45 daftar pustaka 1. adrianjah h, adam j. pengertian
TRANSCRIPT
45
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52
LAMPIRAN
Lampiran 1. Ethical clearance
53
Lampiran 2. Informed consent
PERSETUJUAN SETELAH PENJELASAN
(INFORMED CONSENT)
Selamat pagi/siang/sore, Ibu/Bapak. Kami adalah mahasiswa Fakultas
Kedokteran Universitas Diponegoro yang sedang mengadakan penelitian tentang
gangguan metabolik. Penelitian ini bertujuan untuk mengetahui hubungan lingkar
pinggang dengan arus puncak pengeluaran napas pada masyarakat dengan
gangguan metabolik. Kami membutuhkan ketersediaan Ibu/Bapak untuk
melakukan beberapa tes: Harvard step test (tes naik turun bangku), tes kekuatan
genggaman tangan, arus puncak pengeluaran napas, dan laboratorium darah sebagai
sampel penelitian yang akan kami periksa serta menjawab beberapa pertanyaan
yang berhubungan dengan penelitian kami. Manfaat dari penelitian ini adalah
Ibu/Bapak akan mendapatkan pemeriksaan laboratorium darah yang meliputi asam
urat, gula darah puasa dan kolesterol tanpa dipungut biaya apapun. Selain itu,
Bapak/Ibu juga akan mendapatkan penyuluhan tentang pencegahan faktor-faktor
yang dapat menyebabkan gangguan metabolik.
Kami menjamin bahwa penelitian ini tidak akan menimbulkan efek yang
merugikan pada Bapak/Ibu. Penelitian yang kami lakukan ini bersifat sukarela dan
tidak ada unsur paksaan. Dalam penelitian ini, kami menjamin kerahasiaan segala
data yang kami peroleh, data hanya akan kami gunakan untuk kepentingan
penelitian. Penanggung jawab penelitian ini adalah dr. Bahrudin, M.Si.Med, Ph.D,
dosen Bagian Anatomi FK Undip. Alamat kantor: Jl. Prof. Dr. Soedarto,
Tembalang, Semarang, nomor HP 081228000876.
Demikian penjelasan dari kami. Terima kasih atas kerja sama Bapak/Ibu
dalam penelitian ini.
Setelah mendengar dan memahami penjelasan penelitian, dengan ini saya
menyatakan
SETUJU / TIDAK SETUJU
untuk menjadi subjek penelitian.
Semarang, ……………………. 2015
Saksi
Nama Terang Nama Terang
Alamat: Alamat:
54
Lampiran 3. Identitas Subjek Penelitian
IDENTITAS SUBJEK PENELITIAN
“FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP SINDROM
METABOLIK”
I. IDENTITAS
1. Nama :
2. Tempat, tanggal lahir : Usia: tahun.
3. Jenis kelamin :
4. Alamat :
RT/RW :
Kelurahan :
Kecamatan :
5. No. telepon/HP :
6. Pendidikan :
( ) Tidak sekolah
( ) Tidak tamat
SD/sederajat
( ) Tamat SD/sederajat
( ) Tamat SMP/sederajat
( ) Tamat SMA/sederajat
( ) Tamat perguruan tinggi/sederajat
7. Pekerjaan :
( ) Tidak bekerja
( ) Petani
( ) Wiraswasta
( ) PNS
( ) Lain-lain, sebutkan ...........
II. Riwayat Penyakit
1. Riwayat DM : Ya Tidak
Tidak tahu
Jika Ya: . . . . tahun, terkontrol/tidak
terkontrol
55
2. Riwayat Hipertensi : Ya Tidak
Tidak tahu
Jika Ya: . . . . tahun, terkontrol/tidak
terkontrol
3. Riwayat Kolestrol tinggi
(Dislipidemia)
: Ya Tidak
Tidak tahu
Jika Ya: . . . . tahun, terkontrol/tidak
terkontrol
4. Riwayat Stroke : Ya Tidak
Tidak tahu
Jika Ya: . . . . tahun, terkontrol/tidak
terkontrol
5. Riwayat Merokok : ( ) Tidak pernah
( ) Pernah, sudah berhenti sejak …..
bulan yang lalu
( ) Merokok aktif ……… batang/hari
6. Riwayat Keluarga : - Siapa dari keluarga Bapak/Ibu yang
menurunkan penyakit tersebut?
