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DETERMINAN YANG MEMPENGARUHI KUALITAS HIDUP PADA PASIEN

POST STROKE INFARK DI RUMAH SAKIT SAIFUL ANWAR MALANG

TUGAS AKHIR

Untuk Memenuhi Persyrtn

Mem!er"#eh Ge#r Sr$n Ke%"ktern Umum

O#eh&

Ak'r Fitrh%i

NIM (()*+*(*+(,(**,

PROGRAM STUDI PENDIDIKAN DOKTER

FAKULTAS KEDOKTERAN

UNI-ERSITAS .RAWI/AYA

MALANG

,*()



DAFTAR ISI

Judul......................................................................................................... i

Lembar Persetujuan.................................................................................... ii

Kata Pengantar........................................................................................... iii

Abstrak ...................................................................................................... v

Abstract ...................................................................................................... vi

Daftar Isi...................................................................................................... vii

Daftar Tabel................................................................................................. xii

Daftar Gambar............................................................................................. xiii

Daftar Lampiran........................................................................................... xiv

Daftar ingkatan.......................................................................................... xv

.A. I PENDAHULUAN

!.! Latar "elakang..................................................................... !!.# $umusan Penelitian............................................................. %!.% Tujuan Penelitian.................................................................. %

!.%.! Tujuan &mum............................................................ %!.%.# Tujuan K'usus.......................................................... %

!.( )anfaat Penelitian................................................................ (!.(.! "idang Akademik...................................................... (!.(.# "idang Ilmu Pengeta'uan......................................... (!.(.% &ntuk )as*arakat..................................................... (!.(.( )anfaat Praktis......................................................... +

.A. II TIN/AUAN PUSTAKA

#.! ,tak...................................................................................... -#.# trke................................................................................... /

#.#.! Definisi....................................................................... /#.#.# Klasifikasi trke....................................................... /#.#.% 0pidemilgi.............................................................. 1#.#.( Patfisilgi &mum.................................................... 1#.#.+ )anifestasi Klinis trke............................................ !(#.#.- Perbaikan trke....................................................... !(

#.% Kualitas 2idup 3ang "er'ubungan Dengan Kese'atan

4Health –Related Quality of Life/QoL5



.............................................................................................

.............................................................................................

!-

#.%.! Definisi ...................................................................... !-#.%.# 2ubungan Kualitas 2idup dengan trke.................. !/#.%.% 6aktr76aktr 3ang )empengaru'i Kualitas 2idup.... !8

#.%.%.! &sia............................................................. !1#.%.%.# Jenis Kelamin.............................................. !1#.%.%.% Lama )enderita trke............................... !1#.%.%.( Kese'atan 6isik dan )ental........................ #9

#.%.( Pemeriksaan Kualitas 2idup Pasien trke............... #!

#.( Kerangka Teritis.................................................................. #%

.A. III KERANGKA KONSEP DAN HIPOTESIS PENELITIAN

%.! Kerangka Knsep Penelitian................................................ #(%.# 2iptesis Penelitian.............................................................. #(

.A. I- METODE PENELITIAN

(.! $ancangan Penelitian.......................................................... #+(.# Ppulasi dan ampel Penelitian........................................... #+

(.#.! Ppulasi Target.......................................................... #+(.#.# Ppulasi Terjangkau.................................................. #+

(.#.% ampel Penelitian...................................................... #+(.% Kriteria Pemili'an ub*ek Penelitian.................................... #+

(.%.! "esar ampel............................................................ #+(.%.# Kriteria Inklusi Penelitian............................................ #-(.%.% Kriteria 0ksklusi Penelitian......................................... #-

(.( Teknik Pengambilan ampel Penelitian................................ #-(.+ Tempat dan :aktu Penelitian............................................... #/(.- ;ariabel Penelitian................................................................ #/

(.-.! ;ariabel Independen.................................................. #/

(.-.# ;ariabel Dependen.................................................... #/

(./ Definisi ,perasinal............................................................. #/(.8 "a'an Penelitian.................................................................. #8(.1 )etde Pengumpulan Data dan Alur Penelitian................... #1(.!9 Prsedur Penelitian.............................................................. %9(.!! Pengla'an Data.................................................................. %9(.!# 0tika Penelitian..................................................................... %9

.A. - HASIL DAN ANALISIS PENELITIAN +.! $ekapitulasi Data Primer...................................................... %# +.# Karakteristik ampel............................................................ %%+.% Deskripsi ;ariabel Penelitian................................................ %(

+.%.! Kualitas 2idup............................................................. %(



+.%.# Pengaru' Jenis Kelamin< &sia< dan Lama trke

Ter'adap Kualitas 2idup........................................................................................................................................................................

