FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIK (KEK) PADA IBU HAMIL DI PUSKESMAS HALMAHERA SEMARANG - UDiNus Repository
DAFTAR ISI
Halaman
HALAMAN JUDUL ......................................................................................... i
HALAMAN HAK CIPTA ................................................................................. ii
HALAMAN PERNYATAAN KEASLIAN TUGAS AKHIR ............................. iii
HALAMAN PERNYATAAN PERSETUJUAN PUBLIKASI ........................... iv
HALAMAN PERSETUJUAN LAPORAN TUGAS AKHIR ............................ v
HALAMAN PENGESAHAN ........................................................................... vi
HALAMAN PERSEMBAHAN ......................................................................... vii
RIWAYAT HIDUP ............................................................................................ viii
PRAKATA ....................................................................................................... ix
ABSTRAK ....................................................................................................... xii
HALAMAN DAFTAR ISI ................................................................................. xiii
HALAMAN DAFTAR TABEL ......................................................................... xvi
HALAMAN DAFTAR BAGAN ........................................................................ xviii
HALAMAN DAFTAR LAMPIRAN .................................................................. xix
BAB I PENDAHULUAN ................................................................................. 1
A. Latar Belakang .................................................................................... 1
B. Rumusan Masalah ............................................................................... 4
xiv
C. Tujuan Penelitian .................................................................................. 4
D. Manfaat Penelitian................................................................................ 6
E. Keaslian Penelitian ............................................................................... 7
F. Lingkup Penelitian ................................................................................ 8
BAB II TINJAUAN PUSTAKA ........................................................................ 10
A. Asupan Gizi Ibu Hamil .......................................................................... 10
1. Kebutuhan Gizi ............................................................................... 10
2. Asupan Protein Ibu Hamil ............................................................. 12
3. Kekurangan Energi Kronik (KEK) ................................................. 14
4. Pengukuran LILA ........................................................................... 16
5. Faktor-faktor yang Berhubungan dengan KEK pada Ibu
Hamil............................................................................................... 17
B. Kerangka Teori ..................................................................................... 22
BAB III METODOLOGI PENELITIAN ............................................................. 23
A. Kerangka Konsep ................................................................................. 23
B. Hipotesis ............................................................................................... 23
C. Jenis dan Rancangan Penelitian ......................................................... 24
D. Variabel Penelitian ............................................................................... 25
E. Definisi Operasional ............................................................................. 26
F. Populasi dan Sampel ........................................................................... 28
G. Pengumpulan Data............................................................................... 32
H. Pengolahan Data.................................................................................. 33
I.
Instrumen Penelitian............................................................................. 33
J.
Analisis Data......................................................................................... 34
BAB IV HASIL PENELITIAN .......................................................................... 37
xv
A. Gambaran Umum Tempat Penelitian .................................................. 37
B. Karakteristik Responden ...................................................................... 38
C. Hasil Penelitian ..................................................................................... 41
1. Analisis Univariat/Deskriptif dan Bivariat/Analitik .......................... 41
BAB V PEMBAHASAN ................................................................................... 50
A. Hubungan Antara Umur Ibu dengan Kejadian KEK pada Ibu Hamil .. 50
B. Hubungan Antara Pekerjaan Ibu dengan Kejadian KEK pada Ibu
Hamil..................................................................................................... 51
C. Hubungan Antara Pendidikan Ibu dengan Kejadian KEK pada Ibu
Hamil..................................................................................................... 52
D. Hubungan Antara Umur Kehamilan Ibu dengan Kejadian KEK pada
Ibu Hamil .............................................................................................. 53
E. Hubungan Antara Jumlah Asupan Protein dengan Kejadian KEK
pada Ibu Hamil ..................................................................................... 54
F. Hubungan Antara Jenis Asupan Protein dengan Kejadian KEK pada
Ibu Hamil .............................................................................................. 55
G. Hubungan Antara Status Gizi Sebelum Hamil dengan Kejadian KEK
pada Ibu Hamil ..................................................................................... 55
H. Keterbatasan Penelitian ....................................................................... 56
BAB VI SIMPULAN DAN SARAN .................................................................. 58
A. Kesimpulan ........................................................................................... 58
B. Saran .................................................................................................... 59
DAFTAR PUSTAKA ........................................................................................
