TA JKR 1307463 Table of content
DAFTAR ISI
HALAMAN ORISINALITAS .............................................................................. i
LEMBAR PENGESAHAN ................................................................................. ii
LEMBAR PERSETUJUAN .................................................................................iii
HALAMAN PERNYATAAN .............................................................................. iv
KATA PENGANTAR ........................................................................................... v
ABSTRAK ........................................................................................................... viii
DAFTAR ISI ......................................................................................................... x
DAFTAR TABEL ............................................................................................... xii
DAFTAR GAMBAR .......................................................................................... xiii
DAFTAR LAMPIRAN ...................................................................................... xiv
BAB I PENDAHULUAN ...................................................................................... 1
1.1 Latar Belakang Masalah .................................................................. 1
1.2 Rumusan Masalah ........................................................................... 7
1.3 Tujuan Penelitian ............................................................................ 8
1.4 Manfaat Penelitian .......................................................................... 8
1.4.1 Manfaat Teoritis ................................................................... 8
1.4.2 Manfaat Praktis ..................................................................... 8
1.5 Sistematis Penulisan Karya Tulis Ilmiah ........................................ 9
BAB II KAJIAN PUSTAKA .............................................................................. 10
2.1 Gagal Ginjal Kronis ...................................................................... 10
2.1.1 Definisi Gagal Ginjal ........................................................ 10
2.1.2 Klasifikasi Gagal Ginjal Kronis ........................................ 11
2.1.3 Etiologi Gagal Ginjal Kronis ............................................ 12
2.1.4 Patofisiologi ...................................................................... 14
2.1.5 Manifestasi Klinis ............................................................. 15
2.1.6 Penatalaksanaan Gagal Ginjal kronis ................................ 18
2.1.7 Terapi Pengganti Ginjal .................................................... 21
2.2 Asupan Cairan Pada Pasien Gagal Ginjal Kronis ......................... 22
2.2.1 Cairan Tubuh..................................................................... 22
2.2.2 Pembatasan Asupan Cairan ............................................... 23
2.3 Kepatuhan Pembatasan Asupan Cairan Pada Pasien Gagal Ginjal
Kronis ............................................................................................ 26
2.3.1 Definisi Kepatuhan............................................................ 26
2.3.2 Faktor-Faktor yang Mempengaruhi Kepatuhan dalam
Pembatasan Asupan Cairan ............................................... 27
2.4 Kerangka Pemikiran ...................................................................... 30
BAB III METODE PENELITIAN .................................................................... 31
3.1 Desain Penelitian ......................................................................... 31
3.2 Partisipan ..................................................................................... 31
3.3 Populasi & Sampel Penelitian ..................................................... 31
3.3.1 Populasi .............................................................................. 31
3.3.2 Sampel ................................................................................ 32
3.4 Instrumen Penelitian .................................................................... 32
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
3.5 Uji Validitas dan Relibialitas ....................................................... 33
3.5.1 Uji Validitas ........................................................................ 33
3.5.1 Reliabilitas .......................................................................... 33
3.6 Definisi Operasional .................................................................... 34
3.7 Prosedur Pelaksanaan Penelitian ................................................. 34
3.8 Analisa Data ................................................................................ 36
3.9 Etika Penelitian ............................................................................ 37
3.10 Lokasi Penelitian dan Waktu Penelitian .................................... 40
3.10.1 Lokasi Penelitian .............................................................. 40
3.10.2 Waktu Penelitian............................................................... 40
BAB IV TEMUAN DAN PEMBAHASAN ....................................................... 41
4.1 Temuan Penelitian ........................................................................ 41
4.1.1 Karakteristik Responden.................................................. 41
4.1.2 Kepatuhan Pasien Gagal Ginjal Kronis Dengan
Hemodialisa Dalam Pembatasan Asupan Cairan Di
Ruang Hemodialisa RS Dustira Cimahi .......................... 42
4.2 Kepatuhan Pasien Gagal Ginjal Kronis Dengan Hemodialisa
Dalam Pembatasan Asupan Cairan Berdasarkan Karakteristik
Responden ................................................................................... 42
4.2.1 Distribusi
Frekuensi
Kepatuhan
Berdasarkan
Pendidikan ....................................................................... 43
4.2.2 Distribusi Frekuensi Kepatuhan Berdasarkan Lamanya
Hemodialisa ..................................................................... 43
4.2.3 Distribusi Frekuensi Kepatuhan Berdasarkan Informasi . 44
