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Transcript of DAFTAR ISI - repository.unissula.ac.idrepository.unissula.ac.id/7522/4/Daftar Isi.pdfviii daftar isi...
viii
DAFTAR ISI
HALAMAN JUDUL ................................................................................................ i
HALAMAN PENGESAHAN ................................................................................. ii
SURAT PERYATAAN ......................................................................................... iii
SURAT PERYATAAN PERSETUJUAN PUBLIKASI KARYA ILMIAH ........ iv
PRAKATA ............................................................................................................... v
DAFTAR ISI ........................................................................................................ viii
DAFTAR GAMBAR ............................................................................................ xii
DAFTAR SINGKATAN ..................................................................................... xiii
DAFTAR TABEL ................................................................................................ xiv
DAFTAR LAMPIRAN ........................................................................................ xvi
INTISARI ............................................................................................................ xvii
BAB I PENDAHULUAN ................................................................................... 1
1.1 Latar Belakang .................................................................................. 1
1.2 Rumusan Masalah ............................................................................ 3
1.3 Tujuan Penelitian .............................................................................. 3
1.4 Manfaat Penelitian ............................................................................ 4
1.4.1 Manfaat Teoritis ...................................................................... 4
1.4.2 Manfaat Praktis ....................................................................... 4
BAB II TINJAUAN PUSTAKA .......................................................................... 5
2.1. Tinjauan Pustaka .............................................................................. 5
2.1.2. Hipertiroid ............................................................................... 5
2.1.1.1. Definisi ...................................................................... 5
2.1.1.2. Etiologi ...................................................................... 5
2.1.3. Patofisiologi ............................................................................ 9
2.1.4. Faktor Risiko ......................................................................... 10
2.1.4.1. Faktor Jenis Kelamin dan Umur ............................. 10
2.1.4.2. Faktor Keturunan atau Riwayat Kesehatan
sebelumnya ............................................................. 10
ix
2.1.4.3. Faktor Merokok ...................................................... 10
2.1.4.4. Faktor Makanan ...................................................... 11
2.1.4.5. Faktor Hormon ........................................................ 11
2.1.5. Manifestasi Klinis ................................................................. 11
2.1.6. Tatalaksana Terapi Hipertiroidisme ...................................... 12
2.1.6.1. Terapi Obat Antitiroid ............................................ 12
2.1.6.2. Penyekat Beta (Beta Blocker) ................................. 14
2.1.6.3. Iodine Radioaktif .................................................... 14
2.1.7. Pemeriksaan Kelenjar Tiroid ................................................ 15
2.1.7.1. Uji Langsung Fungsi Tiroid .................................... 15
2.1.7.2. Uji yang Berkaitan dengan Konsentrasi dan
Pengikatan Hormon dalam Darah ........................... 16
2.1.7.3. Tes Kontrol Homeostatik ........................................ 17
2.2. Kepatuhan minum obat ................................................................... 17
2.3. Faktor-faktor yang mempengaruhi kepatuhan ................................ 18
2.3.1. Usia ....................................................................................... 18
2.3.2. Tingkat Pendidikan ............................................................... 19
2.3.3. Frekuensi Penggunaan Obat.................................................. 19
2.3.4. Pengetahuan .......................................................................... 20
2.3.5. Dukungan Keluarga .............................................................. 20
2.3.6. Dukungan Tenaga Kesehatan ................................................ 21
2.4. Kuisioner ........................................................................................ 21
2.5. Kerangka Teori ............................................................................... 23
2.6. Kerangka Konsep ........................................................................... 23
2.7. Hipotesis ......................................................................................... 23
BAB III METODE PENELITIAN ...................................................................... 24
3.1 Rancangan Penelitian ..................................................................... 24
3.2 Variabel Penelitian ......................................................................... 24
3.2.1 Variabel Bebas ...................................................................... 24
3.2.2 Variabel Terikat .................................................................... 24
3.3 Definisi Operasional ....................................................................... 24
x
3.4 Subyek Penelitian ........................................................................... 25
3.4.1 Populasi ................................................................................ 25
3.4.2 Sampel ................................................................................ 25
3.4.3 Besar Sampel......................................................................... 26
3.5 Instrumen dan Bahan Penelitian ..................................................... 26
3.6 Cara Kerja ....................................................................................... 27
3.6.1 Cara Pengambilan Sampel .................................................... 27
3.6.2 Penyusunan Kuisioner........................................................... 27
3.6.3 Uji validitas dan Reliabilitas dengan menggunakan
rumus Alpha Cronbach ........................................................ 28
3.7 Alur Penelitian ................................................................................ 30
3.8 Tempat dan Waktu Pelaksanaan ..................................................... 30
3.8.1 Ruang Lingkup Tempat ........................................................ 30
