Hubungan Menderita Diabetes Melitus Dengan Pengetahuan Pencegahan Luka Kaki Diabetes di RSUP Haji Adam Malik Medan Appendix

53

Lampiran 1. Jadwal tentatif penelitian

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54

Lampiran 2. Informed consent

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55

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56

Lampiran 3. Instrument penelitian

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57

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58

Lampiran 4. Lembar bukti bimbingan

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59

Universitas Sumatera Utara

60

Lampiran 5. Daftar riwayat hidup

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61

Lampiran 6. Taksasi dana

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62

Lampiran 7. Lembar persetujuan validitas

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63

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64

Lampiran 8. Surat ijin reliabilitas


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65

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66

Lampiran 9. Surat ijin penelitian

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67

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68

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69

Universitas Sumatera Utara

70

Lampiran 10. Surat persetujuan komisi etik

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71

Lampiran 11. Master data

nomor
1
2
3
4

5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

25
26
27
28

lama
menderi
ta DM
5
12
8
16
10
8
10
15
16
3
16
15

13
6
15
22
11
13
11
13
23
12
11
16
6
10
3
10

pendidik
an
terakhir

S1
SMA
D3
S1
SMA
SMP
SMA
SMA
SMA
S1
S1
S1
SMA
S2
SMA
SMP
SMA
SMA
S1
SD

SMP
SMA
SMA
SMP
S1
SMA
S1
S1

usia
46
51
44
57
53
56
52
62
66
48

58
63
48
61
55
59
47
45
61
53
61
55
42
52
63
48
41
58

jenis

kelami
n
L
P
P
L
P
P
P
P
L
L
L
P
L
L
L
P
P
P
P
P
P
L
L
P
L
P
L
L

P P P P P P P
lama
P P P P P P P P P 1 1 1 1 1 1 1 To ko menderita
ko
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 tal de DM
de
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
5
1
1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 14
3
12
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
8
1
1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 0 13
3
16
2
1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 14
3
10
1
1 1 1 0 1 0 0 1 1 0 1 0 0 1 0 0
8
2
8
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
10
1
1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 15
3
15
2
1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 15
3
16
2
1 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 14
3
3
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
16
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
15
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
13
2
1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 15
3
6
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
15
2
1 1 1 1 1 1 1 0 1 1 1 0 1 1 1 1 14
3
22
2
0 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 12
3
11
2
1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 15
3
13
2
1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 15
3
11
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
13
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
23
2
1 1 1 0 1 1 0 0 1 1 1 1 1 0 0 1 11
3
12
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
11
2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
16
2
1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 15
3
6
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
10
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
3
1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16
3
10
1

Universitas Sumatera Utara

72

29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

19
12
16
10
12
20
11
12
6
10
2
10
6
3
2
15
2
5
8
2
9
12
14
14
11
17
2
2
10
13
3
10
13

S2
S1
S1
S1
S1
SMA
SMA
SMP
SMA
SMA
S1
S1
SMA
SMA
SMA
SMA
S1
SMP
SMA
SMA
S1
SMA
SMP
D3
SMA
S1
SMA
S2
S1
S1
SMA
S1
SMA

63
54
56
47
51
53
50
47
43
52
45
51
51
44
46
52
48
58
50
42
46
53
58
52
46
54
43
58
52
51
53
56
52

L
L
L
P
P
L
P
L
P
P
P
L
P
P
L
P
P
P
L
L
P
P
P
L
P
L
P
L
P
L
L
L
L

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1

1
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
0
1
0
1
1
1
1
1
1
1
1
1
1
1
0
1
1

1
1
1
1
1
1
1
1
0
1
1
1
1
0
1
1
1
0
0
1
1
1
1
1
1
1
0
1
1
1
1
1
1

1
1
1
1
0
1
1
0
1
0
1
1
1
0
1
0
1
1
0
1
1
1
1
1
1
1
0
1
1
1
1
1
1

1
1
1
1
0
1
1
0
0
0
1
1
1
1
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
0
0
1
1

1
1
1
1
1
1
1
0
1
1
1
1
1
1
0
1
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
1
1

