Impact Of Nutsi-Smartphone Application On Nutritional Knowledge Among Breastfeeding Mothers: A Quasy-Experimental Study
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Abstract
Background: Nutrition knowledge among breastfeeding mothers is a key factor in good nutrition status. Some breastfeeding mothers in Indonesia suffer from inadequate nutrition status, which may affect exclusive breastfeeding practice. However, few breastfeeding women have adequate nutritional knowledge. Health education about adequate nutrition during lactation is highly needed.
Methods: This was a quasi-experimental study with a control group, pretest, and post-test design. It was conducted at the work area of the Panyingkiran Public Health Center, Majalengka Regency, West Java Province, Indonesia. This study used a consecutive sampling method and involved 78 respondents, divided into 39 respondents in the intervention group and 39 respondents in the control group. Data was collected using a set of questionnaires to collect demographic and nutritional data. Then, the data were analyzed using the Wilcoxon test and Chi-square test.
Results: This study found that there was a significant difference between pre-test and post-test scores in the intervention group (t=0,000 p<0,05). There was no significant difference between pre-test and post-test scores in the control group (t=1, p >0,05). Furthermore, there was a significant difference in post-test scores between the intervention and control groups (t=0,000 p<0,05).
Conclusion: The developed smartphone application-Nutsi-was effective in increasing nutritional knowledge among lactation mothers. Health care providers may use Nutsi as a health promotion media in order to improve nutrition knowledge among pregnant women.
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References
Adhikari, S., Kudla, U., Nyakayiru, J., & Brouwer-Brolsma, E. M. (2021). Maternal dietary intake, nutritional status and macronutrient composition of human breast milk: systematic review. The British Journal of Nutrition, 1–25. doi:10.1017/S0007114521002786
Almohanna, A. A., Win, K. T., & Meedya, S. (2020). Effectiveness of internet-based electronic technology interventions on breastfeeding outcomes: Systematic review. Journal of Medical Internet Research, 22(5), 1–18. doi:10.2196/17361
APJII. (2018). Survei APJII: Penetrasi Internet di Indonesia Capai 143 Juta Jiwa. Buletin Asosiasi Penyelenggara Jasa Internet Indonesia. Jakarta: APJII. Retrieved from https://apjii.or.id/content/read/104/348/BULETIN-APJII-EDISI-22---Maret-2018
Beluska-Turkan, K., Korczak, R., Hartell, B., Moskal, K., Maukonen, J., Alexander, D. E., … Siriwardhana, N. (2019). Nutritional gaps and supplementation in the first 1000 days. Nutrients, 11(2891), 1–50. doi:10.3390/nu11122891
Budianto, F. H., & Handayani, O. W. K. (2017). Aplikasi Android “Ayah Asi” Terhadap Peran Suami Dalam Pemberian Asi Eksklusif (Breastfeeding Father). Journal of Health Education, 2(1), 60–65. doi:10.15294/jhe.v2i1.18827
Bzikowska-Jura, A., Czerwonogrodzka-Senczyna, A., Olędzka, G., Szostak-Węgierek, D., Weker, H., & Wesołowska, A. (2018). Maternal Nutrition and Body Composition During Breastfeeding: Association with Human Milk Composition. Nutrients, 10(10). doi:10.3390/nu10101379
Cato, K., Sylvén, S. M., Henriksson, H. W., & Rubertsson, C. (2020). Breastfeeding as a balancing act - Pregnant Swedish women’s voices on breastfeeding. International Breastfeeding Journal, 15(1), 1–9. doi:10.1186/s13006-020-00257-0
Dahlan, S. (2019). Statistik untuk Kedokteran dan Kesehatan: Deskriptif, Bivariat, dan Multivariat (Edisi 6). Jakarta: Epidemiologi Indonesia.
Depkes RI. (2002). Pedoman Umum Gizi Seimbang Direktorat Jenderal Bina Kesehatan Masyarakat. Jakarta.
Desisa Hundera, T. (2015). Nutritional Status and Associated Factors Among Lactating Mothers in Nekemte Referral Hospital and Health Centers, Ethiopia. International Journal of Nutrition and Food Sciences, 4(2), 216. doi:10.11648/j.ijnfs.20150402.23
Ependi, K. R., Anggraeni, M. D., & Kartikasari, A. (2022). Health Education Using Mobilephone Application To Prevent Breastfeeding Problems. JKG (Jurnal Keperawatan Global), 6(2), 109–117. doi:10.37341/jkg.v0i0.389
Fahrizki. (2017). Pengaruh Pemberian Game “Nutri Quiz Story” terhadap Tingkat Pengetahuan & Sikap Gizi pada Remaja Obesitas di Kota Semarang. Universitas Diponegoro.
Glanny Anindya, I., Salimo, H., Lanti, Y., & Dewi, R. (2020). The Association between Exclusive Breastfeeding, Maternal Nutritional Status, Maternal Zinc Intake, and Stunting in Infants Aged 6 Months. Journal of Maternal and Child Health, 5(1), 35–48. Retrieved from https://doi.org/10.26911/thejmch.2020.05.01.05
Hapsari, C. M. (2013). Efektivitas Komunikasi Media Booklet ‘Anak Alami’ sebagai Media Penyampai Pesan Gentle Birthing Service. Jurnal E-Komunikasi, 1(3).
