Efektifitas penerapan interprofessional education-collaborative practice (IPE–CP) tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil

Sudarmi Sudarmi(1), Bertalina Bertalina(2), Aprina Aprina(3*)
(1) Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Tanjungkarang, Lampung
(2) Jurusan Gizi, Politeknik Kesehatan Kemenkes Tanjungkarang, Lampung
(3) Jurusan Keperawatan, Politeknik Kesehatan Kemenkes Tanjungkarang, Lampung
(*) Corresponding Author

DOI: http://dx.doi.org/10.30867/action.v5i1.212

Abstract

The behavior of a pregnant mother to consume healthy food, including the quality and quantity of food that is diverse and balanced according to the needs during pregnancy, is very desirable. Effective education to deliver a balanced nutrition message requires an Interprofessional Educative Collaboration Practice (IPE-CP) approach. The involvement of various professions is thought to be effective in increasing mothers' knowledge and attitudes about balanced nutrition. The purpose of this study was to determine the effect of the application of IPE-CP on balanced nutrition on the knowledge and attitude of a pregnant mother. The research is a quasi-experimental one-group pretest-posttest design. Samples were taken as many as 60 pregnant women using the Federer formula. Interventions in the form of education and assistance on balanced nutrition provided by the application of IPE-CP. Data is taken by pre-test and post-test questions about balanced nutrition. Data analyzed using the Dependent T-test and the Cohen Effect test. The results showed that there was a significant influence on the application of IPE-CP to maternal knowledge (p=0,003), maternal attitudes (p=0,000) about balanced nutrition. The most influential effect size is the mother's attitude (0,92), so it has a big effect. In conclusion, IPE-CP is very effective in increasing the knowledge and attitude of pregnant women about balanced nutrition. Suggestions for health workers to be able to implement IPE-CP in solving nutrition problems.

 

Perilaku ibu hamil untuk mengkonsumsi makanan sehat, mencakup kualitas maupun kuantitas makanan yang beragam dan berimbang sesuai dengan kebutuhan di masa kehamilannya sangatlah diharapkan. Edukasi yang efektif untuk menyampaikan pesan gizi seimbang diperlukan strategi pendekatan Interprofessional Educatif Calaboration Practice (IPE-CP). Keterlibatan berbagai profesi diduga efektif untuk meningkatkan pengetahuan dan sikap ibu tentang gizi seimbang. Tujuan penelitian untuk mengetahui pengaruh penerapan IPE-CP tentang gizi seimbang terhadap pengetahuan dan sikap ibu hamil. Jenis penelitian kuasi eksperimen rancangan one group pretest–posttest design. Sampel 60 ibu hamil diperoleh berdasarkan perhitungan rumus Federer. Intervensi berupa edukasi dan pendampingan tentang gizi seimbang yang diberikan dengan penerapan IPE-CP. Data diambil dengan pre-test dan post-tes soal tentang gizi seimbang. Data dianalisis menggunakan uji Dependent T-test serta uji cohen effect. Hasil menunjukkan terdapat pengaruh signifikan penerapan IPE-CP terhadap pengetahuan ibu (p= 0,003), sikap ibu (p= 0,000) tentang gizi seimbang. Effect Size yang paling berpengaruh yaitu sikap ibu (0,92) sehingga berpengaruh besar. Kesimpulan, IPE-CP sangat efektif untuk meningkatkan pengetahuan dan sikap ibu hamil tentang gizi seimbang.  Saran, kepada petugas kesehatan  untuk dapat menerapkan IPE-CP dalam memecahkan masalah gizi ibu hamil.

Keywords


Gizi seimbang; interprofessional education; collaborative practice; IPE-CP; pengetahuan; sikap

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References


Mahmudiono T, Nindya TS, Andrias DR, Megatsari H, Rosenkranz RR. The effectiveness of nutrition education for overweight/obese mothers with stunted children (NEO-MOM) in reducing the double burden of malnutrition in Indonesia: study protocol for a randomized controlled trial. BMC public health. 2016;16(1):486. doi:https://doi.org/10.1186/s12889-016-3155-1.

Baum N, Weidberg Z, Osher Y, Kohelet D. No longer pregnant, not yet a mother: giving birth prematurely to a very-low-birth-weight baby. Qualitative Health Research. 2012;22(5):595-606. doi:https://doi.org/10.1177/1049732311422899.

