSUNG YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL ADALAH UMUR IBU, UMUR KEHAMILAN, DAN JUMLAH KONSUMSI TABLET TAMBAH DARAH. PENELITIAN INI JUGA MENEMUKAN FAKTOR MENDASAR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA IBU HAMIL YAITU PENDIDIKAN DAN PENDAPATAN KELUARGA. DISARANKAN AGAR PERAN BIDAN PUSKESMAS MELAKUKAN KONSELING DAN PROMOSI PENCEGAHAN ANEMIA. KEAKTIFAN KADER DIPERLUKAN SEBAGAI FASILITATOR UNTUK MENGAWASI KEPATUHAN MINUM TABLET TAMBAH DARAH.
KATA KUNCI : ANEMIA, IBU HAMIL, PUSKESMAS