Kominiarek, M. A., & Rajan, P. (2016). Nutrition Recommendations in Pregnancy and Lactation. Medical Clinics of North America, 100(6), 1199–1215. doi:10.1016/j.mcna.2016.06.004
Kusumadewi, T. (2009). Hubungan kecanduan game online dengan perilaku social pada remaja. Universitas Indonesia.
Marshall, N. E., Abrams, B., Barbour, L. A., Catalano, P., Christian, P., Friedman, J. E., … Thornburg, K. L. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. American Journal of Obstetrics and Gynecology, 226(5), 607–632. doi:10.1016/j.ajog.2021.12.035
Mbonye, P. N. (2022). What you need to know about breastfeeding and how UNICEF is promoting the practice. UNICEF. Retrieved from https://www.unicef.org/sudan/stories/world-breastfeeding-day-2022
Minato, T., Nomura, K., Asakura, H., Aihara, A., Hiraike, H., Hino, Y., … Kodama, H. (2019). Maternal undernutrition and breast milk macronutrient content are not associated with weight in breastfed infants at 1 and 3 months after delivery. International Journal of Environmental Research and Public Health, 16(18). doi:10.3390/ijerph16183315
Notoatmodjo, S. (2010). Promosi Kesehatan: Teori dan Aplikasi. Jakarta: PT Rineka Cipta.
Notoatmodjo, S. (2014). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
Pretorius, C. E., Asare, H., Kruger, H. S., Genuneit, J., Siziba, L. P., & Ricci, C. (2021). Exclusive breastfeeding, child mortality, and economic cost in Sub-Saharan Africa. Pediatrics, 147(3), 1–7. doi:10.1542/PEDS.2020-030643
Prialita, D. K. (2021). Hubungan Antara Status Gizi Dengan Produksi Asi Pada Ibu Menyusui Di Desa Prajekan Kidul Kabupaten Bondowoso. Politeknik Negeri Jember. Retrieved from https://sipora.polije.ac.id/id/eprint/12612
Quin, K. C. (2006). Beliefs about parenting and how it affects a child’s education. Eastern Michigan University, Michigan, Michigan.
Rohman, M. A., Ichsan, B., Lestari, N., & Agustina, T. (2021). Status gizi dan usia ibu mempengaruhi pemberian ASI eksklusif. In National Symposium and Workshop Continuing Medical Education XIV (pp. 1143–1155). Proceeding Book National Symposium and Workshop Continuing Medical Education XIV. Retrieved from http://hdl.handle.net/11617/12817
Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., & Agostoni, C. (2018). Factors influencing children’s eating behaviours. Nutrients, 10(706), 1–17. doi:10.3390/nu10060706
Specht, I. O., Rohde, J. F., Olsen, N. J., & Heitmann, B. L. (2018). Duration of exclusive breastfeeding may be related to eating behaviour and dietary intake in obesity prone normal weight young children. PloS One, 13(7), e0200388. doi:10.1371/journal.pone.0200388
Tessema, D. G., Girma, E., Mekonnen, T. C., & Mebratu, W. (2020). The extent of maternal nutritional knowledge and practice during lactation in Kombolcha Town, South Wollo Zone, Ethiopia: A mixed study design. International Journal of Women’s Health, 12, 79–87. doi:10.2147/IJWH.S234398
Triatmaja, N. T., I, O. R., & Hidayat, A. (2018). Determinan Masalah Gizi Kurang ( Status Kurang Energi Kronis ) Pada Ibu Menyusui Berdasarkan Aspek Individu Dan Rumah Tangga Di Kota Kediri. Jurnal Wiyata, 5(2), 69–76.
Tritya, D. (2017). Perbedaan Skor Pengetahuan Terkait Gizi Seimbang Pada Ibu Menyusui yang Diberikan Edukasi Gizi Melalui Media Website dan Booklet di Kota Malang. Universitas Brawijaya.
Turah, S., Anggraeni, M. D., & Setiawati, N. (2019). The effect of android on premarital sex. Annals of Tropical Medicine & Public Health, 22(11), 150–157. doi:http://dx.doi.org/10.36295/ASRO.2019.221121
UNICEF. (2022a). Indonesia (IDN) - Demographics, Health & Infant Mortality. UNICEF Data. Retrieved from https://data.unicef.org/country/idn/
UNICEF. (2022b). Maternal Nutrition. UNICEF. Retrieved from https://www.unicef.org/nutrition/maternal
WHO. (2022). Child health in the South-East Asia Region. WHO. Retrieved from https://www.who.int/southeastasia/health-topics/child-health
Widyastutik, O., Chartasim, Y., Trisnawati, E., & Selviana. (2021). Factors Related To Breastmilk Production on Postpartum Mothers in East Pontianak, West Kalimantan. The Indonesian Journal of Public Health, 16(2), 297–314. doi:10.20473/ijph.v16i2.2021.297-314
Winarsih. (2018). Pengantar Ilmu Gizi dalam Kebidanan. Yogyakarta: Pustaka Baru Press.
Zajacova, A., & Lawrence, E. M. (2018). The relationship between education and health: reducing disparities through a contextual approach. Physiology & Behavior, 39, 273–289. doi:10.1146/annurev-publhealth-031816-044628