- Sejak umur berapa Bapak/Ibu
mengidap penyakit tersebut?
7. Riwayat Obat-obatan :
II. PEMERIKSAAN
1. Tekanan Darah (mmHg) : S: D: mmHg. HR:
x/menit
2. Tinggi Badan (cm) :
3. Berat Badan (kg) :
4. Lingkar Pinggang (cm) :
56
Lampiran 4. Pemeriksaan fisik subjek penelitian
PEMERIKSAAN FISIK SUBJEK PENELITIAN
“FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP SINDROM
METABOLIK”
Kepala : Konjungtiva anemis ( )
Sklera ikterik ( )
Lain-lain......................................................................
Leher : JVP.......................................................................................
Dada : Jantung (Bunyi jantung): ....................................................
................................................................................................
Paru: ...................................................................................
Abdomen : ..............................................................................................
Ekstremitas : ..............................................................................................
Rekomendasi : Ya Tidak
1. Peak flow meter ( ) ( )
2. Hand Grip Dynamometer ( ) ( )
3. Harvard Step Test ( ) ( )
Semarang, 18 Januari 2015
(………………………………………)
Dokter
57
Lampiran 5. Hasil analisis statistik
Descriptive Statistics
N Minimum Maximum Mean Std.
Deviation
Umur (tahun) 30 41 76 56.93 8.233
Valid N (listwise) 30
Descriptive Statistics
N Minimum Maximum Mean Std.
Deviation
Tinggi Badan (cm) 30 137.0 173.0 154.323 8.4734
Berat Badan (kg) 30 41.0 80.0 65.183 9.2861
IMT (kg/m2) 30 18.7 34.6 27.365 3.3284
Valid N (Listwise) 30
Tests Of Normality
Kolmogorov-Smirnova Shapiro-Wilk
Statisti
c
df Sig. Statistic df Sig.
Umur (tahun) .107 30 .200* .974 30 .657
Tinggi Badan (cm) .072 30 .200* .987 30 .964
Berat Badan (kg) .119 30 .200* .955 30 .236
GDP (mg/dL) .258 30 .000 .718 30 .000
HDL (mg/dL) .125 30 .200* .956 30 .250
TG (mg/dL) .143 30 .121 .939 30 .087
IMT (kg/m2) .097 30 .200* .984 30 .926
Tekanan Sistolik (mmHg) .129 30 .200* .961 30 .328
Tekanan Diastolik
(mmHg)
.144 30 .115 .962 30 .346
*. This Is A Lower Bound Of The True Significance.
A. Lilliefors Significance Correction
58
Descriptive Statistics
N Minimum Maximum Mean Std.
Deviation
Tekanan Sistolik (mmHg) 30 124 218 161.43 22.538
Tekanan Diastolik (mmHg) 30 60 125 88.17 13.249
HDL (mg/dL) 30 29 61 41.70 7.340
TG (mg/dL) 30 62 350 161.23 67.108
Valid N (Listwise) 30
Statistics
GDP (mg/dL)
N Valid 30
Missing 0
Median 102.50
Jenis Kelamin
Frequency Percent Valid Percent Cumulative Percent
Valid
Perempuan 22 73.3 73.3 73.3
Laki-Laki 8 26.7 26.7 100.0
Total 30 100.0 100.0
Status Gizi
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 2 6.7 6.7 6.7
Berat Badan Lebih 5 16.7 16.7 23.3
Obestas 1 17 56.7 56.7 80.0
Obesitas Ii 6 20.0 20.0 100.0
Total 30 100.0 100.0
Riwayat Merokok
Frequency Percent Valid Percent Cumulative
Percent
Valid
Tidak 28 93,3 93,3 93,3
Ya 2 6,7 6,7 100,0
Total 30 100,0 100,0
59
Kategori Tekanan Darah Sistolik
Frequency Percent Valid Percent Cumulative
Percent
Valid
