The Effect of Health Education Using Stunting Smart Cards Toward Knowledge and Stress on Pregnant Women for Stunting Prevention

  • Yolanda Sukarma Universitas Andalas
  • Dewi Eka Putri Universitas Andalas
  • Yaslina Yaslina Universitas Andalas
Keywords: health education, knowledge, pregnant women, stress, stunting smart card

Abstract

Pregnant women are subject to various risk factors that render them physically and psychologically vulnerable, increasing the risk of stunting in their babies. Insufficient knowledge and mental health issues during pregnancy elevate the risk of stunting by 10.2 times. These factors can lead to delayed fetal development, disrupt nutrient metabolism, and negatively affect health, ultimately contributing to stunting. One potential intervention to enhance pregnant women's knowledge and manage stress involves the use of targeted health education through Stunting Smart Cards. This study aimed to assess the effect of health education using Stunting Smart Cards on the knowledge and stress levels of pregnant women. Quantitative study, quasi-experimental pretest-posttest design with control groups. The study included 46 pregnant women selected through purposive sampling, with 23 participants in each of the intervention and control groups. The study was conducted at Seberang Padang and Ikur Koto Health Centers. Data analysis was carried out using Paired t-tests and Wilcoxon tests. The mean knowledge score in the intervention group significantly increased from 7.08 (low) to 9.82 (high) after the intervention. Concurrently, the mean stress score decreased from 107.73 (severe) to 73.86 (moderate). In contrast, the control group exhibited minimal changes, with knowledge scores increasing slightly from 6.56 to 7.39, and stress levels remaining stable at 107.00 post-intervention. This study found a significant effect of health education using Stunting Smart Cards on improving knowledge and reducing stress in pregnant women as part of stunting prevention efforts in Padang City Health Centers.

References

Abas, A. S., & Gobel, F. A. (2021). Faktor Risiko Kejadian Stunting Pada Anak Balita Di Desa Pa Lalakkang. Journal Of Aafiyah Health Research (JAHR), 2(1), 1–12.

Abera, M., Hanlon, C., Daniel, B., Tesfaye, M., Workicho, A., Girma, T., Wibaek, R., Andersen, G. S., Fewtrell, M., Filteau, S., & Wells, J. C. K. (2024). Effects of relaxation interventions during pregnancy on maternal mental health, and pregnancy and newborn outcomes: A systematic review and meta-analysis. PLoS ONE, 19(1 January), 1–25. https://doi.org/10.1371/journal.pone.0278432

Akbarian, Z., Kohan, S., Nasiri, H., & Ehsanpour, S. (2018). The effects of mental health training program on stress, anxiety, and depression during pregnancy. Iranian Journal of Nursing and Midwifery Research, 23(2), 93–97. https://doi.org/10.4103/ijnmr.IJNMR_207_16

Ambarwati, W., & Aprianti. (2022). Knowledge Level And Mother’s Attitude Related To Stunting In Infants Aged 6-23 Months. Amerta Nutrition, 6(1SP), 44–50. https://doi.org/10.20473/amnt.v6i1sp.2022.44-50

Anggraini, S. A., Siregar, S., & Dewi, R. (2020). Pengaruh Media Audio Visual Terhadap Tingkat Pengetahuan Dan Sikap Pada Ibu Hamil Tentang Pencegahan Stunting Di Desa Cinta Rakyat. Jurnal Ilmiah Kebidanan Imelda, 6(1), 26–31. https://doi.org/10.52943/jikebi.v6i1.379

Apriliana, T., Keliat, B. A., Mustikasari, & Primasari, Y. (2022). A contributing factor of maternal pregnancy depression in the occurrence of stunting on toddlers. Journal of Public Health Research, 11(2), 78–82. https://doi.org/10.4081/jphr.2021.2738

Ariani, M. (2020). Determinan Penyebab Kejadian Stunting Pada Balita: Tinjauan Literatur. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 11(1), 172–186. https://doi.org/10.33859/dksm.v11i1.559

