DAFTAR ISI - repository.unissula.ac.idrepository.unissula.ac.id/7522/4/Daftar Isi.pdfviii daftar isi...

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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

Transcript of DAFTAR ISI - repository.unissula.ac.idrepository.unissula.ac.id/7522/4/Daftar Isi.pdfviii daftar isi...

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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

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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

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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

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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

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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

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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