LAMPIRAN-LAMPIRAN ..................................................................................
xvi
DAFTAR TABEL
Tabel
Halaman
Tabel 1.1 Keaslian Penelitian .......................................................................... 7
Tabel 2.1 Angka Kecukupan Gizi Ibu Hamil .................................................... 11
Tabel 2.2 Kebutuhan Protein ........................................................................... 12
Tabel 2.3 Kandungan Protein per 100 Gram dalam Makanan Berprotein
Nabati............................................................................................... 13
Tabel 2.3 Kandungan Protein per 100 Gram dalam Makanan Berprotein
Hewani ............................................................................................. 13
Tabel 3.1 Definisi Operasional ......................................................................... 26
Tabel 3.2 Analisis Odds Ratio (OR) ................................................................ 35
Tabel 4.1 Jumlah Penduduk Puskesmas Halmahera Semarang ................... 38
Tabel 4.2 Distribusi Responden Berdasarkan Umur Ibu Hamil ...................... 38
Tabel 4.3 Distribusi Responden Berdasarkan Pekerjaan Ibu Hamil ............... 39
Tabel 4.4 Distribusi Responden Berdasarkan Pendidikan Ibu Hamil ............. 39
Tabel 4.5 Distribusi Responden Berdasarkan Umur Kehamilan .................... 40
Tabel 4.6 Hubungan Antara Umur Ibu dengan KEK ....................................... 41
Tabel 4.7 Hubungan Antara Pekerjaan Ibu dengan KEK ............................... 42
Tabel 4.8 Hubungan Antara Pendidikan Ibu dengan KEK .............................. 43
Tabel 4.9 Hubungan Antara Umur Kehamilan Ibu dengan KEK ..................... 44
Tabel 4.10 Hubungan Antara Jumlah Asupan Protein Ibu Hamil dengan
KEK ................................................................................................ 45
Tabel 4.11 Hubungan Antara Jenis Asupan Protein Ibu Hamil dengan
xvii
KEK ................................................................................................ 46
Tabel 4.12 Hubungan Antara Status Gizi Sebelum Hamil dengan KEK ........ 47
Tabel 4.13 Rangkuman Hasil Penelitian ......................................................... 48
xviii
DAFTAR BAGAN
Bagan
Halaman
Bagan 2.1 Kerangka Teori Penelitian .............................................................. 22
Bagan 3.1 Kerangka Konsep Penelitian .......................................................... 23
Bagan 3.2 Rancangan Case Control ............................................................... 35
xix
DAFTAR LAMPIRAN
1. Instrumen Penelitian
2. Hasil Uji Statistik
3. Surat Perijinan
4. Dokumentasi
xx
Halaman
HALAMAN JUDUL ......................................................................................... i
HALAMAN HAK CIPTA ................................................................................. ii
HALAMAN PERNYATAAN KEASLIAN TUGAS AKHIR ............................. iii
HALAMAN PERNYATAAN PERSETUJUAN PUBLIKASI ........................... iv
HALAMAN PERSETUJUAN LAPORAN TUGAS AKHIR ............................ v
HALAMAN PENGESAHAN ........................................................................... vi
HALAMAN PERSEMBAHAN ......................................................................... vii
RIWAYAT HIDUP ............................................................................................ viii
PRAKATA ....................................................................................................... ix
ABSTRAK ....................................................................................................... xii
HALAMAN DAFTAR ISI ................................................................................. xiii
HALAMAN DAFTAR TABEL ......................................................................... xvi
HALAMAN DAFTAR BAGAN ........................................................................ xviii
HALAMAN DAFTAR LAMPIRAN .................................................................. xix
BAB I PENDAHULUAN ................................................................................. 1
A. Latar Belakang .................................................................................... 1
B. Rumusan Masalah ............................................................................... 4
xiv
C. Tujuan Penelitian .................................................................................. 4
D. Manfaat Penelitian................................................................................ 6
E. Keaslian Penelitian ............................................................................... 7
F. Lingkup Penelitian ................................................................................ 8
BAB II TINJAUAN PUSTAKA ........................................................................ 10
A. Asupan Gizi Ibu Hamil .......................................................................... 10
1. Kebutuhan Gizi ............................................................................... 10
2. Asupan Protein Ibu Hamil ............................................................. 12
3. Kekurangan Energi Kronik (KEK) ................................................. 14
4. Pengukuran LILA ........................................................................... 16
5. Faktor-faktor yang Berhubungan dengan KEK pada Ibu
Hamil............................................................................................... 17
B. Kerangka Teori ..................................................................................... 22
BAB III METODOLOGI PENELITIAN ............................................................. 23
A. Kerangka Konsep ................................................................................. 23
B. Hipotesis ............................................................................................... 23
C. Jenis dan Rancangan Penelitian ......................................................... 24
D. Variabel Penelitian ............................................................................... 25
E. Definisi Operasional ............................................................................. 26
F. Populasi dan Sampel ........................................................................... 28
G. Pengumpulan Data............................................................................... 32
H. Pengolahan Data.................................................................................. 33
I.