Astuti, S., Megawati, G., & CMS, S. (2020). Upaya Promotif untuk Meningkatkan Pengetahuan Ibu Bayi dan Balita tentang Stunting dengan Media Integrating Card. Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement), 6(1), 51. https://doi.org/10.22146/jpkm.42417

Babu, G. R., Murthy, G. V. S., Reddy, Y., Deepa, R., Yamuna, A., Prafulla, S., Rathnaiah, M., & Kinra, S. (2018). Small for gestational age babies and depressive symptoms of mothers during pregnancy: Results from a birth cohort in India. Wellcome Open Research, 3, 76. https://doi.org/10.12688/wellcomeopenres.14618.1

Badan Pusat Statistik. (2023). Laporan Indeks Khusus Penanganan Stunting Kabupaten /Kota 2021 - 2022. Badan Pusat Statistik.

Chen, C. H. (2015). Revision and validation of a scale to assess pregnancy stress. Journal of Nursing Research, 23(1), 25–32. https://doi.org/10.1097/jnr.0000000000000047

Ekawati, H., Martini, D. E., & Rohmawati, A. R. (2022). Hubungan Stress Dengan Derajat Morning Sickness Pada Ibu Hamil Trimester 1 Dan 2 Di Desa Sukobendu Kecamatan Mantup Kabupaten Lamongan. Surya, 14(3), 99–107. https://doi.org/10.38040/js.v14i3.543

Ekayanthi, N. W. D., & Suryani, P. (2019). Edukasi Gizi pada Ibu Hamil Mencegah Stunting pada Kelas Ibu Hamil. Jurnal Kesehatan, 10(3), 312. https://doi.org/10.26630/jk.v10i3.1389

Fauziatin, N., Kartini, A., & Nugraheni, S. (2019). Pengaruh Pendidikan Kesehatan dengan Media Lembar Balik Tentang Pencegahan Stunting Pada ibu hamil. VISIKES: Jurnal Kesehatan Masyarakat, 18(2), 224–233. http://publikasi.dinus.ac.id/index.php/visikes

Girma, S., Fikadu, T., & Abdisa, E. (2019). Maternal Common Mental Disorder as Predictors of Stunting among Children Aged 6-59 Months in Western Ethiopia: A Case-Control Study. International Journal of Pediatrics (United Kingdom), 2019. https://doi.org/10.1155/2019/4716482

Hardiyati, S. (2021). Studi Literatur : Depresi Dan Konflik Selama Kehamilan. Journal Kesehatan Manarang, 7(November), 77–85.

Herliani, S., & Yustiana, I. (2017). Hubungan Status Pekerjaan dan Pendidikan Dengan Pengetahuan Ibu Hamil Tentang Tanda Bahaya Kehamilan. Jurnal Obstretika Scientia, 4(1), 418–434. https://ejurnal.latansamashiro.ac.id/index.php/OBS/article/view/165

Jatmika, S. E. D., Maulana, M., Kuntoro, & Martini, S. (2019). Buku Ajar Pengembangan Media Promosi Kesehatan. In K-Media. http://eprints.ukh.ac.id/id/eprint/852/1/6_PERENCANAAN MEDIA PROMOSI KESEHATAN_1.pdf

Kemenkes RI. (2022a). Ini Wilayah dengan Prevalensi Stunting Tertinggi di Sumatra Barat pada 2022. 2022–2023.

Kemenkes RI. (2022b). Kemenkes RI no HK.01.07/MENKES/1928/2022 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stunting. 1–52.

Kusumawati, D. D., Septiyaningsih, R., & Susilawati. (2022). Efektifitas Kartu Pintar Cegah Stunting Terhadap Peningkatan Pengetahuan Ibu Hamil Tentang Stunting. Jika, 7(1), 32–37.

Manuaba, I. (2020). Ilmu Kebidanan Penyakit dan Kandungan dan Kb untuk Bidan. EGC.

