PENGARUH PEMBERIAN JUS JAMBU BIJI TERHADAP PERUBAHAN KADAR HEMOGLOBIN DAN KADAR FERRITIN IBU HAMIL YANG MENDAPAT SUPLEMENTASI TABLET FE (Di Puskesmas Sawit II Wilayah Kerja Dinas Kesehatan Boyolali)

Abstract

Latar Belakang Anemia dalam kehamilan adalah kondisi ibu hamil dengan kadar hemoglobin kurang dari 10,5 gr/dl dan kadar ferritin kurang dari 10 ng/ml. Pencegahan anemia selama kehamilan dilakukan dengan pemberian tablet Fe selama 90 hari dengan dosis 60 mg. Ibu hamil selain mengkonsumsi tablet besi, perlu didukung dengan pola nutrisi yang diperlukan dalam sintesis hemoglobin. Jambu biji (psidium guajava) merupakan bahan makanan yang mengandung beberapa senyawa antara yang diperlukan dalam sintesis hemoglobin seperti zat besi dan vitamin C. Tujuan Penelitian Membuktikan pengaruh pemberian jus jambu biji terhadap perubahan kadar hemoglobin dan kadar ferritin ibu hamil yang mendapat suplementasi tablet Fe. Metode Penelitian Penelitian quasy experiment dengan rancangan non randomized pretest and posttest with control group design. Pengukuran hemoglobin menggunakan alat mutiple quick check dan pengukuran kadar ferritin menggunakan enzyme immunoassay. Hasil Penelitian Penelitian dilakukan pada 26 responden terdiri dari kelompok kontrol dan kelompok perlakuan selama 16 hari. Rata-rata perubahan kadar hemoglobin pada ibu hamil kelompok kontrol sebesar 0.25 gr/dl dan pada kelompok perlakuan sebesar 1.30 gr/dl. Rata-rata perubahan kadar ferritin pada ibu hamil kelompok kontrol sebesar 6.9 ng/ml dan pada kelompok perlakuan sebesar 23.76 ng/ml. Hasil uji t-test independent didapatkan ada pengaruh konsumsi jambu biji dan tablet Fe terhadap perubahan kadar hemoglobin dengan p value 0.015. Hasil uji t-test independent didapatkan ada pengaruh konsumsi jambu biji dan tablet Fe terhadap perubahan kadar ferritin dengan p value 0.041. Kesimpulan Pemberian jus jambu biji secara signifikan mempengaruhi perubahan kadar Hemoglobin dan kadar Ferritin. Saran Menganjurkan kepada ibu hamil untuk mengkonsumsi tablet Fe dengan jambu biji. Kata Kunci : Jambu Biji, Kadar Hemoglobin, Kadar Ferritin, Ibu Hamil Background Anemia in pregnancy is a condition in pregnant women with hemoglobin levels less than 10.5 gr/dl and ferritin levels less than 10 ng/ml. Prevention of anemia during pregnancy is done by administering tablets Fe for 90 days at a dose of 60 mg. Pregnant women besides taking iron tablets, needs to be supported with nutritional patterns which contain in the synthesis of hemoglobin such us iron and vitamin C. Objective To analyze the effect of the consumption of guava to changed levels of hemoglobin and levels of ferritin. Research Method Quasy experiment non randomized pretest and posttest with control group design. Hemoglobin measurements using mutiple quick check and ferritin measurements using enzyme immunoassay. Results The study was conducted on 26 respondents consisting of a control group and the experimental group for 16 days. The average changes hemoglobin levels in pregnant women a control group of 0.25 gr/dl and a experimental group of 1.30 gr/dl. The average changes ferritin levels in pregnant women a control group of 6.90 ng/ml and a experimental group of 23.76 ng/ml. The results of the independent t-test found there’s influence consumption of guava and tablet Fe to change the levels of hemoglobin with p value 0.015. The results of the independent t-test found there’s influence consumption of guava and tablet Fe to change the levels of ferritin with p value 0.041. Conclusion The provision of guava significantly affect change the levels of hemoglobin and levels of ferritin. Suggestion Pregnant women is recommended to consume iron tablet with guava. Keywords : Guava, Hemoglobin Levels, Ferritin Levels, Pregnant Women