Instrumen Penelitian............................................................................. 33
J.
Analisis Data......................................................................................... 34
BAB IV HASIL PENELITIAN .......................................................................... 37
xv
A. Gambaran Umum Tempat Penelitian .................................................. 37
B. Karakteristik Responden ...................................................................... 38
C. Hasil Penelitian ..................................................................................... 41
1. Analisis Univariat/Deskriptif dan Bivariat/Analitik .......................... 41
BAB V PEMBAHASAN ................................................................................... 50
A. Hubungan Antara Umur Ibu dengan Kejadian KEK pada Ibu Hamil .. 50
B. Hubungan Antara Pekerjaan Ibu dengan Kejadian KEK pada Ibu
Hamil..................................................................................................... 51
C. Hubungan Antara Pendidikan Ibu dengan Kejadian KEK pada Ibu
Hamil..................................................................................................... 52
D. Hubungan Antara Umur Kehamilan Ibu dengan Kejadian KEK pada
Ibu Hamil .............................................................................................. 53
E. Hubungan Antara Jumlah Asupan Protein dengan Kejadian KEK
pada Ibu Hamil ..................................................................................... 54
F. Hubungan Antara Jenis Asupan Protein dengan Kejadian KEK pada
Ibu Hamil .............................................................................................. 55
G. Hubungan Antara Status Gizi Sebelum Hamil dengan Kejadian KEK
pada Ibu Hamil ..................................................................................... 55
H. Keterbatasan Penelitian ....................................................................... 56
BAB VI SIMPULAN DAN SARAN .................................................................. 58
A. Kesimpulan ........................................................................................... 58
B. Saran .................................................................................................... 59
DAFTAR PUSTAKA ........................................................................................
LAMPIRAN-LAMPIRAN ..................................................................................
xvi
DAFTAR TABEL
Tabel
Halaman
Tabel 1.1 Keaslian Penelitian .......................................................................... 7
Tabel 2.1 Angka Kecukupan Gizi Ibu Hamil .................................................... 11
Tabel 2.2 Kebutuhan Protein ........................................................................... 12
Tabel 2.3 Kandungan Protein per 100 Gram dalam Makanan Berprotein
Nabati............................................................................................... 13
Tabel 2.3 Kandungan Protein per 100 Gram dalam Makanan Berprotein
Hewani ............................................................................................. 13
Tabel 3.1 Definisi Operasional ......................................................................... 26
Tabel 3.2 Analisis Odds Ratio (OR) ................................................................ 35
Tabel 4.1 Jumlah Penduduk Puskesmas Halmahera Semarang ................... 38
Tabel 4.2 Distribusi Responden Berdasarkan Umur Ibu Hamil ...................... 38
Tabel 4.3 Distribusi Responden Berdasarkan Pekerjaan Ibu Hamil ............... 39
Tabel 4.4 Distribusi Responden Berdasarkan Pendidikan Ibu Hamil ............. 39
Tabel 4.5 Distribusi Responden Berdasarkan Umur Kehamilan .................... 40
Tabel 4.6 Hubungan Antara Umur Ibu dengan KEK ....................................... 41
Tabel 4.7 Hubungan Antara Pekerjaan Ibu dengan KEK ............................... 42
Tabel 4.8 Hubungan Antara Pendidikan Ibu dengan KEK .............................. 43
Tabel 4.9 Hubungan Antara Umur Kehamilan Ibu dengan KEK ..................... 44
Tabel 4.10 Hubungan Antara Jumlah Asupan Protein Ibu Hamil dengan
KEK ................................................................................................ 45
Tabel 4.11 Hubungan Antara Jenis Asupan Protein Ibu Hamil dengan
xvii
KEK ................................................................................................ 46
Tabel 4.12 Hubungan Antara Status Gizi Sebelum Hamil dengan KEK ........ 47
Tabel 4.13 Rangkuman Hasil Penelitian ......................................................... 48
xviii
DAFTAR BAGAN
Bagan
Halaman
Bagan 2.1 Kerangka Teori Penelitian .............................................................. 22
Bagan 3.1 Kerangka Konsep Penelitian .......................................................... 23
Bagan 3.2 Rancangan Case Control ............................................................... 35
xix
DAFTAR LAMPIRAN
1. Instrumen Penelitian
2. Hasil Uji Statistik
3. Surat Perijinan
4. Dokumentasi
xx