Margawati, A., Noer, R. A., Syauqy, A., Fitranti, Y. D., Purwanti, R., & Utami, A. (2022). Variasi Menu Balita Stunting. In Fakultas Kedokteran Universitas Diponegoro (1st ed., Vol. 1, Issue August). Fakultas Kedokteran Universitas Diponegoro.

Melati, I. P., & Afifah, C. A. N. (2021). Edukasi Gizi Pencegahan Stunting Berbasis Whatsapp Group Untuk Meningkatkan Pengetahuan Dan Sikap Ibu Hamil. Jurnal Pangan Kesehatan Dan Gizi Universitas Binawan, 1(2), 61–69. https://doi.org/10.54771/jakagi.v1i2.153

Meri Agritubella, S., & Delvira, W. (2020). Efektifitas Poster Pola Diit 1000 Hari Pertama Kehidupan (HPK) terhadap Pengetahuan Ibu Hamil tentang Nutrisi dalam Pencegahan Stunting di Puskesmas Rambah Kabupaten Rokan Hulu. Jurnal Endurance, 5(1), 168. https://doi.org/10.22216/jen.v5i1.5027

Nguyen, P. H., Friedman, J., Kak, M., Menon, P., & Alderman, H. (2018). Maternal depressive symptoms are negatively associated with child growth and development: Evidence from rural India. Maternal and Child Nutrition, 14(4), 1–9. https://doi.org/10.1111/mcn.12621

Nurhasanah, A., Wardiyah, A., & Rilyani, R. (2023). Faktor yang Berhubungan dengan Stres pada Ibu Hamil selama Pandemi di Wilayah Kerja Puskesmas Bandar Jaya Kabupaten Lampung Tengah. Malahayati Nursing Journal, 5(1), 23–36. https://doi.org/10.33024/mnj.v5i1.7636

Nurhidayati, Tri, R., & Heny, R. (2020). Usia Ibu Saat Hamil dan Kejadian Stunting Pada Anak Usia 1 - 3 Tahun. Midwifery Care Journal, 1(5), 5.

Nurjaya, & Subriah. (2019). Hubungan antara tingkat pengetahuan ibu hamil dengan kesiapan menghadapi persalinan. Jurnal Media Keperawatan: Politeknik Kesehatan Makassar, 10(2), 85–91.

Nursa’iidah, S., & Rokhaidah. (2022). Pendidikan, Pekerjaan Dan Usia Dengan Pengetahuan Ibu Balita Tentang Stunting. Indonesian Jurnal of Health Development, 4(1), 9–18.

Nuryati, T., & Amira, Y. (2023). Pengaruh Dukungan Sosial dan Metode Coping terhadap tingkat stress pada ibu hamil. Jurnal Ilmu Kesehatan Masyarakat, 3, 432–437.

Pratiwi, B. R., & Muhlisin, A. (2023). Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Dan Sikap Ibu Hamil Tentang Upaya Pencegahan Stunting. Keperawatan Silampari, 6(2), 1–23.

Purwanti, T., & Setiyaningsih, F. Y. (2022). Prenatal Massage to Reduce Psychological Stress in Teenage Mothers and Its Implications for Stunting Prevention. Embrio: Jurnal Kebidanan, 14, 60–68.

Putri, E. R. T., & Margaretta, S. S. (2021). Efektifitas Relaksasi Deep Breathing Dengan Teknik Self Intruction Training (Sit) Dalam Bentuk Video Dan Audio Untuk Mengurangi Kecemasan Pada Ibu Hamil. Jurnal Keperawatan Dan Kesehatan Masyarakat Cendekia Utama, 10(1), 26. https://doi.org/10.31596/jcu.v10i1.694

Rahmawati, S., Saraswati, D., & Lina, N. (2022). Pengaruh Pendidikan Kesehatan Dengan Media Flash Card Terhadap Pengetahuan Ibu Hamil Mengenai Pencegahan Stunting. Jurnal Kesehatan Komunitas Indonesia, 18(1), 395–405.