1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
0
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
0
1
0
1
1
1
1
1
1
1
1
1
0
0
1
1

1
1
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1

1
1
1
1
1
1
1
0
1
1
0
1
1
1
0
1
1
1
1
1
1
0
1
1
1
1
0
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
1
0
1
0
1
1
1
1
1
1
0
0
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1

16
16
16
16
12
16
16
11
14
14
14
16
16
8
10
13
13
10
12
11
16
15
16
16
16
16
10
14
14
13
11
16
16

3
3
3
3
3
3
3
3
3
3
3
3
3
2
2
3
3
2
3
3
3
3
3
3
3
3
2
3
3
3
3
3
3

19
12
16
10
12
20
11
12
6
10
2
10
6
3
2
15
2
5
8
2
9
12
14
14
11
17
2
2
10
13
3
10
13

2
2
2
1
2
2
2
2
1
1
1
1
1
1
1
2
1
1
1
1
1
2
2
2
2
2
1
1
1
2
1
1
2

Universitas Sumatera Utara

73

62
63
64
65
66
67
68
69
70

12
2
16
10
6
4
9
14
15

SMA
SMA
SMA
S1
S1
SMA
SMA
SMP
SMA

47
41
62
48
44
51
46
54
55

P
L
P
L
L
L
P
L
L

1
1
1
1
1
1
1
1
1

1
0
1
1
1
1
1
1
1

1
0
1
0
1
1
1
1
1

1
1
1
1
1
1
0
1
1

1
1
1
0
1
0
1
1
1

1
0
1
1
1
0
0
1
1

1
0
1
1
1
0
0
0
1

1
1
1
1
1
1
0
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
0
1
1
1
0
1
1
1

1
0
1
1
1
1
1
1
1

1
0
1
1
1
0
1
1
1

1
0
1
1
1
0
1
1
1

16
8
16
14
16
10
12
15
16

3
2
3
3
3
2
3
3
3

12
2
16
10
6
4
9
14
15

2
1
2
1
1
1
1
2
2

Universitas Sumatera Utara

74

Lampiran 12. Hasil uji reliabilitas
kode responden p1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
k
n
vt
x
kR-21

p2
1
1
1
1
1
1
0
1
0
0
1
1
1
0
1
1
1
1
1
1
1
1
0
1
1
1
0
1
1
1

1
1
1
1
1
1
1
1
0
1
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
16
30
9.36
13.2
0.803419

p3

p4
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1

p5
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
1
0
1
1
1
1
0
1
1
1
1
1
1
1
0

p6
1
1
0
1
1
1
0
1
1
1
1
1
0
1
1
1
0
1
1
1
1
0
1
1
1
1
1
1
1
1

p7
1
1
1
1
1
0
1
1
1
1
1
0
1
1
1
1
1
1
1
0
0
1
1
1
1
1
0
1
1
1

p8
1
1
0
1
1
1
0
1
1
1
1
0
1
0
0
1
0
1
0
0
1
1
1
1
1
1
0
0
1
0

p9
1
1
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
0
1
0
1
1

p10
1
1
0
1
0
1
1
1
1
0
1
1
0
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1

p11
1
1
0
1
1
1
1
1
0
1
1
1
0
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1

p12
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1

p13
1
1
0
1
0
1
0
1
0
0
1
0
1
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
0

p14
1
1
1
1
0
1
0
1
0
0
1
1
1
0
1
1
0
1
1
1
1
1
1
1
0
1
1
1
1
0

p15
1
1
0
1
0
1
1
1
1
1
1
0
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0

p16
1
1
0
1
1
1
1
1
0
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1

xi
1
1
0
1
1
1
1
1
0
1
1
0
1
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1

total
xi^2

16
16
6
16
12
15
11
16
9
12
16
11
12
6
15
16
6
16
15
13
15
14
15
16
14
13
13
14
16
11
396
156816

xi^2
256
256
36
256
144
225
121
256
81
144
256
121
144
36
225
256
36
256
225
169
225
196
225
256
196
169
169
196
256
121
156816

Universitas Sumatera Utara