Aeni N. Faktor risiko kematian ibu. Kesmas: National Public Health Journal. 2013;7(10):453-459. doi:http://dx.doi.org/10.21109/kesmas.v7i10.4.

Jevtić M, Pantelinac J, Jovanović-Ilić T, Petrović V, Grgić O, Blažić L. The role of nutrition in caries prevention and maintenance of oral health during pregnancy. Medicinski pregled. 2015;68(11-12):387-393. doi:10.2298/mpns1512387j.

Halimatussakdiah H, Miko A. Hubungan Antropometri Ibu Hamil (Berat Badan, Lingkar Atas, Tinggi Fundus Uteri) dengan Reflek Fisiologi Bayi Baru Lahir Normal. AcTion: Aceh Nutrition Journal. 2016;1(2):88-93. doi:http://dx.doi.org/10.30867/action.v1i2.16.

Karima K, Achadi EL. Status gizi ibu dan berat badan lahir bayi. Kesmas: National Public Health Journal. 2012;7(3):111-119. doi:http://dx.doi.org/10.21109/kesmas.v7i3.57.

Kemenkes RI. Buku Saku Pemantauan Status Gizi Tahun 2017. 1st ed. Jakarta: Direktorat Gizi Masyarakat Ditjen Kesehatan Masyarakat; 2017.

Puspitaningrum EM. Hubungan Status Gizi Ibu Hamil dengan Kejadian Berat Badan Lahir Rendah (BBLR) di RSIA Annisa Kota Jambi Tahun 2018. Scientia Journal. 2018;7(2):1-7.

Kemenkes RI. Pedoman Gizi Ibu Hamil dan Pengembangan Makanan Tambahan Ibu Hamil Berbasis Pangan Lokal. Direktorat Jenderal Bina Kesehatan Masyarakat Direktorat Bina Gizi Masyarakat, Kementerian Kesehatan RI. 2015.

Kemenkes RI. Buku Saku Pemantauan Status Gizi Dan Indikator Kinerja Gizi Tahun 2018. Jakarta, Indonesia; 2018.

Kemenkes RI. Data Dan Informasi Profil Kesehatan Indonesia Tahun 2018. Jakarta, Indonesia; 2018.

Afrilia EM. Hubungan Karakteristik Ibu dengan Pengetahuan Tentang Gizi Seimbang Bagi Ibu Hamil di Puskesmas Kecamatan Palmerah Tahun 2013. IMJ (Indonesian Midwifery Journal). 2017;1(1):1-9.

Ardiaria M. Asupan Mikronutrien dan Kejadian Anemia pada Ibu Hamil di Kota Semarang. JNH (Journal of Nutrition and Health). 5(1):12-17.

Kusumawati I, Indarto D, Hanim D, Suminah S. Hubungan asupan makanan, suplementasi Fe dan asam folat dengan kadar hemoglobin pada ibu hamil riwayat kurang energi kronis dan anemia saat menyusui. Penelitian Gizi dan Makanan. 2017;39(2):103-110. doi:10.22435/pgm.v39i2.5155.103-110.

Anzarkusuma IS, Mulyani EY, Jus’at I, Angkasa D. Status Gizi Berdasarkan Pola Makan Anak Sekolah Dasar Di Kecamatan Rajeg Tangerang. Indonesian Journal of Human Nutrition. 2014;1(2):135-148.

Al Rahmad AH, Almunadia A. Pemanfaatan Media Flipchart dalam Meningkatkan Pengetahuan Ibu Tentang Konsumsi Sayur dan Buah. Jurnal Kedokteran Syiah Kuala. 2017;17(3):140-146. doi:https://doi.org/10.24815/jks.v17i3.9062.

Kusfriyadi MK, Hadi H, Fuad A. Pendidikan gizi dan pesan gizi melalui short message service terhadap pengetahuan, perilaku, dan kepatuhan ibu hamil minum tablet besi. Jurnal Gizi Klinik Indonesia. 2012;9(2):87-96.

Reeves S, Goldman J, Oandasan I. Key factors in planning and implementing interprofessional education in health care settings. Journal of allied health. 2007;36(4):231-235.

WHO. Interprofessional Collaborative Practice in Primary Health Care: Nursing and Midwifery Perspectives. Six Case Studies. Geneva, Switzerland: World Health Organization; 2013.