4.3 Pembahasan ................................................................................. 44
BAB V SIMPULAN, IMPLIKASI DAN REKOMENDASI ........................... 48
5.1 Simpulan ....................................................................................... 48
5.2 Implikasi ........................................................................................ 48
5.3 Rekomendasi ................................................................................. 48
5.3.1 Tenaga Kesehatan ............................................................... 48
5.3.2 Bagi Peneliti Lain ............................................................... 49
DAFTAR PUSTAKA .......................................................................................... 50
LAMPIRAN-LAMPIRAN ................................................................................. 54
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR TABEL
Tabel 2.1 Klasifikasi atas Dasar Derajat Penyakir ............................................... 11
Table 2.2 Penyebab Gagal Ginjal Kronis di Amerika........................................... 12
Tabel 2.3 Penyebab Gagal Ginjal Kronis yang mengalami Hemodialisa ............. 12
Tabel 2.4 Tanda dan Gejala pada Pasien Gagal Ginjal Kronis ............................ 16
Tabel 2.5 Rencana Tatalaksana Pasien Gagal Ginjal Kronis ................................ 20
Tabel 2.6 Pembatasan Asupan Untuk Pasien Gagal Ginjal Kronis ...................... 21
Tabel 3.1 Kisi-Kisi kuisioner ................................................................................ 33
Tabel 3.2 Definisi Operasional ............................................................................. 34
Tabel 4.1 Karakteristik Berdasarkan Kriteria Responden..................................... 41
Tabel 4.2 Distribusi Frekuensi Gambaran Kepatuhan Pasien Gagal Ginjal
Kronis Dengan Dalam Pembatasan Asupan Cairan Di Ruang Hemodialisa RS
Dustira Cimahi ...................................................................................................... 42
Tabel 4.3 Distrubusi Frekuensi Kepatuhan Berdasarkan Pendidikan ................... 43
Tabel 4.4 Distribusi Frekuensi Kepatuhan Berdasarkan Lamanya Hemodialisa... 43
Tabel 4.5 Distribusi Frekuensi Kepatuhan Berdasarkan Informasi ......................... 44
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR GAMBAR
Gambar 2.1 Kerangka Teori ................................................................................. 30
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR LAMPIRAN
Lampiran 1
Lampiran 2
Lampiran 3
Lampiran 4
Lampiran 5
Lampiran 6
Lampiran 7
Lampiran 8
Lampiran 9
Surat Permohonan Menjadi Responden
Surat Persetujuan Menjadi Responden
Pernyataan Kuesioner
Hasil Uji Validitas dan Uji Realibilitas
Surat Ijin Studi Pendahuluan
Surat Ijin Penelitian
Surat Balasan Perizinan Penelitian
Frekuensi Hasil Penelitian
Lembar Konsultasi Karya Tulis Ilmiah
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
HALAMAN ORISINALITAS .............................................................................. i
LEMBAR PENGESAHAN ................................................................................. ii
LEMBAR PERSETUJUAN .................................................................................iii
HALAMAN PERNYATAAN .............................................................................. iv
KATA PENGANTAR ........................................................................................... v
ABSTRAK ........................................................................................................... viii
DAFTAR ISI ......................................................................................................... x
DAFTAR TABEL ............................................................................................... xii
DAFTAR GAMBAR .......................................................................................... xiii
DAFTAR LAMPIRAN ...................................................................................... xiv
BAB I PENDAHULUAN ...................................................................................... 1
1.1 Latar Belakang Masalah .................................................................. 1
1.2 Rumusan Masalah ........................................................................... 7
1.3 Tujuan Penelitian ............................................................................ 8
1.4 Manfaat Penelitian .......................................................................... 8
1.4.1 Manfaat Teoritis ................................................................... 8
1.4.2 Manfaat Praktis ..................................................................... 8
1.5 Sistematis Penulisan Karya Tulis Ilmiah ........................................ 9
BAB II KAJIAN PUSTAKA .............................................................................. 10
2.1 Gagal Ginjal Kronis ...................................................................... 10
2.1.1 Definisi Gagal Ginjal ........................................................ 10
2.1.2 Klasifikasi Gagal Ginjal Kronis ........................................ 11
2.1.3 Etiologi Gagal Ginjal Kronis ............................................ 12
2.1.4 Patofisiologi ...................................................................... 14
2.1.5 Manifestasi Klinis ............................................................. 15
2.1.6 Penatalaksanaan Gagal Ginjal kronis ................................ 18
2.1.7 Terapi Pengganti Ginjal .................................................... 21
2.2 Asupan Cairan Pada Pasien Gagal Ginjal Kronis ......................... 22
2.2.1 Cairan Tubuh..................................................................... 22
2.2.2 Pembatasan Asupan Cairan ............................................... 23
2.3 Kepatuhan Pembatasan Asupan Cairan Pada Pasien Gagal Ginjal
Kronis ............................................................................................ 26
2.3.1 Definisi Kepatuhan............................................................ 26