3.8.2 Ruang Lingkup Waktu .......................................................... 30
3.9 Analisis Data .................................................................................. 31
BAB IV HASIL DAN PEMBAHASAN ............................................................. 32
4.1. Hasil Penelitian ............................................................................... 32
4.1.1. Analisis Univariat ................................................................. 32
4.1.2. Analisis Bivariat .................................................................... 36
4.2. Pembahasan .................................................................................... 42
4.2.1. Karakteristik Pasien Menurut Jenis Kelamin ..................... 42
4.2.2. Karakteristik Pasien hipertiroid Menurut Umur ................. 42
4.2.3. Karakteristik Pasien Hipertiroid Menurut Tingkat
Pendidikan Responden. ...................................................... 43
4.2.4. Karakteristik Pasien Hipertiroid Menurut Status
Pernikahan Responden ....................................................... 43
4.2.5. Karakteristik Pasien Hipertiroid Menurut Lama
Penyakit yang di Derita Responden. ................................... 44
4.2.6. Karakteristik Pasien Hipertiroid Menurut Pekerjaan
Responden. ......................................................................... 44
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4.2.7. Karakteristik Pasien Hipertiroid Menurut Keikutsertaan
Asuransi Kesehatan. ........................................................... 44
4.2.8. Hubungan Antara Kepatuhan Penggunaan Obat
Terhadap Keberhasilan Terapi Pada Pasien Hipertiroid
di Rumah Sakit Umum Daerah Tugurejo Semarang. ......... 45
4.2.9. Hubungan Antara Kepatuhan Penggunaan Obat
Terhadap pengetahuan. ....................................................... 46
4.2.10. Hubungan Antara Kepatuhan Penggunaan Obat
Terhadap Peran Tenaga Kesehatan Pada Pasien
Hipertiroid di Rumah Sakit Umum Daerah Tugurejo
Semarang. ........................................................................... 46
4.2.11. Hubungan Antara Kepatuhan Penggunaan Obat
Terhadap Dukungan Keluarga Pasien Hipertiroid di
Rumah Sakit Umum Daerah Tugurejo Semarang. ............. 47
BAB V KESIMPULAN DAN SARAN ............................................................. 48
5.1. Kesimpulan ........................................................................... 48
5.2. Saran...................................................................................... 48
DAFTAR PUSTAKA ............................................................................................ 49
LAMPIRAN ........................................................................................................... 54
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DAFTAR GAMBAR
Gambar 2. 1 Kerangka Teori ................................................................................. 23
Gambar 2. 2 Kerangka Konsep ............................................................................. 23
Gambar 3. 1 Alur Penelitian.................................................................................. 30
xiii
DAFTAR SINGKATAN
β-blocker : Beta Blocker
FT3 : Free Thyroxine 3
FT4 : Free Thyroxine4
FT3I : Free Triiodotironin Index
IIH : Iodine Induced Hyperthyroidsm
PTU : Propylthiouracil
RAI : Radio ActiveIodium
RAIU : Radio Active Iodium Uptake
RT3U : Resin TriiodotironinUptake
T3 : Triiodotironin
T4 : Tiroksin
TB : Tubercolosis
TBG : Thyroxine Binding Globulin
TRAbs : Thyroid Stimulating Antibodies
TSH : Thyroid Stimulating Hormon
xiv
DAFTAR TABEL
Tabel 4. 1 Distribusi frekuensi karakteristik pasien hipertiroid menurut
jenis kelamin. .................................................................................. 32
Tabel 4. 2 Distribusi frekuensi karakteristik pasien hipertiroid menurut
umur . .............................................................................................. 32
Tabel 4. 3 Distribusi frekuensi karakteristik pasien hipertiroid menurut
tingkat pendidikan responden ......................................................... 33
Tabel 4. 4 Distribusi frekuensi karakteristik pasien hipertiroid menurut
status pernikahan responden ........................................................... 34
Tabel 4. 5 Distribusi frekuensi karakteristik Pasien hipertiroid menurut
lama penyakit yang diderita responden. ........................................ 34
Tabel 4. 6 Distribusi frekuensi karakteristik Pasien hipertiroid menurut
pekerjaan responden. ..................................................................... 35
Tabel 4. 7 Distribusi frekuensi karakteristik Pasien hipertiroid menurut
keikutsertaan asuransi kesehatan responden. ................................. 36
Tabel 4. 8 Distribusi frekuensi kepatuhan penggunaan obat pada pasien
hipertiroid di Rumah Sakit Umum Daerah Tugurejo Semarang. ... 36
Tabel 4. 9 Distribusi frekuensi keberhasilan terapi pada pasien hipertiroid
di Rumah Sakit Umum Daerah Tugurejo Semarang. ..................... 37
Tabel 4. 10 Hasil analisis hubungan antara kepatuhan penggunaan obat
terhadap keberhasilan terapi pada pasien hipertiroid di Rumah
Sakit Umum Daerah Tugurejo Semarang. ...................................... 37
Tabel 4. 11 Hasil analisis hubungan antara kepatuhan penggunaan obat
terhadap pengetahuan pasien hipertiroid di Rumah Sakit Umum
Daerah Tugurejo Semarang. ........................................................... 38
Tabel 4. 12 Hasil analisis hubungan antara kepatuhan penggunaan obat
terhadap peran tenaga kesehatan pada pasien hipertiroid di
Rumah Sakit Umum Daerah Tugurejo Semarang. ......................... 40
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Tabel 4. 13 Hasil analisis hubungan antara kepatuhan penggunaan obat
terhadap dukungan keluarga pasien hipertiroid di Rumah Sakit
Umum Daerah Tugurejo Semarang. ............................................... 41
xvi
DAFTAR LAMPIRAN
Lampiran 1 Kuesioner ........................................................................................... 54
Lampiran 2 Surat Studi Pendahuluan penelitian ................................................... 61
Lampiran 3 Surat ijin penelitian ............................................................................ 62
Lampiran 4 Surat Persetujuan Subyek Penelitian ................................................. 63
Lampiran 5 Ethical Clearance .............................................................................. 64
Lampiran 6 Uji validitas dan Reabilitas ................................................................ 65
Lampiran 7 Identitas Koresponden ....................................................................... 72
Lampiran 8 Hasil Pemeriksaan ............................................................................. 73
Lampiran 9 Hasil Analisis Bivariat ....................................................................... 76