Lapkin S, Levett-Jones T, Gilligan C. A systematic review of the effectiveness of interprofessional education in health professional programs. Nurse education today. 2013;33(2):90-102. doi:https://doi.org/10.1016/j.nedt.2011.11.006.

Widyaningrum VR, Bakri S, Adespin DA, Hariyana B, Dewi DP. Pengaruh Persepsi Ibu Hamil Terhadap Tingkat Kepuasan Ibu Hamil Pada Interprofessional Education FK Undip. JURNAL KEDOKTERAN DIPONEGORO. 2018;7(2):1099-1108.

Amalia F, Nugraheni SA, Kartini A. Pengaruh Edukasi Gizi Terhadap Pengetahuan Dan Praktik Calon Ibu Dalam Pencegahan Kurang Energi Kronik Ibu Hamil (Studi Pada Pengantin Baru Wanita Di Wilayah Kerja Puskesmas Duren, Bandungan, Semarang). Jurnal Kesehatan Masyarakat (E-Journal). 2018;6(5):370-377.

Al Rahmad A, Miko A. Peningkatan Pengetahuan Calon Pengantin melalui Konseling ASI Eksklusif di Aceh Besar. Indonesian Bulletin of Health Research. 2017;45(4):249-256. doi:http://dx.doi.org/10.22435/bpk.v45i4.6802.249-256.

Fallah F, Pourabbas A, Delpisheh A, Veisani Y, Shadnoush M. Effects of nutrition education on levels of nutritional awareness of pregnant women in Western iran. International journal of endocrinology and metabolism. 2013;11(3):175-178. doi:10.5812/ijem.9122.

Sulistyowati E. Interprofessional Education (IPE) dalam Kurikulum Pendidikan Kesehatan Sebagai Strategi Peningkatan Kualitas Pelayanan Maternitas. Jurnal Kebidanan. 2019;8(2):123-131.

Sargeant J. Theories to aid understanding and implementation of interprofessional education. Journal of Continuing Education in the Health Professions. 2009;29(3):178-184. doi:https://doi.org/10.1002/chp.20033.

Hutchison MS, Ennis L, Shaw-Battista J, Delgado A, Myers K, Cragin L, Jackson RA. Great Minds Don’t Think Alike: Collaborative Maternity Care at San Francisco General Hospital. Obstetrics & Gynecology. 2011;118(3). doi:10.1097/AOG.0b013e3182297d2d.

Eka YC, Kristiawati K, Rachmawati PD. Faktor-Faktor yang Mempengaruhi Perilaku Kader KIA dalam Deteksi Dini Perkembangan Balita di Posyandu Wilayah Kerja Puskesmas Babat Lamongan. Indonesian Journal of Community Health Nursing. 2019;2(2):57-66.

Utami L, Hapsari S, Widyandana W. Hubungan Antara Sikap dan Perilaku Kolaborasi dan Praktik Kolaborasi Interprofesional di Ruang Rawat Inap Rumah Sakit Panti Rapih. Jurnal Keperawatan Muhammadiyah. 2017;1(2):28-38.

Simbolon D, Rahmadi A, Jumiyati J. Pengaruh Pendampingan Gizi terhadap Perubahan Perilaku Pemenuhan Gizi Ibu Hamil Kurang Energi Kronik (KEK). Jurnal Kesehatan. 2019;10(2):269-275.

Gayatri D. Mendesain instrumen pengukuran sikap. Jurnal Keperawatan Indonesia. 2004;8(2):76-80.

Walgito B. Teori-Teori Psikologi Sosial. Yogyakarta: Andi Offset; 2011.

Barr H, Freeth D, Hammick M, Koppel I, Reeves S. The evidence base and recommendations for interprofessional education in health and social care. Journal of Interprofessional Care. 2006;20(1):75-78. doi:https://doi.org/10.1080/13561820600556182.

Naga DS. Ukuran Efek Dalam Laporan Hasil Penelitian. Jawa Barat; 2005. http://dali.staff.gunadarma.ac.id/Publications/files/399/4861aARCHE.doc.

Romijn A, Teunissen PW, de Bruijne MC, Wagner C, de Groot CJM. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ quality & safety. 2018;27(4):279-286. doi:http://dx.doi.org/10.1136/bmjqs-2016-006401.


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