Prehipertensi 5 16,7 16,7 16,7
Hipertensi derajat 1 12 40,0 40,0 56,7
Hipertensi Derajat 2 13 43,3 43,3 100,0
Total 30 100,0 100,0
Kategori Tekanan Darah Diastolik
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 7 23,3 23,3 23,3
Prehipertensi 9 30,0 30,0 53,3
Hipertensi derajat 1 10 33,3 33,3 86,7
Hipertensi derajat 2 4 13,3 13,3 100,0
Total 30 100,0 100,0
Kategori Lingkar Pinggang
Frequency Percent Valid Percent Cumulative
Percent
Valid
NORMAL 2 6,7 6,7 6,7
MENINGKAT 14 46,7 46,7 53,3
MENINGKAT
TAJAM
14 46,7 46,7 100,0
Total 30 100,0 100,0
Kategori Gula Darah Puasa
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 19 63,3 63,3 63,3
Meningkat 11 36,7 36,7 100,0
Total 30 100,0 100,0
60
Kategori HDL
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 6 20,0 20,0 20,0
Rendah 24 80,0 80,0 100,0
Total 30 100,0 100,0
Kategori Trigliserida
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 15 50,0 50,0 50,0
Meningkat 15 50,0 50,0 100,0
Total 30 100,0 100,0
Tests Of Normality
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
Arus Puncak Ekspirasi
(L/menit)
,080 30 ,200* ,974 30 ,643
Lingkar Pinggang (cm) ,130 30 ,200* ,962 30 ,349
*. This is a lower bound of the true significance.
A. Lilliefors significance correction
Descriptive Statistics
N Minimum Maximum Mean Std.
Deviation
Arus Puncak Ekspirasi (L/Menit) 30 180 570 352.67 101.572
Valid N (Listwise) 30
Descriptive Statistics
N Minimum Maximum Mean Std.
Deviation
Lingkar Pinggang (cm) 30 74 112 91.33 7.617
Valid N (Listwise) 30
61
Kategori APE
Frequency Percent Valid Percent Cumulative
Percent
Valid
Normal 13 43.3 43.3 43.3
Tidak Normal 17 56.7 56.7 100.0
Total 30 100.0 100.0
6,66%
2
46,67%
14
46,67%
14
Normal
Meningkat
Meningkat tajam
62
43,3%
1356,7%
17 Normal
Tidak Normal
63
Correlations
Arus Puncak
Ekspirasi
(L/menit)
Lingkar
Pinggang (cm)
Arus Puncak Ekspirasi
(L/menit)
Pearson Correlation 1 -.420*
Sig. (2-tailed) .021
N 30 30
Lingkar Pinggang (cm)
Pearson Correlation -.420* 1
Sig. (2-tailed) .021
N 30 30
*. Correlation is significant at the 0.05 level (2-tailed).
Kategori Lingkar Pinggang * KAT_APE Crosstabulation
Kategori APE Total
Normal Tidak Normal
Kategori Lingkar
Pinggang
Normal
Count 2 0 2
Expected Count ,9 1,1 2,0
% within
Kategori LP
100,0% 0,0% 100,0%
Meningkat
Count 8 6 14
Expected Count 6,1 7,9 14,0
% within
Kategori LP
57,1% 42,9% 100,0%
Meningkat Tajam
Count 3 11 14
Expected Count 6,1 7,9 14,0
% within
Kategori LP
21,4% 78,6% 100,0%
Total
Count 13 17 30
Expected Count 13,0 17,0 30,0
% within
Kategori LP
43,3% 56,7% 100,0%
64
Chi-Square Tests
Value df Asymp.
Sig. (2-
sided)
Monte Carlo Sig. (2-sided)
Sig. 95% Confidence Interval
Lower Bound Upper Bound
Pearson Chi-Square 6,438a 2 ,040 ,027b ,024 ,030
Likelihood Ratio 7,384 2 ,025 ,027b ,024 ,030
Fisher's Exact Test 5,956 ,027b ,024 ,030
Linear-by-Linear
Association
6,200c 1 ,013 ,014b ,011 ,016
N of Valid Cases 30
a. 2 cells (33,3%) have expected count less than 5. The minimum expected count is ,87.
b. Based on 10000 sampled tables with starting seed 2000000.
c. The standardized statistic is 2,490.