Ramli, R. (2020). Correlation of Mothers’ Knowledge and Employment Status with Exclusive Breastfeeding in Sidotopo. Jurnal PROMKES, 8(1), 36. https://doi.org/10.20473/jpk.v8.i1.2020.36-46

Saleh, A., Syahrul, S., Hadju, V., Andriani, I., & Restika, I. (2021). Role of Maternal in Preventing Stunting: a Systematic Review. Gaceta Sanitaria, 35, S576–S582. https://doi.org/10.1016/j.gaceta.2021.10.087

Sari, J. (2023). The Effect of Education on Prevention of Stunting on the Knowledge of Pregnant Women at the Sei Dadap Health Center, Sei Dadap District, Asahan Regency in 2022. 14(02), 836–841.

Selfianan, V., Ulfadamayanti, N., Maani, S., Nuraini, & Fadillah, S. N. (2023). Pengaruh Stress pada Ibu Hamil. Journal on Education, 05(04), 11702–11706. https://www.jonedu.org/index.php/joe/article/view/2125/1765

Shishehgar, S., Mahmoodi, A., Dolatian, M., Mahmoodi, Z., Bakhtiary, M., & Majd, H. A. (2013). The relationship of social support and quality of life with the level of stress in pregnant women using the PATH model. Iranian Red Crescent Medical Journal, 15(7), 560–565. https://doi.org/10.5812/ircmj.12174

SSGI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes, 1–150.

Sukmawati, S., Hermayanti, Y., Nurhakim, F., DA, I. A., & Mediani, H. S. (2021). Edukasi Pada Ibu Hamil, Keluarga Dan Kader Posyandu Tentang Pencegahan Stunting. Dharmakarya, 10(4), 330. https://doi.org/10.24198/dharmakarya.v10i4.33400

Suryantar, B., Merida, Y., & Siswantol, P. (2023). Pengaruh Pemberian Edukasi Ibu Hamil Terhadap Tingkat Pengetahuan Pencegahan Stunting. Jurnal Kesehatan, 12(2), 175–180. https://doi.org/10.37048/kesehatan.v12i2.309

Susiloretni, K. A., Smith, E. R., Suparmi, Marsum, Agustina, R., & Shankar, A. H. (2021). The psychological distress of parents is associated with reduced linear growth of children: Evidence from a nationwide population survey. PLOS ONE, 16(10 October), 1–23. https://doi.org/10.1371/journal.pone.0246725

Syahida, A., & Mirani, N. (2021). Analisis Relaksasi Pernafasan Terhadap Kecemasan Pada Ibu Hamil Trimester Iii. Jurnal Kebidanan Malahayati, 7(4), 634–641. https://doi.org/10.33024/jkm.v7i4.5064

Usman, S., & Sudirman, J. (2023). Efektifitas Edukasi Maternal Mental Health terhadap Kesehatan Mental Ibu Selama

Masa Kehamilan. Jurnal Ilmu Kesehatan Indonesia, 3(4), 317–322. https://doi.org/10.25077/jikesi.v3i4.1041

Velga, Y., & Suryani, U. (2022). Faktor Yang Berhubungan dengan Tingkat Stres Pada Ibu Hamil Dalam Menghadapi Persalinan. JKJ): Persatuan Perawat Nasional Indonesia, 10(4), 837–856.

Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N., & Adhitya, D. (2022). Determinants of socioeconomic and rural-urban disparities in stunting: evidence from Indonesia. Rural and Remote Health, 22(1), 1–9. https://doi.org/10.22605/RRH7082

Wiliyanarti, P. F., Wulandari, Y., & Nasrullah, D. (2022). Behavior in fulfilling nutritional needs for Indonesian children with stunting: Related culture, family support, and mother’s knowledge. Journal of Public Health

Published
2024-10-30
How to Cite
Sukarma, Y., Putri, D. E., & Yaslina, Y. (2024). The Effect of Health Education Using Stunting Smart Cards Toward Knowledge and Stress on Pregnant Women for Stunting Prevention. Indonesian Journal of Global Health Research, 6(S5), 649-660. https://doi.org/10.37287/ijghr.v6iS5.4616