%1+.%.% 2asil Analisis $egresi P2....................................... (!+.%.( 2asil Analisis $egresi )2....................................... ((

.A. -I PEM.AHASAN -.! Interpretasi dan 2asil Diskusi............................................... (+ -.!.! 2ubungan Jenis Kelamin ter'adap Kualitas 2idup...... (+ -.!.# 2ubungan &sia ter'adap Kualitas 2idup..................... (/

-.#.! 2ubungan Antara Lama )enderita trke Dengan

Kualitas 2idup........................................................................................................................................................................

(1

.A. -II PENUTUP/.! Kesimpulan.......................................................................... +!/.# aran................................................................................... +!

DAFTAR PUSTAKA.................................................................................... +#

LAMPIRAN................................................................................................. +1



DAFTAR TA.EL

T'e# 01( Definisi ,perasinal ;ariabel Penelitian.................................... #8

T'e# )1( Karakteristik Pasien trke Penelitian....................................... %#

T'e# )1, Distribusi ampel Penelitian "erdasarkan Jenis Kelamin Dan

&sia

%%

T'e# )12 Distribusi ampel Penelitian "erdasarkan &sia Dan Lama

trke

%(

T'e# )10 tatistik Deskriptif Kualitas 2idup.............................................. %+

T'e# )1) Deskripsi Kualitas 2idup dan Jenis Kelamin.............................. %-

T'e# )13 Deskripsi Kualitas 2idup dan &sia............................................. %/

T'e# )1+ Deskripsi Kualitas 2idup dan Lama )enderita trke

%8

T'e# )14 2asil Pemeriksaan )ultiklinieritas

%1

T'e# )15 2asil Pemeriksaan Distribusi Data............................................. (9

T'e# )1(* 2asil Pemeriksaan 2eterskedastisitas..................................... (!

T'e# )1(( 2asil Analisis $egresi &ntuk P2........................................... (#

T'e# )1(, 2asil eleksi "ack=ard Analisa $egresi &ntuk P2

((

T'e# )1(2 2asil Analisis $egresi &ntuk )2

(+



T'e# )1(0 2asil eleksi "ak=ard Analisis $egresi &ntuk )2............... (/

DAFTAR GAM.AR

Gambar #.! Patfisilgi &mum trke Infark............................................. !9

Gambar #.# Patfisilgi trke Iskemik..................................................... !#

Gambar #.% Patfisilgi &mum trke Perdara'an................................... !%

Gambar #.( Grafik Perbaikan trke........................................................... !+

Gambar L./.! Lembar Pern*ataan Persetujuan Partisipasi Penelitian.... .... /!

Gambar L./.# Data $espnden Penelitian.................................................. /#

Gambar L./.% :a=ancara ala' atu $espnden Penelitian .................... /#

Gambar L./.( Pengisian Informed Consent dan 6rmulir urvei 67%-...... 8+



DAFTAR LAMPIRAN

Lampiran ! Pern*ataan Keaslian Tulisan................................................ +1

Lampiran # Penjelasan )engikuti Penelitian........................................... -9

Lampiran % Informed Consent ................................................................. -!

Lampiran ( 6rm 67%- Health Survey ................................................... -#

Lampiran + 0t'itical >learance................................................................ -1

Lampiran - Perijinan Pengambilan Data di $A )alang...................... /9

Lampiran / Dkumentasi Penelitian........................................................ /!

Lampiran 8 2asil utput P................................................................ /(



DAFTAR SINGKATAN

ATP ? Adensin Tri7P'spat

>;A ? Cerebrovascular Accident

>;D ? Cerebrovascular Disease

I>2 ? Intracerebral Hemorrhae

DA"DA ? Denial! Aner! "arainin! De#ression! Acce#tance

2$@L ? Health$Related Quality of Life

)2 ? %ental Health Summary Scores

P2 ? &hysical Health Summary Scores

$IK0DA ? $iset Kese'atan Dasar

A2 ? Subarachnoid Hemorrhae

67%- ? Short 'orm $ ()

TIA ? *ransient Ischemic Attac+

@L ? Quality of Life

:2, ? :rld 2ealt' ,rganiatin

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