65
Correlations
Kat APE Umur (tahun)
Spearman's rho
Kat APE
Correlation
Coefficient
1.000 .436*
Sig. (2-tailed) . .016
N 30 30
Umur (tahun)
Correlation
Coefficient
.436* 1.000
Sig. (2-tailed) .016 .
N 30 30
*. Correlation is significant at the 0.05 level (2-tailed).
Correlations
Kat APE Tinggi Badan
(cm)
Spearman's rho
Kat APE
Correlation
Coefficient
1.000 .101
Sig. (2-tailed) . .595
N 30 30
Tinggi Badan (cm)
Correlation
Coefficient
.101 1.000
Sig. (2-tailed) .595 .
N 30 30
Chi-Square Tests Kat APE dengan Status Gizi
Value df Asymp. Sig.
(2-sided)
Pearson Chi-Square 7.538a 3 .057
Likelihood Ratio 8.569 3 .036
Linear-by-Linear
Association
6.840 1 .009
N of Valid Cases 30
a. 6 cells (75,0%) have expected count less than 5. The minimum
expected count is ,87.
66
Chi-Square Tests Kat APE dengan JK
Value df Asymp. Sig.
(2-sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 1.493a 1 .222
Continuity Correctionb .649 1 .421
Likelihood Ratio 1.558 1 .212
Fisher's Exact Test .407 .212
Linear-by-Linear
Association
1.443 1 .230
N of Valid Cases 30
a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 3,47.
b. Computed only for a 2x2 table
Correlations
Arus Puncak
Ekspirasi
(L/menit)
Berat Badan
(kg)
Arus Puncak Ekspirasi
(L/menit)
Pearson Correlation 1 .052
Sig. (2-tailed) .783
N 30 30
Berat Badan (kg)
Pearson Correlation .052 1
Sig. (2-tailed) .783
N 30 30
Chi-Square Tests Kat APE dengan Riwayat Merokok
Value df Asymp. Sig.
(2-sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 2.802a 1 .094
Continuity Correctionb .875 1 .350
Likelihood Ratio 3.533 1 .060
Fisher's Exact Test .179 .179
Linear-by-Linear
Association
2.709 1 .100
N of Valid Cases 30
a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,87.
b. Computed only for a 2x2 table
67
Correlations
Arus Puncak
Ekspirasi
(L/menit)
Berat Badan
(kg)
Arus Puncak Ekspirasi
(L/menit)
Pearson Correlation 1 .052
Sig. (2-tailed) .783
N 30 30
Berat Badan (kg)
Pearson Correlation .052 1
Sig. (2-tailed) .783
N 30 30
Variables in the Equation
B S.E. Wald df Sig. Exp(
B)
95% C.I.for EXP(B)
Lower Upper
Step 1a
Umur .118 .083 2.018 1 .155 1.126 .956 1.325
Kat LP .419 .179 5.474 1 .019 1.521 1.070 2.160
Constant -44.164 17.192 6.599 1 .010 .000
a. Variable(s) entered on step 1: Umur, Kat LP.
68
Lampiran 6. Dokumentasi penelitian
Gambar 11. Pendataan sampel penelitian
69
Gambar 12. Pengambilan data berat badan, tinggi badan dan lingkar pinggang
Gambar 13. Pengambilan data APE
70
Lampiran 7. Biodata mahasiswa
Identitas
Nama : Ihwanu Sholeh
NIM : 22010111130087
Tempat Lahir : Cirebon
Tanggal Lahir : 2 Juli 1991
Jenis Kelamin : Laki-laki
Alamat : Jl. Yudhistira No. 43 Desa Karangasem, Plumbon, Cirebon
Nomor HP : 08977261640
Email : [email protected]
Riwayat Pendidikan Formal
1. SD : SD Negeri 1 Karangasem Lulus tahun : 2003
2. SMP : SMP Negeri 1 Plumbon Lulus tahun : 2006
3. SMA : SMA Negeri 1 Cirebon Lulus tahun : 2009
4. S1 : Pendidikan Dokter Fakultas Kedokteran
Universitas Diponegoro Masuk tahun : 2011
Keanggotaan Organisasi
1. HIMA KU Universitas Diponegoro Tahun 2011-2013
2. ROHIS Fakultas Kedokteran Universitas Diponegoro Tahun 2011-2013