2.3.2 Faktor-Faktor yang Mempengaruhi Kepatuhan dalam
Pembatasan Asupan Cairan ............................................... 27
2.4 Kerangka Pemikiran ...................................................................... 30
BAB III METODE PENELITIAN .................................................................... 31
3.1 Desain Penelitian ......................................................................... 31
3.2 Partisipan ..................................................................................... 31
3.3 Populasi & Sampel Penelitian ..................................................... 31
3.3.1 Populasi .............................................................................. 31
3.3.2 Sampel ................................................................................ 32
3.4 Instrumen Penelitian .................................................................... 32
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
3.5 Uji Validitas dan Relibialitas ....................................................... 33
3.5.1 Uji Validitas ........................................................................ 33
3.5.1 Reliabilitas .......................................................................... 33
3.6 Definisi Operasional .................................................................... 34
3.7 Prosedur Pelaksanaan Penelitian ................................................. 34
3.8 Analisa Data ................................................................................ 36
3.9 Etika Penelitian ............................................................................ 37
3.10 Lokasi Penelitian dan Waktu Penelitian .................................... 40
3.10.1 Lokasi Penelitian .............................................................. 40
3.10.2 Waktu Penelitian............................................................... 40
BAB IV TEMUAN DAN PEMBAHASAN ....................................................... 41
4.1 Temuan Penelitian ........................................................................ 41
4.1.1 Karakteristik Responden.................................................. 41
4.1.2 Kepatuhan Pasien Gagal Ginjal Kronis Dengan
Hemodialisa Dalam Pembatasan Asupan Cairan Di
Ruang Hemodialisa RS Dustira Cimahi .......................... 42
4.2 Kepatuhan Pasien Gagal Ginjal Kronis Dengan Hemodialisa
Dalam Pembatasan Asupan Cairan Berdasarkan Karakteristik
Responden ................................................................................... 42
4.2.1 Distribusi
Frekuensi
Kepatuhan
Berdasarkan
Pendidikan ....................................................................... 43
4.2.2 Distribusi Frekuensi Kepatuhan Berdasarkan Lamanya
Hemodialisa ..................................................................... 43
4.2.3 Distribusi Frekuensi Kepatuhan Berdasarkan Informasi . 44
4.3 Pembahasan ................................................................................. 44
BAB V SIMPULAN, IMPLIKASI DAN REKOMENDASI ........................... 48
5.1 Simpulan ....................................................................................... 48
5.2 Implikasi ........................................................................................ 48
5.3 Rekomendasi ................................................................................. 48
5.3.1 Tenaga Kesehatan ............................................................... 48
5.3.2 Bagi Peneliti Lain ............................................................... 49
DAFTAR PUSTAKA .......................................................................................... 50
LAMPIRAN-LAMPIRAN ................................................................................. 54
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR TABEL
Tabel 2.1 Klasifikasi atas Dasar Derajat Penyakir ............................................... 11
Table 2.2 Penyebab Gagal Ginjal Kronis di Amerika........................................... 12
Tabel 2.3 Penyebab Gagal Ginjal Kronis yang mengalami Hemodialisa ............. 12
Tabel 2.4 Tanda dan Gejala pada Pasien Gagal Ginjal Kronis ............................ 16
Tabel 2.5 Rencana Tatalaksana Pasien Gagal Ginjal Kronis ................................ 20
Tabel 2.6 Pembatasan Asupan Untuk Pasien Gagal Ginjal Kronis ...................... 21
Tabel 3.1 Kisi-Kisi kuisioner ................................................................................ 33
Tabel 3.2 Definisi Operasional ............................................................................. 34
Tabel 4.1 Karakteristik Berdasarkan Kriteria Responden..................................... 41
Tabel 4.2 Distribusi Frekuensi Gambaran Kepatuhan Pasien Gagal Ginjal
Kronis Dengan Dalam Pembatasan Asupan Cairan Di Ruang Hemodialisa RS
Dustira Cimahi ...................................................................................................... 42
Tabel 4.3 Distrubusi Frekuensi Kepatuhan Berdasarkan Pendidikan ................... 43
Tabel 4.4 Distribusi Frekuensi Kepatuhan Berdasarkan Lamanya Hemodialisa... 43
Tabel 4.5 Distribusi Frekuensi Kepatuhan Berdasarkan Informasi ......................... 44
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR GAMBAR
Gambar 2.1 Kerangka Teori ................................................................................. 30
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
DAFTAR LAMPIRAN
Lampiran 1
Lampiran 2
Lampiran 3
Lampiran 4
Lampiran 5
Lampiran 6
Lampiran 7
Lampiran 8
Lampiran 9
Surat Permohonan Menjadi Responden
Surat Persetujuan Menjadi Responden
Pernyataan Kuesioner
Hasil Uji Validitas dan Uji Realibilitas
Surat Ijin Studi Pendahuluan
Surat Ijin Penelitian
Surat Balasan Perizinan Penelitian
Frekuensi Hasil Penelitian
Lembar Konsultasi Karya Tulis Ilmiah
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu
Hanna Intan Apriany, 2016
GAMBARAN KEPATUHAN PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DALAM
PEMBATASAN ASUPAN CAIRAN BERDASARKAN KARAKTERISTIK DI RUANG HEMODIALISA RS
DUSTIRA CIMAHI
Universitas Pendidikan Indonesia | repository.upi.edu | perpustakaan.upi.edu