ILLAHI, KURNIA RESTU (2026) PERBEDAAN PENGETAHUAN IBU HAMIL TENTANG PENCEGAHAN DIABETES MELLITUS GESTASIONAL SEBELUM DAN SETELAH KONSELING GIZI PADA KELAS IBU HAMIL DI WILAYAH KERJA UPTD PUSKESMAS CILIMUS KABUPATEN KUNINGAN TAHUN 2026. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.
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Abstract
INTISARI Latar Belakang: Diabetes Mellitus Gestasional (DMG) merupakan gangguan toleransi glukosa yang pertama kali muncul atau terdiagnosis selama masa kehamilan yang memicu komplikasi serius pada ibu maupun janin. Di Wilayah Kerja UPTD Puskesmas Cilimus, jumlah ibu hamil dengan risiko atau indikasi terkait diabetes menunjukkan peningkatan dari tahun 2023 sampai 2025. Kurangnya pemahaman mendalam mengenai mekanisme spesifik DMG memerlukan upaya preventif terstruktur, salah satunya melalui metode konseling gizi dua arah di Kelas Ibu Hamil. Tujuan: Mengetahui perbedaan pengetahuan ibu hamil tentang pencegahan Diabetes Mellitus Gestasional (DMG) sebelum dan setelah diberikan konseling gizi pada Kelas Ibu Hamil di Wilayah Kerja UPTD Puskesmas Cilimus Kabupaten Kuningan Tahun 2026. Metode: Penelitian kuantitatif ini menggunakan desain Pre-Experimental dengan rancangan One Group Pretest-Posttest. Populasi penelitian adalah seluruh ibu hamil di wilayah kerja UPTD Puskesmas Cilimus dengan jumlah sampel sebanyak 111 responden yang ditentukan berdasarkan rumus Slovin. Pengumpulan data dilakukan menggunakan instrumen kuesioner terstruktur pre-test dan post-test. Analisis bivariat menggunakan uji non-parametrik Wilcoxon Signed Rank Test karena data tidak berdistribusi normal. Hasil: Sebelum diberikan konseling gizi (pre-test), rata-rata (mean) skor pengetahuan responden adalah sebesar 9,78. Setelah mendapatkan intervensi konseling gizi (post-test), rata-rata skor pengetahuan meningkat signifikan menjadi 13,32. Hasil uji statistik Wilcoxon menunjukkan nilai Z = -8,735 dengan nilai signifikansi p-value = 0,000 (p < 0,05), yang membuktikan adanya perbedaan yang bermakna pada tingkat pengetahuan responden. Kesimpulan: Intervensi konseling gizi secara interaktif pada Kelas Ibu Hamil terbukti efektif dalam meningkatkan pengetahuan ibu hamil mengenai pencegahan Diabetes Mellitus Gestasional secara nyata dan signifikan. Tenaga kesehatan khususnya bidan disarankan mengintegrasikan program konseling gizi terstruktur ini secara berkala dalam pelaksanaan Kelas Ibu Hamil. Kata Kunci: Konseling Gizi, Pengetahuan Ibu Hamil, Diabetes Mellitus Gestasional, Kelas Ibu Hamil. ABSTRACT Background: Gestational Diabetes Mellitus (GDM) is a glucose tolerance disorder first recognized or diagnosed during pregnancy that triggers serious complications for both mother and fetus. In the Working Area of UPTD Puskesmas Cilimus, the number of pregnant women with indications related to diabetes showed an upward trend from 2023 to 2025. The lack of in-depth understanding regarding GDM mechanisms requires structured preventive efforts, such as two-way nutrition counseling method within the Pregnant Women's Classes. Objective: To determine the difference in pregnant women's knowledge about the prevention of Gestational Diabetes Mellitus (GDM) before and after receiving nutrition counseling in Pregnant Women's Classes at the UPTD Puskesmas Cilimus Working Area, Kuningan Regency in 2026. Methods: This quantitative research used a Pre-Experimental design with a One Group Pretest-Posttest approach. The population involved all pregnant women in the working area of UPTD Puskesmas Cilimus, with a total sample size of 111 respondents selected using the Slovin formula. Data collection was carried out using structured pre-test and post-test questionnaires. Bivariate analysis was performed utilizing the non-parametric Wilcoxon Signed Rank Test because the data was not normally distributed. Results: Prior to receiving nutrition counseling (pre-test), the mean knowledge score of the respondents was 9.78. After undergoing the nutrition counseling intervention (post-test), the mean knowledge score increased significantly to 13.32. The Wilcoxon statistical test result indicated a Z-value of -8.735 with a significance level of p-value = 0.000 (p < 0.05), which confirms a statistically significant difference in the respondents' knowledge level. Conclusion: Interactive nutrition counseling within the Pregnant Women's Classes is proven to be effective in significantly upgrading pregnant women's knowledge concerning Gestational Diabetes Mellitus prevention. Healthcare providers, particularly midwives, are encouraged to periodically integrate structured nutrition counseling programs into the implementation of Pregnant Women's Classes. Keywords: Nutrition Counseling, Pregnant Women's Knowledge, Gestational Diabetes Mellitus, Pregnant Women's Classes.
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Uncontrolled Keywords: | Konseling Gizi, Pengetahuan Ibu Hamil, Diabetes Mellitus Gestasional, Kelas Ibu Hamil.SKRIPSICB42026, SKRIPSICB4CRB, SKRIPSICRB | ||||||||||||
| Subjects: | L Education > LB Theory and practice of education L Education > LB Theory and practice of education > LB1501 Primary Education R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Jurusan Kebidanan > D4 Kebidanan | ||||||||||||
| Depositing User: | CB4 KURNIA RESTU ILLAHI | ||||||||||||
| Date Deposited: | 13 Jul 2026 03:39 | ||||||||||||
| Last Modified: | 13 Jul 2026 03:39 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/9467 |
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